LGBTQ+ Family Building

For lesbian and same-sex female (assigned female at birth) couples who have no medical history of infertility, we often recommend a diagnostic evaluation of each partner as the first step to achieve success quickly and make the process more cost-efficient. These tests often include bloodwork to determine egg quantity and quality, genetic carrier screening, a hysterosalpingogram (HSG) to evaluate the uterus and fallopian tubes, and a diagnostic ultrasound.

After testing is complete, your physician will discuss possible paths to pregnancy. These can include intrauterine insemination (IUI) in a natural cycle (without hormones), intrauterine insemination with hormones, and IVF. Shared IVF (also called reciprocal IVF), in which one partner provides the eggs and the other carries the pregnancy, is also an option. These procedures can be tailored to your unique needs. Donor sperm can be used from a known source, such as a friend or family member, or from an anonymous source from one of Pacific Northwest Fertility’s trusted sperm banks. Your team will be there every step of the way to support you in making the best decision for your family.

For gay and same-sex male (assigned male at birth) couples starting or expanding their families involves donor eggs and a gestational carrier commonly referred to as a surrogate. The first step will be a diagnostic evaluation including semen analysis, genetic carrier screening and infectious disease testing. Once you’re ready to select an egg donor and surrogate, we will assign you a nurse that will help guide you through this process. The donated eggs will be combined with your sperm in our lab via IVF to develop an embryo which will then be placed in your surrogate’s uterus.

Pacific Northwest Fertility has worked with many transgender and non-binary patients to help them achieve their dreams of parenthood through egg, sperm, and embryo freezing. We recommend scheduling a consultation with us before pursuing gender-affirming care if possible, but regardless of where you are in your journey, we welcome the opportunity to meet with you to discuss your fertility options and create a plan that works for you. You may have many options, from using your own stored eggs or sperm to exploring donors and surrogacy.