LGBTQ+ Family Building Options

At Austin Fertility and Reproductive Medicine, we believe in and provide access to family building options regardless of gender and/or sexual orientation. After a consultation with one of our health care providers, the best plan will be tailored to cater for the patient(s)’ needs. Family building options include:

Donor Sperm

Donor sperm can be used for same-sex female couples, single female patients, or patients struggling with male infertility. Donor sperm can be from an anonymous source obtained from a sperm bank, or from a known donor.

Donor sperm can be used for intrauterine inseminations (IUI) or in-vitro fertilization (IVF). The sperm is acquired before ovulation induction and is thawed on the day of insemination. Sperm parameters are evaluated prior to insemination. The sample is then deposited in the uterus, near the fallopian tubes. Sperm cells then travel through the tubal ostia to meet the ova (egg). Fertilization occurs in the fallopian tubes.

Sperm donors, whether known (identified) or anonymous (unidentified), are screened and tested in accordance with Food and Drug Administration (FDA) guidance.

Donor Eggs

Donor eggs can be used for same-sex female/male couples, single female/male patients, or patients struggling with female infertility. Options include the use of frozen donor eggs or fresh donor eggs, which can be from an anonymous (unidentified) egg donor or known (identified) egg donor.  Frozen donor oocytes are most commonly obtained from an egg bank and fresh donor oocytes are most commonly obtained from a donor egg agency or known (identified) egg donor.  In IVF cases for same-sex males, an egg donor and a gestational carrier are able to help build the couple’s family.  

Egg donors, whether anonymous (unidentified) or known (identified), are screened and tested in accordance with FDA guidance.

Donor Embryos

Donor embryos can be used for all couples. Donor embryos can be used for same-sex couples, single female patients, or patients struggling with female and/or male infertility.  Donor embryos can be obtained from donor embryo agencies. 

The agency will provide records for clinic review.

Gestational Carriers

A gestational carrier is an option for same-sex male patients or female patients with recurrent pregnancy loss, intrauterine adhesions, recurrent implantation failure, history of surgical uterine removal (hysterectomy), or the less common congenital absence of the uterus. Gestational carriers are carefully selected, and it is one of the more complex aspects of fertility care as safety of the intended parents, the future offspring, and the gestational carrier needs to be optimized and upheld. Gestational carriers can be found from an agency or someone the parent(s) select that will undergo testing.

Gestational carriers are carefully selected using both FDA guidance and ASRM recommendations.

Reciprocal IVF

Reciprocal IVF is a process in which same-sex female couples go through an IVF cycle involving one female partner undergoing ovarian stimulation to retrieve eggs, which can be fertilized by donor sperm to form embryos, and the other female partner subsequently undergoes an embryo transfer and carries the pregnancy. It is a way that both partners can be very intimately involved in the pregnancy.