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Family Building Options for LGBTQ+ Couples: Understanding Donor Insemination and Reciprocal IVF

By Dr. Edward Illions – Fertility Center of Miami


A t the Fertility Center of Miami, we believe that family is love in every form. We are proud to support individuals and couples of all gender identities and sexual orientations on their path to parenthood. Whether you're part of a same-sex couple, transgender, nonbinary, or single and looking to build your family, fertility care should always be inclusive, affirming, and personalized. In honor of Pride Month and beyond, we’re highlighting two of the most common and effective options for LGBTQ+ family building: donor sperm insemination and reciprocal IVF. Each path offers unique opportunities to participate in the process and experience the joy of parenthood on your terms.

Option 1: Donor Sperm Insemination

Donor sperm insemination is one of the most straightforward and widely used methods for same-sex female couples, single individuals, and transgender individuals who do not produce sperm.

How it works:
  • The process begins with selecting donor sperm from an FDA-regulated sperm bank. Donors are carefully screened for genetic, medical, and infectious diseases.
  • The patient undergoing insemination is monitored to track ovulation, usually through ultrasound and hormone testing.
  • When ovulation is confirmed, the donor sperm is placed directly into the uterus using a thin catheter during a simple procedure called intrauterine insemination (IUI).

This option is minimally invasive and can be performed with or without fertility medications, depending on the patient's needs. Success rates vary based on age and reproductive health but can be quite favorable with proper timing and medical support.

 

Option 2: Reciprocal IVF

Reciprocal IVF allows both partners in a same-sex female couple to be physically involved in the pregnancy process. This method has become increasingly popular for couples who want to share the experience of family building.

How it works:
  • One partner undergoes ovarian stimulation to produce eggs, which are then retrieved in a short outpatient procedure.
  • The eggs are fertilized in the lab with donor sperm, creating embryos.
  • One of the resulting embryos is then transferred into the uterus of the other partner, who will carry the pregnancy.

This beautiful collaboration allows one partner to be the genetic parent, and the other to be the gestational parent. Reciprocal IVF requires more medical steps than insemination, but it can offer a powerful sense of shared connection and experience.

Success rates for reciprocal IVF are typically high, especially when transferring chromosomally normal embryos and working with a skilled fertility team.

 

Choosing the Right Path for You

Both donor sperm insemination and reciprocal IVF are effective and affirming options for same-sex female couples and other LGBTQ+ individuals and families. The best choice depends on your personal goals, medical considerations, timeline, and budget.

At the Fertility Center of Miami, we’re here to walk you through every step, from understanding the medical process to navigating donor selection and emotional considerations. We understand that fertility journeys are deeply personal, and our compassionate team is committed to providing care that reflects your identity, values, and dreams.

 

Final Thoughts

Love makes a family, and no matter what your path looks like, you deserve a care team that sees you, supports you, and celebrates your journey.

Whether you’re considering IUI with donor sperm or reciprocal IVF, the first step is having a conversation with a fertility expert who understands the unique needs of LGBTQ+ patients.

Ready to explore your options? Contact the Fertility Center of Miami today to schedule a consultation and start building your family with confidence.

To watch more informative videos on reproductive health visit our Instagram page or click here.

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