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Same Sex Marriage and Family Building

The recent Supreme Court decision regarding same sex marriage has prompted many LGBT couples to join their lives through marriage and start building their family. Our practice frequently sees patients with questions about their options to have a biological connection with their future child/ren. Due to the many advances in modern reproductive techniques, there are various options available to assist couples.

Female couples typically have more family building options than male couples. The treatment options for female couples range from basic artificial insemination with donor sperm to more involved treatments, such as In Vitro Fertilization (IVF). One option is for one female to provide the eggs that are then fertilized with donor sperm to create embryos that are placed in the other woman’s uterus.

Male couples will need to pursue IVF treatment; utilizing an egg donor and a gestational carrier. The donor egg is fertilized with one of the partner’s sperm to create embryos. An embryo is then placed into the uterus of a gestational carrier who carries the pregnancy for the couple.

We recommend that couples speak with a psychological counselor who is familiar with discussing reproductive and infertility issues. The counselor will be able to aid the couple in many ways; including discussions regarding the timing of conversations with your immediate support system, as well as your future child.

It is also important that couples using donors seek legal counsel, to determine if there are any legal considerations based on their treatment decision.

Loving families come in many forms. Reproductive technologies have come a long way to help couples build families, in ways most people never even considered. I would advise that you contact a Reproductive Endocrinology and Infertility specialist to discuss your treatment options.