Fertility Options for LGBTQ Community

RMAPA is proud to offer comprehensive fertility treatment to patients, regardless of sexual orientation, gender identity, or marital status, with success rates that are well above the national average. We are committed to providing a safe space dedicated to LGBTQ fertility care, with expertise in providing gay, lesbian, and transgender patient’s access to care in a professional environment.  When couples of the same biological sex desire a family, third party reproduction is required to obtain a donated egg, donated sperm and/or a gestational carrier.

The RMAPA staff is committed to making the fertility process as easy as possible, and will help support you every step of the way. We provide support and assistance from deciding on the best treatment, to finding the perfect donor, and more. We have the process down to a science, so that our patients and couples can focus on what matters most: their family. We can help provide answers about what treatment can produce the best outcome, psychological and genetic factors to consider and seeking legal counsel.

We’re here to support you throughout the process whether this is your first step or one of several steps along the way.



I) Fertility Options for Gay Men

RMAPA is dedicated to helping everyone who wishes to become a parent! We have several options for gay men who would like to have a child including donor egg combined with gestational carrier or use of a gestational surrogate with inseminated sperm.

In order to use a gestational carrier, donor eggs need to be obtained by IVF.  Patients who opt for frozen donor eggs may shorten the time spent in the process, as the donors have completed their cycle and the eggs are available for immediate use to create embryos. Patients looking to have a genetic link to the child can opt for egg donation and use one partner’s sperm to fertilize the egg however, some gay couples opt for IVF with split insemination. What this means is that half of the donor eggs are inseminated with one partner’s sperm, and the other half are inseminated with the other partner’s sperm. No matter what path you choose, we understand that this process requires a significant investment of time, money, and energy. The RMAPA clinical team is available to help you create a customized treatment plan that meets your specific needs.

When a gestational surrogate is used then sperm is inseminated directly into the uterus. The woman then acts as both the egg source and the gestational carrier. While this is a more economical option, there are more legal and psychological concerns with this method.

RMAPA can help you with all your third party needs
Whether you need donor eggs, donor embryos, gestational carriers or surrogates, RMAPA can help guide you through your options.  Some people opt to use a known carrier or egg donor such as a friend or family member, while others choose our third party team or a reputable agency to match the patient or couple with the ideal woman.  Finding the perfect match is important, no matter which path you choose.

There are many important legal issues to consider when using a gestational carrier or surrogate. Parental rights, obligations, and laws vary from state to state.  RMAPA can assist you in finding legal professionals specializing in third party reproduction and various other resources to assist you in building your family.

Donated embryos are also available through the anonymous donation of previously created cryopreserved embryos, by a couple undergoing IVF. Embryo donations do not have a genetic tie to the intended parent(s).

Considering the next step towards parenthood? Call to speak to an expert at RMAPA today, 610-820-6888.


II) Fertility Options for Lesbian Women

RMAPA is your comprehensive care team to help support you throughout the process of becoming a parent. We provide several options for lesbian women looking to start or grow their family. Patients or couples can choose from intrauterine insemination (IUI) with an anonymous or known sperm donor, or in vitro fertilization (IVF) for women who may have trouble conceiving through IUI.

Our team of nurses, staff, and counselors can help you identify the best treatment, donor, and help you navigate genetic testing and legal counsel.

Identifying the perfect sperm donor
Lesbian women looking for a sperm donor have three options to choose from: a known donor (a friend or partner’s family member), an anonymous donor, or an open-identity donor which allows your child to contact him after turning 18 years old. Known sperm donors must be screened by a licensed sperm bank under federal law and should quarantine their sperm for 6 months before using.

RMAPA can help you navigate an anonymous or open-identity donor, with a complete list of reputable donor banks. We are committed to matching our patients to the healthiest donor possible and gauge the amount of sperm necessary.

Intrauterine Insemination (IUI)
Intrauterine Insemination (IUI), also known as, artificial insemination (AI) assists women without fertility issues to become pregnant through the utilization of donor sperm. During ovulation, sperm is injected in the uterine cavity during a procedure that is not that unlike what’s experienced during a pap smear. For some individuals, IUI is incorporated into your body’s natural ovulation cycle. In addition, oral or injectable fertility medications can be used to stimulate ovulation increasing the chance of success at some risk of a multiple pregnancy.

In vitro fertilization (IVF) and co-IVF for lesbian couples
For women experiencing fertility issues, pregnancy may still be achieved using in vitro fertilization, or IVF. During IVF, eggs are taken from the ovary and inseminated with donor sperm. The fertilized embryo is then transferred back into the uterus to carry through the pregnancy.

For same sex female partners, IVF can be an incredible way to share in the process of pregnancy. Co IVF, or reciprocal IVF, is a process in which eggs are extracted from one partner, inseminated with donor sperm, and transferred into the uterus of the other partner to carry the pregnancy. This shared path allows lesbian couples the option to share in the experience in this special way.

Considering the next step towards parenthood? Call to speak to an expert at RMAPA today, 610-820-6888.


III) Fertility options for transgender men and women

Hormonal treatment and surgery for trans individuals, whether pre or post transition, can affect fertility and the ability to have biological children in the future. RMAPA is here to support transgender patients and couples, through creating awareness of potential obstacles and preservation options, and through providing access to the best fertility care available.

Trans individuals who are considering hormonal or surgical transition should also consider whether they would like to preserve their fertility for the future, should they ever want to have children. This can take the form of freezing eggs, sperm, or embryos before beginning hormone therapy or surgery. By preserving their fertility, for future use, patients maintain the ability to participate in the genetic makeup of their future children.

RMAPA is able to obtain sperm or eggs from patients who have transitioned to the desired sex as long as surgery has not yet been performed to remove the testes or ovaries.  It will require an interruption in the hormonal treatments for these patients.  This is why it is suggested to freeze prior to the transition.

There are several treatment options available for trans individuals or couples who are ready to begin building a family, depending on their gender at birth and which gametes (sperm and/or eggs) are needed for reproduction.

No matter where you are in the process, RMAPA is committed to supporting our patients plan ahead, or achieve parenthood with an importance on minimizing the interruption from hormones or stress of temporarily stopping treatment.

Planning or building a family for transgender females
Transgender females who are seeking to preserve their fertility prior to transition may benefit from cryopreserving, or freezing, sperm prior to beginning hormone therapy or surgery.

RMAPA can help provide options for long-term storage, allowing patients the ability to decide when starting a family is right for them. We will work with your family building goals and unique circumstances to recommend the amount of samples for cryopreservation.

We understand these decisions are extremely personal and we are sensitive to working with our patients to make the best decision for their unique journey. RMAPA’s physicians and staff will help you make the choice that is right for you.

Planning or building a family for transgender males
Prior to transitioning, transgender men have the option of cryopreservation (freezing) of egg or embryo. This process includes injectable medication for a cycle of 7-10 days and egg removal from the ovary for freezing or fertilizing. If patients opt to freeze embryos, a male partner’s sperm or donor sperm is used to fertilize the eggs prior to freezing. RMAPA is committed to reducing the need for vaginal exams.

Patient’s whose ovaries were not surgically removed, egg or embryo freezing can be done prior to transitioning.  Although a break from hormonal treatment is necessary, RMAPA is dedicated to minimizing the necessary time spent off hormones. A transgender male may have embryos implanted and carry a pregnancy if the uterus is still present; this would require a prolonged time without hormone therapy. An embryo can also be implanted in a female partner or gestational carrier.

We understand these decisions are extremely personal and we are sensitive to working with our patients to make the best decision for their unique journey. RMAPA’s physicians and staff will help you make the choice that is right for you.

Considering the next step towards parenthood? Call to speak to an expert at RMAPA today, 610-820-6888.