LGBTQIA+
LGBTQIA+ Family Building
Let's explore the available options to help you achieve the family you've always dreamed of.
The LGBTQIA+ Family Building Process
You deserve a medical team that understands your unique fertility needs. We tailor each treatment plan to the specific needs of the patient, whether we’re working with a same-sex couple or transgender patient.
Build your family through
Personalized Solutions
How it works
Family building is a deeply personal process from every couple and individual who walks through our doors. Our doctors have extensive experience working with same-sex couples, transgender patients, and LGBTQ+ singles who dream of parenthood. Your treatment plan will begin with a consultation where you can discuss your unique needs and goals with your doctor and collaboratively create a path forward.
Lesbian Couples
Although many lesbian couples have no proven history of infertility, we recommend diagnostic evaluations as the first step to achieve success quickly and make the process more cost-efficient. These tests include bloodwork to determine egg quantity and quality, a genetic carrier screening, a hysterosalpingogram to evaluate the uterus and fallopian tubes, and ultrasounds to follow the timing of natural ovulation. After testing is complete, your physician will recommend a path to pregnancy that’s right for you. These can include intrauterine insemination (IUI) in a natural cycle (without hormones), Intrauterine insemination with hormones, and IVF. 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 an anonymous source from one of SDFC’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.
Gay / Male Couples
For gay male couples family building involves a donor egg and 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. It can feel overwhelming and we will be with you every step of the way. The donor egg will be combined with your sperm in our lab to create an embryo which will be placed in the surrogate’s uterus via IVF.
Transgender Family Building Options
Reproductive America (RCA) Fertility Center has worked with many transgender patients to 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 would love to meet with you to discuss your fertility options and create a plan that works for you. You have many options, from using your own stored eggs or sperm to exploring donors and surrogacy.
We're here for you
You should never feel alone in your fertility struggles. In fact, 1 in 6 couples struggles to conceive.Here at Reproductive America, we work closely with a number of trusted surrogacy agencies and we’re here to help you through the surrogacy process from start to finish.
Our in-house egg donor database was created with the intention to personalize donor matches and avoid unnecesarry extra fees.
Why Choose Reproductive America?
At Reproductive America (RCA), surrogacy isn’t just a service—it’s a calling. With over 14 years of direct experience in gestational surrogacy and third-party reproduction, we’ve built one of the most comprehensive, supportive, and ethically grounded surrogacy programs in the United States, and over 25 world-wide.
Whether you are a heterosexual couple with medical challenges, an LGBTQIA+ couple, or a single parent by choice, we’re here to help you create the family you’ve envisioned—with safety, transparency, and excellence.

Ask Yourself
Paying for your fertility treatment
Though coverage for fertility care varies widely by insurance plan, the good news is that more and more companies are including fertility treatment in employee benefits.
You should never feel in the dark about cost. Our financing team is committed to guiding you through your insurance benefits, out-of-pocket expenses, and other financing options every step of the way.
