LGBTQ+ Fertility Options Guide

Reciprocal IVF (also called Partner IVF or Co-IVF) is a family-building option unique to lesbian couples: one partner undergoes egg retrieval to provide eggs, while the other partner carries the pregnancy. The fertilized embryo (using donor sperm) is transferred to the carrying partner's uterus. This allows both partners to participate directly — one provides the genetic connection, the other the gestational connection.

This depends on the couple's preferences: (1) Use one partner's sperm — the child has a genetic connection to that partner; (2) Each partner provides sperm for separate embryos; (3) Mixed sperm — both partners' sperm combined for fertilization, with genetic parentage confirmed by DNA testing. HRC physicians will help design the best plan for your situation.

Sperm banks offer both anonymous and open-identity donors. Patients can filter by physical traits, ethnic background, education level, interests, and medical/genetic history. All donors undergo rigorous infectious disease and genetic screening. HRC can recommend partner sperm banks and help navigate the selection process.

California is one of the most LGBTQ+-friendly states for family law. Both spouses in a same-sex marriage can be listed as legal parents on the birth certificate without adoption. For children born via surrogacy, intended parents can apply for a pre-birth court order before delivery — ensuring the birth certificate lists them as parents directly. HRC can refer you to reproductive law attorneys experienced in LGBTQ+ family law.