LGBTQ+ Family Building
LGBTQ+ Family Building
With years of expertise, treatments with Dr. Ghadir lead to high success rates.
Dr. Ghadir’s treatment options include sperm donation, intrauterine insemination (IUI), in-vitro fertilization (IVF), egg donation, and assistance from gestational carriers to meet the needs of those in the LGBTQ+ community who are looking to build a family. Dr. Ghadir believes that everyone who desires to, should get to experience the gift of becoming a parent.
Treatment options most often utilized by LGBTQ+ couples and individuals include intrauterine insemination (IUI) and in-vitro fertilization (IVF)
Dr. Ghadir is committed to assisting same sex couples and individuals who desire a biological child. Every patient will have an initial consultation prior to any treatment. During this consultation, your physician will evaluate your medical history and perform diagnostic testing to determine the probability of conception. Success can depend on many factors.
“Reciprocal IVF” is when one partner can donate the egg while the other partner carries the pregnancy.
For this option of reciprocal IVF, the first step involves in-vitro fertilization to fertilize the donating partner’s egg with the donor sperm. The partner who is donating the egg will be given hormones in order to stimulate egg growth and will then have her eggs retrieved, fertilized, and transferred into the other partner’s uterus to carry the pregnancy. However, if one partner is both providing the eggs and carrying the pregnancy, IVF is not always necessary and donor IUI may be adequate.
In this case, insemination is performed and the sperm utilized can be provided from a friend, relative, or an anonymous donor through a sperm bank.
Dr. Ghadir offers same sex couples and individuals two primary fertility/pregnancy treatment options:
Artificial Insemination (IUI) with Donor Sperm (Intrauterine)
Artificial insemination is often used due to its outstanding success rates using frozen sperm. Sperm is injected by using a syringe and a thin catheter, which is inserted into the uterus through the cervix, during ovulation.
In-Vitro Fertilization (IVF)
IVF is the oldest assisted reproductive technology (ART) and is still the most commonly used. IVF involves fertilizing an egg outside of the body and the embryo created is then transferred into the uterus. Dr. Ghadir suggests IVF when one partner wishes to provide the egg for the other partner to carry. In-vitro fertilization can also be used if the probability of pregnancy is low with IUI, whether due to age or low egg count. This way, the partner who is providing the eggs maintains a genetic link to the baby, while the partner carrying the pregnancy maintains a gestational link. Genetic testing of the embryos can be done prior to transfer.
Sperm Donor Insemination into One or Both Partners
- IVF, using the eggs of one partner and fertilized using donor sperm, the embryo is implanted into the other partner.
- IVF, using the eggs of one partner and fertilized using donor sperm, the embryo is implanted into a gestational carrier.
- IVF, using donor eggs and donor sperm, the embryo is implanted into one partner.
- IVF, using donor eggs and donor sperm, the embryo is implanted into a gestational carrier.
- IVF, using eggs from both partners and fertilized using donor sperm, the embryo is implanted into one partner
- IVF, using eggs from both partners and fertilized using donor sperm, the embryos are implanted into one or both partners.
Selecting a Sperm Donor
Same sex couples and individuals may decide which sperm bank and which donor to use. Some couples may decide to use semen from a known donor. In this case, sperm analysis must be performed, which is relatively inexpensive and non-invasive. Sperm samples may be collected at a laboratory, a physician’s office, or in some cases, in the privacy of their own home. Information about the donor, including physical characteristics, ethnic background, race, educational background, career history, and general health history should be available for review. We honor FDA regulations and ensure that mental health professionals consult this lifelong decision. Additionally, we ensure that legal contracts are in place to protect all parties involved.
Generally, the couple will decide on their own which partner will carry the pregnancy. The partner chosen will undergo “day 3 blood work” to determine hormone levels and an HSG to evaluate the health of her uterus and fallopian tubes. If the testing results in a good prognosis, the couple will then select a sperm donor to be utilized for fertilization.
IVF (in-vitro fertilization) involves taking injectable medications in order to boost the number of mature eggs grown that month. The partner who is donating the eggs will also undergo a surgical procedure to retrieve the eggs. The eggs will be fertilized with the donor sperm and once they have matured, the embryos are able to be tested and frozen and then transferred into the uterus of the partner who will carry the pregnancy and give birth.
In some cases, couples may need to use donor eggs for conception, due to the absence of ovaries or the inability to produce viable eggs. Donors may include family members, friends, or an anonymous donor.
Additional Treatment Options
Men who desire to have children without a partner that produces eggs, will need an egg donor as well as a gestational carrier to carry the pregnancy. A semen analysis will be performed to test motility, volume, concentration, and morphology, for the partner wishing to utilize his sperm.
The couple or individual will select an egg donor, through one of our credible egg donation agencies. Egg donors can also include family members, if medically appropriate. Once the couple has established a gestational carrier and egg donor, one or both male partners will provide semen samples to be used in the fertilization of the donated eggs.
Our egg donor program maintains the highest level of professional standards and discretion, which is based on the criteria set by the American Society for Reproductive Medicine.
Dr. Ghadir offers couples two primary options:
Traditional Surrogacy with Artificial Insemination (AI)
With this option, the surrogate is artificially inseminated with the intended partner’s sperm. This is a very rare option for family building for our gay couples.
IVF with Egg Donation and a Gestational Carrier
In-vitro fertilization is utilized to control the process of growing eggs and next eggs are removed from the donor’s ovaries, and are fertilized by the chosen partner’s sperm in a fluid medium (in vitro) or both of the partner’s sperm. The resulting embryos from one or both male partners are then generally tested and then implanted in the surrogate’s uterus, with the intent of achieving a successful pregnancy.
- IVF, using donor eggs and sperm from one or both partners, the resulting embryo is implanted into a gestational carrier.
- IVF, using donor eggs and donor sperm, the resulting embryo is implanted into a gestational carrier
- Traditional Surrogacy- the egg from a surrogate is fertilized by a partner or donor sperm.
Couples and individuals will meet with one of our physicians to discuss the details of using an egg donor and gestational carrier. The eggs from the donor can be fertilized with the sperm of one or both partners.
In some cases, physicians are able to use the sperm of each partner and the eggs from the donor can be divided into two groups and each partner’s sperm is used to inseminate the eggs designated to them. This could result in twins, each having the same biological egg, but different sperm sources from each father. If one child is born, a DNA test will be necessary to determine which sperm provider is the biological father, unless different embryo genders were transferred and determined prior to the transfer.
IVF Surrogacy Program
If you are searching for an IVF surrogacy program, it is important to acknowledge that Dr. Ghadir has extensive knowledge and experience in IVF utilizing gestational carriers.
IVF surrogacy involves a third-party “gestational carrier” to carry the pregnancy when, for various reasons, a woman cannot carry a baby herself or the couple is two male partners.
The gestational carrier agrees under contract to be implanted with embryos, developed in vitro from the sperm and eggs of the client couple or their donors, in order to achieve the pregnancy.
IVF with a Gestational Carrier: 50% You + 50% Your Partner = 100% Your Child Genetically.
With IVF utilizing a gestational carrier, there are no genetic differences with your child, as if he or she had been conceived and carried naturally. This is why the IVF program with Dr. Ghadir has become a well-known option for couples who may be dealing with female factor infertility.
How does IVF with a Gestational Carrier Work?
Both partners will visit Dr. Ghadir’s clinic, where a physician will thoroughly evaluate their medical history and perform diagnostic testing.
The female partner begins an IVF cycle by stimulating ovulation through taking appropriate medications and hormone injections.
After confirming proper ovarian follicle development, through ultrasound monitoring, the eggs are retrieved and examined in the IVF lab, the ART Reproductive Center.
The eggs are then carefully fertilized using sperm. In some cases, we may use assisted reproductive technologies, such as ISCI, to ensure fertilization.
Embryos then grow and develop in vitro. PGT which is pre-implantation genetic testing is an assisted reproductive technology that we often utilize to select only the healthiest embryos and screen for chromosomal abnormalities.
Embryo or blastocyst transfer is used to transfer and implant the embryo(s) into the gestational carrier’s uterus.
The gestational carrier then carries your child ideally to term, producing a happy, healthy child who is uniquely and completely yours.
Dr. Ghadir maintains the highest level of standards in our IVF gestational carrier program. The gestational carriers who participate in our program are from the most credible professional agencies.
Egg Donor Program
Our egg donor program gives couples with female factor infertility the opportunity of having a child who has a 50% genetic identity to the couple, which is a child created with the male partner’s sperm and a donor’s eggs.
Should I Use an Egg Donor?
In order to decide whether using an egg donor is the correct route for you, it is critical to have an accurate diagnosis and understand the exact cause of your infertility.
Why Might My Fertility Specialist Suggest Using an Egg Donor?
If after your diagnosis it is determined that your eggs will not be successful in achieving a pregnancy, which can be due to various health conditions or age, your specialist may suggest using an egg donor.
Egg donation is a viable infertility treatment for women with the following conditions:
- Diminished ovarian function due to ovarian cysts.
- Cancer of the ovaries or other ovarian diseases.
- Lacking ovaries.
- Compromised egg or embryo quality.
- Poor ovarian response to fertility medications.
- Diagnosis of one or more genetic diseases.
- Family history of genetic disease
Egg donation has been proven to be a successful treatment for women who have had multiple IVF cycles without achieving a pregnancy.
Dr. Ghadir’s Egg Donor Program
Dr. Ghadir’s egg donor program specializes in matching hopeful parents with the best donor for them. We work closely with all parties involved, throughout the entire process to ensure things go smoothly.
Finding the Right Match
Upon contacting us, one of our specialists will consult with you about the qualities you are looking for in an egg donor. We will then present you with donor profiles that are tailored to your specific needs.
Egg donor profiles include biographies, health history, family history, educational information, and photos of the donor. We pride ourselves in offering portfolios that provide you with a good understanding of each candidate.
We understand that selecting an egg donor is a big decision and we encourage you to provide feedback so that we can match you with your ideal candidate.
At this time, we will also discuss any questions or concerns that you may have about the egg donation program, estimated costs, success rates, expected timeline, and next steps.
Breaking Down the Process
After a series of basic fertility tests and a thorough medical history evaluation, your fertility specialist will advise you whether or not egg donation is an appropriate infertility treatment for you.
Below is a brief description of the significant procedures performed in the egg donation process. Your specialist will explain in greater detail once you’ve decided to continue with the program.
The Evaluation Cycle
Before beginning the embryo transfer cycle, your specialist may or may not perform a “trial run” also known as a mock cycle to determine the correct amounts of estrogen and progesterone that your body requires for a successful pregnancy. They will give you an orally administered, natural estrogen, called Estrace, in gradually increasing dosages over a 9 to 14 day period. We will then measure your blood estrogen levels. Next, we will perform an ultrasound to monitor the thickening of the uterine lining, which is necessary for a successful implantation. After the evaluation cycle is complete, Dr. Ghadir will have a plan on how to effectively prepare your uterine lining for the embryo transfer cycle.
The Embryo Transfer Cycle
You will begin taking estrogen once there are healthy embryos ready for transfer. Ultrasounds and blood tests will be performed periodically to ensure that your uterus is prepared for the embryo transfer. Usually five days after the start of progesterone, the developing embryos are implanted into the uterus. The first pregnancy test is usually performed 10 days after the embryo transfer. If that test is positive, you will continue to take estrogen and progesterone until your doctor weans you off. After that period, the developing baby’s placenta will produce the necessary hormones to carry the pregnancy to full term, allowing discontinuation of the hormone therapy.
Sperm Donor Program, for IUI and IVF IUI
Dr. Ghadir Works with Reputable Sperm Banks
Our sperm donor program is another option chosen by many of our clients. Dr. Ghadir’s sperm donor program only allows the most discreet, highly credible sperm banks. We provide many sources of screened donor sperm that can be discussed with your fertility specialist. You may also choose to use your own sperm donor, such a family member or friend.
Donor sperm may be utilized with conventional insemination techniques, such as IUI or IVF. Both methods have proven to be a safe and effective infertility treatment, offering an outstanding chance at pregnancy.
Is Third Party Reproduction Right for You?
Our patients’ challenges vary but all of our patients share one common dream – to become parents, and for a variety of reasons are needing assistance in accomplishing this goal.
We work with individuals and couples of all backgrounds who desire to build their families. We look forward to working with you to determine how to best assist you in building the family you desire.