55 Francisco Street, #300, San Francisco, California, 94133
LGBTQ+ patients have a range of family-building options, including adoption, surrogacy, and donor insemination. Support is available through specialized agencies that understand unique needs, offering guidance and resources at every step.
At HRC Fertility, we welcome the LGBTQ+ community with respect, care, and expertise. Our team understands that every path to parenthood is different, and we take time to learn what matters most to you. From your first visit through treatment, you will work with fertility specialists who are experienced in third-party reproduction, donor services, and fertility preservation for same-sex and transgender patients.
We offer clear explanations, coordinated support, and thoughtfully designed packages to help simplify each step. Whether you are just starting to explore options or are ready to move forward with treatment, we focus on providing evidence-based care and steady guidance, so you can make informed decisions with confidence.
LGBTQ+ patients have several medical paths to parenthood, and the right approach depends on your health, family goals, and personal preferences. During your visit, your physician will review your medical history, explain available treatments, and outline which options may be the safest and most effective starting points for you.
Common family-building options we may discuss include:
During your consultation, your care team will walk through these decisions at your pace, answer questions, and help you design a plan that reflects both your medical needs and your family-building goals.
Once you have a sense of your preferred path, the next step is to meet with an HRC Fertility physician. In this visit, you can review test results, talk through treatment timelines, and learn how our packages may help organize your care.
Our goal is to give you clear information and steady support, so you can move forward when you feel ready. To begin, contact our office to schedule an appointment and share a bit about your family-building plans.
For many female same-sex couples, IVF offers flexible ways to build a family. One option is for one partner to provide eggs while the other carries the pregnancy, often called reciprocal IVF. Another option is for the same partner to both provide eggs and carry the pregnancy. Your physician will review your health histories, explain success factors, and help you choose the approach that best fits your needs.
Male same-sex couples who use IVF typically work with both an egg donor and a gestational carrier. Sperm from one or both partners is used to create embryos with donor eggs in the IVF laboratory. A selected embryo is then transferred to a gestational carrier, who carries the pregnancy. Our team coordinates closely with your chosen egg donor and surrogacy professionals and can also connect you with outside resources when needed.
Transgender and gender-diverse patients may choose IVF or other treatments before, during, or after gender-affirming care, depending on their health and goals. Options can include egg, sperm, or embryo freezing for future use, as well as IVF with a partner, donor, or gestational carrier. Your physician will review how hormone therapy or surgeries may affect fertility and will work with you to plan timing and treatment that align with your medical care.
Patients who need donor eggs may work with established egg donor programs that meet medical and screening standards. Your physician will explain when donor eggs may be recommended, such as in cases of low ovarian reserve or certain genetic conditions. Our team helps coordinate testing, matching, and treatment planning with your chosen program, so the process is as organized and transparent as possible.
When donor sperm is needed, patients typically select a donor through a sperm bank that follows strict screening guidelines. You can review donor profiles, medical histories, and other available information to make a choice that feels right for you. Your care team will guide you through timing, shipping, and storage details, and explain how donor sperm can be used in IUI or IVF treatment.
Gestational surrogacy may be recommended when carrying a pregnancy is not possible or is medically unsafe. In this arrangement, a gestational carrier becomes pregnant with an embryo created from your eggs or sperm, or from donor eggs or sperm. HRC Fertility coordinates closely with your surrogacy professionals and provides medical care related to IVF and embryo transfer, while you work with legal and agency partners on matching and contracts.
Schedule a consultation with us today to learn more about how our surrogacy options may be a good fit for you and your partner.
Surrogacy can be a meaningful path to parenthood for many LGBTQ+ individuals and couples. It also involves several medical, legal, and emotional steps.
HRC Fertility can help with:
Throughout the process, we focus on clear communication and careful planning, so each step is as organized and predictable as possible.
LGBTQ+ patients can access many of the same medical treatments used by other patients, with care plans tailored to their needs. Options may include IUI with donor or partner sperm, IVF with a partner’s or donor’s eggs and sperm, reciprocal IVF, fertility preservation (egg, sperm, or embryo freezing), donor embryos, and gestational surrogacy. Your physician will recommend specific treatments based on your health, age, and family-building goals.
This decision is personal and often based on medical, emotional, and practical factors. Your care team may review age, ovarian reserve, sperm health, medical history, and any prior surgeries or treatments. You can also discuss how each partner wants to be involved in the process. Together, you and your physician can explore different scenarios and choose an approach that feels right and medically appropriate.
Coverage for fertility care varies by plan and employer. Some policies cover diagnostic testing only, while others may include treatments such as IUI or IVF, and some may have specific requirements before coverage applies. Because benefits differ widely, our financial team can help you review your insurance information, explain how coverage may apply to your care, and discuss package or financing options for any out-of-pocket costs.
