Same Sex Fertility Options

The Fertility Institute of Hawaii offers many advanced fertility treatments such as ovulation induction, intrauterine insemination, donor sperm, IVF, co-IVF, donor eggs, embryo donation, and gestational carriers to help the LGBTQ community build a family.

Same sex couples are commonly seeking fertility treatment.  The Fertility Institute of Hawaii has extensive experience providing IVF, gestational carrier IVF, sperm donation, egg donation, and embryo adoption to same sex patients.  Many may feel overwhelmed with respect to the unfamiliar territory of assisted reproductive technologies.  Our approach to all patients is to provide individualized compassionate care.

Gay Couples

We invite couples to come for an initial consultation. As the number of gay couples with a desire to achieve biological parenthood grows, there has been a growing demand for IVF (in vitro fertilization) pregnancy. Through the services of egg donors and gestational carriers, it is now common to utilize IVF to maximize the chance of success. Please see the In Vitro Fertilization section of our website for more details. Gay couples require the services of an egg donor who provides the eggs as well as a gestational carrier (surrogate) who carries the pregnancy. The eggs can be fertilized with the sperm of one or both partners.

In gestational carrier IVF cycles, a female egg donor provides the egg(s), a male partner provides the sperm and In Vitro Fertilization is done to create their embryos. The embryos are then transferred into the surrogate’s uterus. The resulting baby is genetically unrelated to the surrogate.

Lesbian Couples

We invite couples to come for an initial consultation and examination. A vaginal ultrasound is performed as part of the physical examination. This helps to understand how the treatments will be performed.

Ovarian function and reserve are checked on with a transvaginal ultrasound and simple blood panel. We may also advise a saline sonohysterogram, a transvaginal ultrasound that evaluates the cavity of the uterus, or a hysterosalpingogram (HSG), an x-ray study to check the uterus and fallopian tubes for any abnormality that may prevent the egg and/or embryo from reaching the uterus.

At this time, we also discuss the different types of inseminations and how the sperm donor selection should be made. Semen obtained from reputable sperm banks has undergone rigorous screening for sexually transmitted infections (STIs) and a health risk questionnaire is completed by the donor and reviewed by trained personnel. The semen is frozen and quarantined for six months and the donor is then re-tested for STIs. If the donor is not infected, the semen samples are made available for artificial insemination (AI) also known as intrauterine insemination (IUI).

Artificial Insemination with donor sperm: Donor sperm is obtained from various sperm donor banks. Once a sample is chosen, it is shipped to our laboratory and stored in our Hawaii Sperm Bank. A fertility evaluation as well as ovulation therapy (if needed) is combined with intrauterine insemination.

Utilizing a known sperm donor for artificial insemination (IUI) is possible provided that the sperm donor has the proper FDA testing, which includes a psychological evaluation, sperm donor questionnaire, and STI testing. We can help acquire the proper FDA evaluation and testing of potential sperm donors.

Co-In Vitro Fertilization. When one of the lesbian partners wishes to provide the eggs and the other is interested in carrying the pregnancy, Co-IVF is performed. The eggs are harvested from one partner, fertilized with donor sperm and the resulting embryos placed in the uterus of the other partner. Please see the In Vitro Fertilization section of our website for more details.

Donor Sperm Banks

While we are unable to guarantee the quality of any sperm received from sperm banks, the list below represents some of the sperm banks with which we have worked successfully in the past:

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