How Do LGBTQ+ Couples Navigate The World Of Infertility & IVF?

How Do LGBTQ+ Couples Navigate The World Of Infertility & IVF?

How IVF Helps LGBTQ+ Couples Overcome Infertility

When the topic of assisted reproductive technology (ART) is mentioned for LGBTQ+ family planning, infertility usually isn’t the first subject discussed. Typically, people think about issues such as finding an egg donor for gay couples, a sperm donor for lesbian couples, or even deciding which of the female partners will carry the pregnancy to term. However, given how common infertility is in heterosexual couples, society shouldn’t be surprised that same-sex couples can face the same challenges. Thankfully, in vitro fertilization (IVF) can be just as effective in overcoming reproductive health challenges for members of the LGBTQ+ community who want to have children.

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Secondary infertility

Just like with heterosexual couples, receiving an infertility diagnosis doesn't mean that an LGBTQ+ couple was never able to conceive. In truth, secondary infertility is possible and refers to a person or couple that was able to successfully have a child, whether naturally or through fertility treatments, but now is unable to do so. Common culprits can include age, poor egg or sperm quality, or even unexplained infertility. Regardless of the cause, IVF can be a reliable option with the use of donor sperm or eggs.

When health influences fertility

Fertility is a complex topic with various factors that can determine success. Sometimes, underlying health conditions can contribute to infertility. In women especially, polycystic ovarian syndrome (PCOS) makes tracking ovulation very difficult and can even influence how the ovaries operate. Similarly, a man who is overweight or a chronic smoker may have poor sperm quality. In both scenarios, conception can still occur, but within IVF, additional steps may be required, such as assisted hatching or modified ovarian stimulation, to achieve a successful pregnancy.

Being an older parent

One of the biggest reasons for infertility is linked to age. While society tends to be hyperfocused on a woman's age and potential fertility, men aren't immune either. Research has proven that for both genders, being over 35 can lower egg and sperm quality. Specifically in women, poor ovarian reserve along with a reduction in viable eggs that can not only become embryos but also successfully implant in the womb are real concerns. Similarly, in men, age-related issues such as slow motility and chromosomal abnormalities are more likely. In both cases, either opting for a donor or modifying IVF to boost success rates can help.

Don't feel alone

Many people faced with infertility have described the experience as isolating. Yet, ART and IVF, in particular, have a wide array of options to help both heterosexual and homosexual individuals and couples successfully conceive. While age is still the more significant contributing factor, many same-sex individuals and couples have gone on to build families thanks to IVF. Because LGBTQ+ family planning is usually inherently different than with heterosexual couples, most individuals will discover infertility during the early evaluation stages when seeking a fertility specialist.

Have the last word on infertility

Historically, LGBTQ+ individuals and couples who want to conceive have typically needed outside help because of the unique gender dynamics that are present. So, even though an infertility diagnosis can still be hard to hear, a gay couple can still look to an alternate partner to provide sperm. Likewise, with a lesbian couple, either partner could be a potential egg donor or be healthy enough to carry the embryo throughout the pregnancy. Because IVF was already such an essential step for many same-sex couples, infertility doesn't have to close the door to having children.

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