Whether you're a lesbian couple exploring IUI, a gay male couple researching surrogacy, or an individual beginning your family-building journey — find honest, medically accurate information and LGBTQ+-affirming clinics across the US.
Select the guide that best fits your family structure. Each pathway includes treatment options, realistic cost ranges, and success rate data.
Lesbian couples have multiple pathways to parenthood. IUI with donor sperm is typically the first-line treatment, and reciprocal IVF allows both partners to share in the pregnancy journey.
Estimated Cost Range
$300 – $25,000+
IUI from $300/cycle; reciprocal IVF from $15,000–$25,000
The primary pathway for gay male couples is gestational surrogacy paired with IVF using donor eggs. This is a deeply rewarding but significant financial undertaking requiring careful planning.
Estimated Cost Range
$150,000 – $250,000
Gestational surrogacy all-in; significant state-by-state legal variation
Single individuals of any gender can build a family through donor conception, adoption, or foster care. Many clinics welcome single-parent-by-choice patients with affirming care models.
Estimated Cost Range
$300 – $20,000+
Varies widely depending on pathway and fertility status
Transgender and non-binary individuals face unique considerations around fertility preservation before or during gender-affirming care. Options depend on anatomy, treatment history, and goals.
Estimated Cost Range
$500 – $10,000+
Sperm banking from $500; egg freezing from $5,000–$10,000
Browse our directory of fertility clinics that have been identified as LGBTQ+-affirming — with inclusive intake processes, experienced staff, and welcoming environments.
In-depth articles for every pathway
A step-by-step breakdown of reciprocal IVF — also called partner IVF or co-IVF — including protocol, costs, and what to expect.
Read articleEverything gay male couples need to know about finding a surrogate, choosing an egg donor, IVF protocols, and navigating surrogacy law by state.
Read articleWhy timing matters, what options are available, and how to find a clinic that will treat you with the dignity you deserve.
Read articleOpen-ID donors, genetic testing panels, CMV status, and LGBTQ+ inclusivity — how to find a bank that fits your family's values.
Read articleTrusted organizations offering advocacy, legal information, financial assistance, and community for LGBTQ+ families.
Advocacy, policy updates, and workplace benefit guides for LGBTQ+ family building.
Research, legal resources, and community support for LGBTQ+ families across the US.
Patient support, insurance advocacy, and clinic-finding tools for all family structures.
Non-profit providing education and financial assistance resources for LGBTQ+ family building.
Answers to the most common LGBTQ+ fertility questions, reviewed for medical accuracy.