Same-sex and transgender couples face unique fertility circumstances, and often must choose from a wide array of reproductive options. We offer a wealth of experience and comprehensive management options based on your individual fertility needs. Your options may range from donor IUI, clinic recruited IUI and or IVF, donor eggs, egg sharing and surrogacy fertility management. Anju works closely with Monash IVF (donor program) to create a personalised treatment plan specially designed for you specially when third party reproductive services are  involved. 

LESBIAN  COUPLES 

 

Intrauterine insemination(IUI)

This is procedure in which sperm is inserted directly into a woman’s uterus. This is done at the time when a woman is ovulation. 

Women have  the option of using their own donors – Known donors or donors recruited by the clinic. 

 

In Vitro fertilisation (IVF): 

Lesbian women sometimes need IVF. This is usually undertaken when IUI has failed or   there are other gynaecological conditions which may require IVF  such as tubal blockage, endometriosis, fibroids, severe PCOS etc. Sometimes IVF with embryo testing is electively undertaken when a woman is advanced in age. 

 

Partner IVF/ Egg sharing: 

Partner IVF is an appealing concept for many lesbian couples. This can be used to conceive your first or sometimes your second child. In partner IVF allows both partners to be physically involved in the conception of their baby.  One partner provides the eggs, which are fertilised with donor sperm, and the other carries the pregnancy.

The beauty of it is that each partner gets to both experience childbearing and have a biological connection to a child.

 
GAY  COUPLES 

 

Surrogacy: 

For male gay couples surrogacy would typically be recommended. Surrogacy is an arrangement where a woman (the surrogate) offers to carry a baby through pregnancy on behalf of another person or couple and then return the baby to the intended parent(s) once it is born.

In Victoria, a  surrogate must not have genetic link to the child therefore her eggs cannot be used to conceive the child. Eggs can be sourced from a known donor or from  frozen eggs can be sourced from The world egg bank via Monash IVF. 

 

Important steps that need to be undertaken to ensure all parties can make an informed decision. These include initial consultation, counselling, psychological assessment, independent legal advice, consenting and screening tests. In Victoria all surrogacy arrangements must also be approved by the Patient Review Panel. 

Surrogacy is a  complex process and Dr Agarwal works with Monash IVF to make this process as smooth as possible for you.

 

TRANSGENDER 

 

If you are transgender and considering gender transition, among many other considerations you have to make, fertility preservation is an important one.  With so much to decide, taking a moment to think about whether you might like to have a family in the future and understanding what you need to do in order to maximise your fertility options - can sometimes be forgotten in the process.

Gender diverse people are encouraged to have a consultation with  fertility specialist  before medical transition begins to discuss your options so that  an informed decision can be made. 

Egg freezing:

This is an option for trans men (female-to-male) prior to transitioning .Hormonal stimulation is performed  to develop multiple eggs which are then collected via surgical procedure and subsequently frozen for future use. 

Sperm Freezing 

This is an option for trans women (male-to-female) prior to transitioning.  Sperm is collected usually via masturbation and frozen in straws for future use. For those who are not able to produce a sample via masturbation a testicular biopsy can be performed to collect sperm. 

 

Prepubertal boys and girls have the option of having tissue frozen. Use this link for more information.

 

Information for you

These appointments can take up to 60 minutes. You and your partner (if any) are encouraged to attend the initial appointment. Anju will take a thorough history, perform a gynaecological examination and review all the investigations already performed. She may then order more investigations as required based on your requirement.  

Further appointments may then be organised to discuss results and plan treatment as necessary.

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