Its our goal to help our LGTB community have equal opportunity in their reproductive choices. We have state-of-the-art reproductive technology within a fully equipped office, laboratory and surgery center. We offer donor insemination, egg donation, gestational carrier and surrogate arrangements with vetted providers tailored to your needs.
Your fertility journey with Punta Mita Hospital Fertility Center will begin with an initial consultation with Dr. José Luis Rivas to discuss medical history, testing, potential treatment, and financial options. The next step is diagnostic testing here in our Center to discover the level of fertility in either partner. Once testing is complete, you and Dr. Rivas will discuss a fertility plan that is right for you.
Let our Fertility Center help you start your fertility journey with personalized care & support. Call us today to set up your consultation!
Parenting for same sex female couples:
When same-sex female couples begin their fertility journey, one of the first decisions you must make is who will carry the pregnancy. The partner carrying the pregnancy will proceed with an infertility work-up. If all tests come back normal, you will then select a sperm donor or use sperm from someone known to you that you may use to achieve the pregnancy. If you select an unknown donor, the cryobank sends the frozen sperm sample directly to the Fertility Center, where our andrologists will thaw and analyze it in our andrology lab. The next step you will undergo an intrauterine insemination or in vitro fertilization cycle.
Another LGBT family building option for lesbian couples is choosing to have one partner provide the egg and the other partner will carry the pregnancy. This is a more complex treatment protocol where we will test both partners and both will take medication to boost their fertility.
This is an excellent way for both you and your partner to feel connected to the pregnancy and the child.
- What is the simplest way to conceive for lesbian couples? The simplest way to conception is to use a donor of your choice or from a high quality sperm bank that we have pre-reviewed, and time insemination through monitoring of a natural cycle, which we will do for you here at Punta Mita Hospital Fertility Center.
- What is the fastest and the least expensive way to conceive for lesbian couples?
Utilization of Intra Uterine Insemination (IUI) with donor sperm under the guidance of Dr. Rivas, preferably with Clomid enhancement of ovulation. Although seemingly more intense, careful monitoring and good timing will increase the success from single digits (4-9% in large studies of natural cycles) to 15-25% with Clomid combined with two donor sperm inseminations in an ovulation induction cycle. The chance of twins with Clomid is about 7-10% compared to 1.2% in a natural cycle.
3. Can we use fresh sperm of a friend or relative, instead of frozen sperm, which is less fertile?
Yes, the donor has to go through a full STD test prior to fertilization. Federal regulations strictly forbid the use of fresh sperm for insemination, because of the risk of transmitting infectious diseases through the sperm. All sperm used for insemination, with the exception of intimate partners, has to be frozen and quarantined for at least six months. The ‘donor’ has to go through STD testing, both before freezing and before thawing the sperm, and must be negative for HIV I and II, syphilis, gonorrhea, Chlamydia, CMV, Hepatitis B and C as well as HTLV on both occasions.
Parenting for same sex male couples:
If you are a same-sex male couple planning to build a family through fertility treatments, you will meet with Dr. José Luis Rivas to discuss the details of using an egg donor and gestational carrier. The partner wishing to use his sperm will undergo a semen analysis to test motility (movement), volume, concentration, and morphology (shape) of the sperm.
Punta Mita Hospital Fertility Center does not recruit gestational carriers/surrogate, but we will refer you to reputable agencies and attorneys who specialize in identifying gestational carriers. Once you have identified a gestational carrier/surrogate and she has undergone medical and psychological screening and legal contracts are in place, you may then select an egg donor. After the donor has gone through the egg retrieval process, you and/or your partner will provide frozen sperm samples that our in house embryologist will use in the insemination of the donated eggs. With close observation once the eggs are developed, Dr. Rivas will transfer the embryo to the gestational carrier/surrogate.
- My partner and I are in a stable relationship and both of us would like to have children and if possible to continue our genetic lineage. What are our options?
There are several scenarios, which maximize the preservation of your and your partner’s genetic contribution to offspring. The option is to use an egg donor and inseminate the eggs during in vitro fertilization (IVF) with each of your sperm. For example, if there are 8 mature eggs, 4 could be inseminated by your and 4 by your partner’s sperm. In turn, embryos created by either your or your partner’s sperm would be implanted in the uterus of a gestational carrier.
Alternately your sister or a relative could donate the eggs or be your surrogate, which would be inseminated by your partner’s sperm or vice versa, circumstances permitting.
2. What effect does the gestational carrier/surrogate have on the genetic composition of a baby?
If the embryos implanted in the gestational carrier/surrogate originate from an egg donor and the sperm of one of the intended parents, the gestational carrier/surrogate has zero contribution to the genetic make up of the baby. Thus, she is solely providing a nourishing environment for the baby.