LGBTQ+ Family Building

Today we are talking about LGBTQ+ family building.

Being a part of the LGBTQ+ community no longer means that one must forgo the reality of family building. Increasing availability of fertility services are making it possible to build a family in a variety of ways! This is also highly true or those seeking to become a single parent by choice. Like The American College of Obstetricians and Gynecologists states, I believe that “No matter how a child comes into a family, all children and parents deserve equitable protections and access to available resources to maximize the health of that family unit.”

This topic is becoming more widely discussed, but it still is not the primary focus of many reproductive discussions. I recently sat down with Dr. Sarah Mucowski of Dallas IVF to talk in depth about gay, lesbian and transgender family building, as well as single parents by choice.

Dr. Mucowski helps us understand the following:

  • Choosing the right fertility center
  • Fertility care for lesbians, couples with 2 egg providers, and single parent by choice: choosing a sperm donor, fertility treatment options, using an egg donor and gestational carrier, Invocell as an alternative to IVF
  • The importance of a reproductive attorney
  • Fertility care for gay male couples, two sperm providers and single parent by choice: fertility treatments options, choosing an egg donor and gestational carrier
  • Transgender family building: transgender people with eggs who are taking testosterone, transgender people with sperm who are taking estrogen, and those not taking hormones and have not had bottom surgery
  • Fertility preservation for transgender individuals
LGBTQ Family Building

Different paths to parenthood

The path to parenthood does not always look one way, nor is it always straightforward. In my own journey, I went through several rounds of IVF before finally conceiving my twins via egg donor. As, a non-profit that exists to reduce barriers to family building, says, “One of the hardest steps is determining which option will work best for you and/or your partner.” Options include IUI, donor egg and/or sperm options, reciprocal IVF, IVF, surrogacy, and adoption/foster care.

No matter the unique differences of what the family unit looks like, those who want to build a family should have equal access to whatever option they choose, including those in the LGBTQIA community. A large part of this simply means having access to information and education. Dr. Mark Leondires, founded Gay Parents To Be® as informational resource and a starting point for LGBTQ parenting. On his own family building journey, he learned first hand how challenging it can be for LGBTQ parents-to-be to have a baby.

Navigating fertility or family building?

Here are two wonderful resources I highly recommend to help you with maintaining your mental health during the process:


ALUMA, A Mental-Wellness Workbook for Moms

Aluma is mental wellness and self-discovery program with immersive audio. New issues every 3 months for less than the cost of a therapy session. You will get a beautiful, themed workbook with 45 unique activities, and general mental health information from a board-certified perinatal psychiatrist!

Healing Hearts

Healing Hearts, A program for those who have experienced fertility/pregnancy/birth trauma and/or traumatic

Have you experienced fertility/pregnancy/birth trauma and/or traumatic loss(es)? ​Are you motivated to implement new body-based strategies designed to help you release trauma? Learn more about the Healing Hearts program by Parijat Deshpande!

Listen to the podcast!

LGBTQ+ Family Building

Frequently Asked Questions

What are your qualifications?

I am a double board certified ObGyn and Maternal-Fetal Medicine Specialist. I have worked at a large academic center in academic medicine as a clinician, educator and researcher since 2004.  I am currently a tenured Professor and actively manage patients with high-risk pregnancies.

How can I contact you for a collaboration, interview or other opportunity?
Please send me an email.
Can you debunk this social media post I saw?

The best way to contact me about debunking social media content is to send that content to me in a DM on my Instagram account @babiesafter35. You can also email me.

Do you do private consults? Can I get you to review my medical records?

I do not do private consults or review medical records submitted by patients.

Do you accept submissions for articles on your website?

Yes! Please email me for more info.