If you are looking to build a family, CT Fertility has several options that are available for you to consider during your family journey.

Key considerations

Lesbian pregnancies are common today. While becoming a parent is important to most adults, lesbian parenting involves special concerns such as finding a sperm donor and determining which partner (or both) will experience the pregnancy and childbirth.

For lesbian couples, egg donation is a key consideration, especially if the older of the two women wants to carry the pregnancy. The egg donor may be the younger woman (genetic mother) and her partner is the birth mother (egg recipient).

If you have irregular ovulation, your doctor may prescribe fertility drugs to stimulate ovulation. Fertility drugs increase the number of eggs released by the ovaries each cycle. The downside of fertility drugs include a greater risk of multiple pregnancies and other complications.

Lastly, always check with an attorney for the laws in your state regarding both egg and sperm donation.

Cost of Artificial Insemination with Donor Sperm

Pricing for IUI ranges from $2,000–$3,000 depending on your unique treatment plan plus the cost of medication (not including the cost of donor sperm) and most women will require anywhere from 3–6 inseminations on average before they are successful. The price, however, varies considerably from clinic to clinic. Typically one vial of donor sperm from a sperm bank cost $800–$900 per vial of sperm. Most couples will use 1–2 vials of donor sperm per month depending upon what your doctor recommends.

In vitro fertilization (IVF)

Within vitro fertilization (IVF), fertilization of your egg using donor sperm happens in the laboratory rather than in your body. In general, pregnancy rates per cycle are higher for IVF when compared to IUI. Pregnancy rates decline rapidly in the 40s, even using procedures such as IVF. This is why lesbian pregnancies conceived with the aid of an egg donor and a sperm donor are more common today.

Health 

To get set on the path for pregnancy, it’s important to be in optimal health. A healthy mother helps reduce risks during pregnancy and increases the chances of a healthy baby. Here are some tips for a healthy pregnancy:

  • Take a daily vitamin supplement containing at least 400 micrograms of folic acid at least 3 months before you try to get pregnant.
  • If you are overweight, lose weight before you get pregnant to lower the chance of problems that can affect mother and baby.
  • If you are underweight, try to gain a few pounds before pregnancy. The extra weight may help regulate irregular menstrual periods, making it easier for you to conceive.
  • Talk with a nutritionist about your diet to see if you are getting all the necessary nutrients and adequate protein, carbohydrates, and fat.
  • If you smoke, stop! Also avoid second-hand smoke, as this can hinder pregnancy.
  • If you are taking prescription drugs, talk with your doctor. Ask if you need to stop the drug or switch medications prior to pregnancy.

Pre-pregnancy testing

Along with a review of your medical history, pre-pregnancy testing involves many tests including the following:

  • Tests for sexually transmitted infections (STIs)
  • Lab for blood type
  • Physical examination and pap test
  • Test of your “ovarian reserve” (a blood test is done on day 2 or 3 of your cycle to measure levels of the hormones FSH and estradiol)
  • Basic hormonal tests for TSH and prolactin
  • Hormonal tests for women with absent or irregular periods.

Types of insemination

For a lesbian pregnancy, you’ll need to undergo artificial insemination using donor sperm. Here are the types of insemination used today:

  • Intra-cervical insemination (ICI). This involves placing semen directly in the outer part of the cervix as would happen with natural intercourse. With the use of cryopreserved semen, there are lower pregnancy rates with donor insemination.
  • Intra-uterine insemination (IUI). This type of insemination involves injecting washed sperm directly into the uterus. It’s thought that IUI gives the sperm a “head start” a reaching the egg, and pregnancy rates with IUI are much higher than with ICI.

Timing of insemination

The timing of the insemination is based on the detection of ovulation. Usually within 24–36 hours after the LH surge is detected, or after the “trigger” injection of hCG is administered. Ovulation is predicted by a urine test kit or blood test and ultrasound.

For the procedure itself, you will lie down on a gynecological table, similar to the ones used for your yearly exam. A catheter—a small, thin tube—will be placed in your cervix.

You may have some mild cramping, similar to what you might feel during a pap smear. The specially washed semen will then be transferred into your uterus via the catheter.

The catheter is removed, and you’re done! Your doctor may suggest you remain lying horizontally for a short while after the procedure, or you may be able to get up right away. In either case, you don’t need to worry about the sperm falling out when you stand up.

The sperm are transferred directly into your uterus.

Assisted Reproductive Technology (ART)

Most women start the insemination process using their natural menstrual cycle. The pregnancy rates per cycle can be as high as 20–30 percent but these rates decline in older women. While younger women usually get pregnant after 3–6 insemination cycles, older women may have trouble conceiving and should see a Reproductive Endocrinologist.

For further information please call our offices at 203-373-1200 or click here schedule an appointment.