Reciprocal IVF at Aspire Fertility in Houston

What Is Reciprocal IVF?

Reciprocal in vitro fertilization (IVF), also known as shared motherhood or co-IVF, allows same-sex female couples to share the experience of creating their child. In this process, one partner provides their eggs, while the other carries the pregnancy, ensuring that both are physically and biologically involved. Deciding to pursue reciprocal IVF is a deeply personal choice, often fostering a uniquely collaborative journey right from the beginning.

With over 30 years of experience serving LGBTQ+ couples and individuals in Greater Houston, Aspire Fertility is highly attuned to the diverse emotions that come with the decision to pursue reciprocal IVF. Our dedicated fertility specialists are here to guide you through each step of the process, ensuring you feel informed and supported along the way.

The Reciprocal IVF Process at Aspire Fertility

Reciprocal IVF involves the same procedures as traditional IVF, with additional coordination between both partners. Aspire Fertility collaborates closely with you to ensure that every step, from egg retrieval to embryo transfer, is smooth and well-timed.

Step 1: Egg Retrieval and IVF Laboratory Care

The partner providing their eggs will first undergo ovarian stimulation, using hormonal medications to encourage the production of multiple mature eggs. Once mature, these eggs are retrieved via a minor, minimally invasive surgical procedure. Then, they’re fertilized in the lab with donor sperm using conventional insemination or intracytoplasmic sperm injection (ICSI) to create embryos, which are monitored closely for development.

Step 2: Preparing the Gestational Partner

While the eggs are being fertilized and cultured in the laboratory, the gestational partner undergoes preparation for embryo transfer, including hormonal treatments to thicken and nurture the uterine lining. During this time, the gestational partner is closely monitored to ensure they’re responding well to the medication and to optimize the chances of a successful transfer.

Step 3: Embryo Transfer and Early Pregnancy Care

Once the embryos are mature, the best-quality embryo is selected for transfer into the gestational partner's uterus. This procedure is generally quick and can often be performed in a clinic setting without the need for anesthesia. 

After the transfer, early pregnancy monitoring begins, involving blood tests and ultrasounds to track hormone levels and check for pregnancy. Once the pregnancy is established, care is transitioned to an obstetric provider for ongoing prenatal care.

Using Donor Sperm

Reciprocal IVF requires the use of donor sperm, and patients may choose between working with a sperm bank or using a known donor. Each option comes with its own specific medical, legal, and logistical considerations.

All donor sperm must meet established screening and testing requirements to ensure safety. At Aspire Fertility, we'll guide you through the selection process and help you coordinate next steps.

Choosing Roles: Egg Provider vs. Gestational Partner

Deciding who will be the egg provider and who will be the gestational partner is a personal choice. Couples often consider factors such as age and health, as well as emotional desires. Some couples have a clear vision for how they want to participate in the process, while others may take time to explore what feels right for them.

The care team at Aspire Fertility works closely with both partners to ensure they’re well-informed and confident in their decision, prioritizing collaboration to ensure a smooth journey.

Reciprocal IVF Success Rates & What Affects Outcomes

Reciprocal IVF success rates are similar to those of traditional IVF. One of the most important factors is age, particularly for the partner providing their eggs, as it significantly affects egg quality and embryo development.

Other key factors include overall reproductive health, embryo quality, and the uterine lining's response during preparation for transfer. Every couple is different, so outcomes depend on a combination of these elements.

At Aspire Fertility, we build treatment plans around a thorough evaluation of both partners. This personal approach allows our care team to optimize each step of the process.

We always prioritize clear, transparent communication about success rates, combining data-driven insights with decades of clinical experience. Our goal is for patients to move forward with a realistic understanding of what to expect and a plan designed to give them the best chance of conception.

Reciprocal IVF FAQs

  • Traditionally, IVF involves one partner providing eggs and carrying the pregnancy, while reciprocal IVF allows for shared parental roles, with one partner providing eggs and the other carrying the pregnancy.

  • Costs can vary based on the specifics of the treatment plan, medications, and any additional services required. The care team at Aspire Fertility will walk you through a personalized cost breakdown based on your treatment plan and help you explore financing options.

  • Coverage for reciprocal IVF varies by insurance provider and plan. Some plans may cover portions of treatment, such as diagnostic testing or medications, while others may not include IVF services. Before treatment, check with your insurance company to understand your coverage options. Our financial counselors can also help you determine your coverage.

  • The child will be genetically related to the partner who provided their eggs. Although the partner who carries the pregnancy will not share DNA with the child, they play a crucial role in nurturing the baby's development. Both partners will still feel a strong biological and emotional connection through this shared experience.

  • Both partners usually undergo some form of fertility evaluation. The partner providing their eggs is assessed for ovarian reserve and overall reproductive health, while the partner who is carrying the pregnancy has their uterine health and readiness for implantation evaluated. These tests offer valuable insights into each partner's reproductive health and help customize their fertility treatment plan.

  • Yes, some couples choose to switch roles for future pregnancies, with the other partner providing eggs or carrying at a later time, although it may depend on individual circumstances such as age, fertility health, or personal comfort.

  • Yes, embryos created during reciprocal IVF can be frozen for future use, allowing couples to plan additional pregnancies at a later date. Additionally, freezing embryos offers flexibility in timing and may be recommended as part of your overall treatment strategy.

  • If neither partner can carry a pregnancy, couples may consider using a gestational carrier (surrogate) to help bring their child into the world.

Schedule a Reciprocal IVF Consultation in Houston, TX

Reciprocal IVF is an excellent option for same-sex female couples, enabling both partners to take an active role in building their family. At Aspire Fertility, we’re here to guide you every step of the way. Contact us today to schedule your consultation.

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