LGBTQI+ Fertility
Building a family looks different for everyone, and for LGBTQI+ individuals and couples, the path to parenthood often involves extra planning, unique medical considerations, and finding a care team that truly understands your needs. Many people in the LGBTQI+ community face questions that traditional fertility resources do not always address, from choosing the right donor to understanding which treatments fit their specific family structure. Having a clinic that sees you as a whole person rather than a medical history checklist makes a huge difference in this process.
At Chedid Grieco, we proudly support LGBTQI+ families and have spent 30 years helping people from every kind of background build the families they have always wanted. Our consultations take place in Miami, while treatments are performed at our state-of-the-art facility in Brazil, an arrangement made possible through our fertility tourism program. As a female-led, FDA- and NYDH-licensed practice, we combine advanced reproductive technology with an understanding of the emotional and logistical layers that come with LGBTQI+ family building.
Fertility Options for LGBTQI+ Individuals and Couples
There is no single path to parenthood, and that is especially true within the LGBTQI+ community. Some patients need donor sperm, others need donor eggs, and some need a combination of treatments to achieve a pregnancy that reflects their family’s unique makeup. Understanding the full range of options available helps take some of the uncertainty out of an already complex decision.
For female couples, intrauterine insemination is often one of the more accessible starting points, using donor sperm to achieve conception with fewer interventions than other treatments. When more support is needed, in vitro fertilization offers a higher degree of control over the process, including the option for reciprocal IVF, where one partner provides the eggs and the other carries the pregnancy. This allows both partners to feel biologically connected to the pregnancy in different ways.
For male couples and single intended fathers, egg donation paired with a gestational carrier is typically the main route to parenthood. Choosing a donor and a carrier are deeply personal decisions, and our team works closely with each patient to make sure every choice feels right for their specific situation and goals.
Why Inclusive Fertility Care Matters
Fertility care that fails to account for the specific realities of LGBTQI+ family building can leave patients feeling unseen or unsure whether a clinic truly understands their needs. Inclusive care means more than simply accepting LGBTQI+ patients. It means building treatment plans, counseling, and support systems around the actual medical and emotional realities these patients face.
The American Society for Reproductive Medicine has emphasized that patients pursuing LGBTQI+ family building often require care that diverges from standard infertility protocols, since the process typically involves donor gametes, third-party reproduction, and specific legal and psychoeducational considerations from the outset.
According to a 2026 committee opinion from the American Society for Reproductive Medicine, clinically appropriate care for this population may look different than the standard infertility framework, since family building itself, not an underlying medical diagnosis, is often the primary reason for pursuing treatment. This distinction is important because it moves the conversation away from a narrow definition of infertility and toward what truly matters, which is helping intended parents build the families they envision.
Because every patient’s situation is different, working with a team well-versed in these considerations can make the entire experience feel less overwhelming and more collaborative from the very first consultation.
What to Expect During Treatment
Every fertility journey begins with understanding your options, and that starts with a conversation about your specific goals, medical history, and family-building plans. From there, your care team will guide you through the treatment path best suited to your situation, whether that involves donor sperm, donor eggs, a gestational carrier, or a combination of approaches.
Throughout treatment, ongoing support matters just as much as the medical procedures themselves. Questions about donor selection, legal considerations, and what to expect at each stage are common, and having a team available to answer them builds confidence throughout the process. This is why building a relationship with your care team early on can make each step feel more manageable, even when the process itself is complex.
Since treatments are performed in Brazil, patients also benefit from working with a team experienced in coordinating international care, from scheduling to travel logistics, so that nothing falls through the cracks during an already enormous life decision.
Building Your Family With Chedid Grieco
At Chedid Grieco, we understand that building a family as an LGBTQI+ individual or couple involves unique considerations, and we are here to walk through every step of that process with you. With 30 years of experience, FDA and NYDH licensing, and nearly 8,780 babies born through our care, our team has the expertise to lead you toward the treatment path that fits your specific goals.
Our consultations take place in Miami, with treatments performed at our advanced facility in Brazil, giving you access to world-class reproductive medicine without compromising on the personalized attention you deserve. If you are ready to take the next step in building your family, reach out to us to schedule a consultation and start the conversation about what your journey to parenthood could look like.

