What is the difference between IVF and reciprocal IVF?

IVF is a process where an egg is fertilized by sperm outside the body, typically from the male partner, and the resulting embryo is usually implanted in the female partner's uterus. In contrast, reciprocal IVF is often used by same-sex female couples, where one partner provides the eggs and the other carries the pregnancy. This method allows both partners to have a biological connection to the child.

How much does reciprocal IVF cost?

Costs typically range between $15,000 and $30,000 . Pricing depends on the patient’s specific insurance coverage, clinic fees, medications, donor sperm, and genetic testing .

Does insurance pay for reciprocal IVF?

Insurance doesn't typically cover reciprocal IVF. However, it's important to speak with your insurance carrier ahead of treatment, as some plans may cover diagnostics or medications.

Do reciprocal IVF babies have DNA from both parents?

Reciprocal IVF babies inherit DNA from the partner who provides the eggs and the sperm donor, but not from the partner who carries the pregnancy. However, there's still a biological connection since the carrying partner contributes to the baby's development during gestation.

Do both partners need fertility testing?

Yes, both partners undergo comprehensive fertility testing for reciprocal IVF. The partner providing the eggs will have their ovarian reserve assessed through blood tests and ultrasounds. Meanwhile, the partner who will carry the baby will receive a uterine evaluation to ensure a healthy environment for implantation.

Can partners switch roles later?

Definitely! Partners can switch roles in reciprocal IVF, whether because both individuals want to experience pregnancy and have a biological connection to their family, or due to new medical information.

Can embryos be frozen for future pregnancies?

Embryos created during reciprocal IVF can be frozen and safely stored for future pregnancies. This allows couples to have more children from a single egg retrieval, attempt another transfer if the first one fails, or postpone pregnancy.

What if neither partner can carry a pregnancy?

If neither partner can carry a pregnancy due to health issues, age, uterine factors, or something else, they have the option of using a gestational carrier (surrogate) . The surrogate can carry an embryo created from one partner's egg and donor sperm. If there are concerns about egg quality, same-sex couples can also choose to use donor eggs .

Reciprocal IVF | Tennessee Fertility Institute

What Is Reciprocal IVF?

Reciprocal in vitro fertilization (IVF), also referred to as co-IVF or partner IVF, is a fertility treatment for same-sex female or trans-masculine couples. In this process, one partner provides the eggs while the other partner carries the pregnancy. This approach allows both partners to play an active and biological role in the conception and birth of their child.

At Tennessee Fertility Institute, we’ve helped many LGBTQ+ couples and individuals in building their families through advanced fertility treatments like reciprocal IVF. We’re committed to providing inclusive care in a supportive environment for all our patients.

The Reciprocal IVF Process at Tennessee Fertility Institute

Both traditional IVF and reciprocal IVF involve similar steps: ovarian stimulation, egg retrieval, fertilization, and embryo transfer. The main difference is that in traditional IVF, one partner undergoes all procedures, whereas in reciprocal IVF, both partners undergo medical preparation.

Step 1: Egg Retrieval and IVF Laboratory Care

Ovarian stimulation and monitoring: One partner undergoes ovarian stimulation and is closely monitored with blood tests and ultrasounds to increase the number of mature eggs available for retrieval.
Egg retrieval: When the eggs are mature, a fertility doctor performs a minor surgical procedure under anesthesia to retrieve them from the ovaries, timed just before ovulation.
Fertilization: An embryologist fertilizes the retrieved eggs with donor sperm in Tennessee Fertility Institute's laboratory.
Embryo development and freezing: Over several days, the embryology team observes developing embryos to assess their viability for cryopreservation (freezing).

Step 2: Preparing the Gestational Partner

Uterine health evaluation: The carrying partner's uterus is thoroughly evaluated by ultrasound and hormonal assessments to confirm a suitable environment for embryo implantation.
Hormonal preparation of the uterine lining: Estrogen is given to thicken the lining, followed by progesterone to stabilize the lining for embryo implantation. Continuous monitoring enables fertility specialists to adjust hormone levels as necessary.

Step 3: Embryo Transfer and Early Pregnancy Care

Embryo transfer: A selected embryo is transferred into the uterus of the carrier partner through a thin catheter.
Monitoring early pregnancy: Following the transfer, fertility specialists track the progress of the embryo through blood tests and ultrasounds to verify implantation.
Transition to obstetric care: As the pregnancy advances, the couple will transition to standard obstetric care, receiving prenatal support from either an obstetrician or a midwife.

Using Donor Sperm

LGBTQ+ couples can use a known donor or select a donor from a sperm bank. Sperm banks offer a diverse selection of medically evaluated donors, helping alleviate concerns for prospective parents. In contrast, a known donor may foster a more personal relationship but could also introduce additional legal and practical challenges concerning parental rights and obligations.

At Tennessee Fertility Institute, we understand that choosing a sperm donor is a personal decision. We can connect you with accredited sperm banks and help you navigate the process.

Choosing Roles: Egg Provider vs. Gestational Partner

When determining roles in reciprocal IVF, it's essential to consider a variety of factors, including medical aspects such as age, ovarian reserve, and uterine health, as well as personal preferences and emotional considerations. Flexibility is crucial, as some couples may choose to switch roles for future pregnancies or adjust their plans based on new medical information.

Tennessee Fertility Institute helps couples navigate this journey, ensuring their decisions align with both their medical and emotional needs.

Reciprocal IVF Success Rates & What Affects Outcomes

Reciprocal IVF success depends on various factors, with age being a significant one. Individuals under 35 generally have higher-quality eggs, which directly impacts embryo health and overall viability.

Additionally, each couple has unique family-building goals and circumstances that require a personalized treatment approach. Tailored care ensures that every step is optimized to maximize the chances of success.

At Tennessee Fertility Institute, our fertility specialists prioritize transparency and data-driven care. We provide couples with the information and support they need to make informed decisions throughout the reciprocal IVF process.

Reciprocal IVF FAQs

IVF is a process where an egg is fertilized by sperm outside the body, typically from the male partner, and the resulting embryo is usually implanted in the female partner's uterus. In contrast, reciprocal IVF is often used by same-sex female couples, where one partner provides the eggs and the other carries the pregnancy. This method allows both partners to have a biological connection to the child.
Costs typically range between $15,000 and $30,000. Pricing depends on the patient’s specific insurance coverage, clinic fees, medications, donor sperm, and genetic testing.
Insurance doesn't typically cover reciprocal IVF. However, it's important to speak with your insurance carrier ahead of treatment, as some plans may cover diagnostics or medications.
Reciprocal IVF babies inherit DNA from the partner who provides the eggs and the sperm donor, but not from the partner who carries the pregnancy. However, there's still a biological connection since the carrying partner contributes to the baby's development during gestation.
Yes, both partners undergo comprehensive fertility testing for reciprocal IVF. The partner providing the eggs will have their ovarian reserve assessed through blood tests and ultrasounds. Meanwhile, the partner who will carry the baby will receive a uterine evaluation to ensure a healthy environment for implantation.
Definitely! Partners can switch roles in reciprocal IVF, whether because both individuals want to experience pregnancy and have a biological connection to their family, or due to new medical information.
Embryos created during reciprocal IVF can be frozen and safely stored for future pregnancies. This allows couples to have more children from a single egg retrieval, attempt another transfer if the first one fails, or postpone pregnancy.
If neither partner can carry a pregnancy due to health issues, age, uterine factors, or something else, they have the option of using a gestational carrier (surrogate). The surrogate can carry an embryo created from one partner's egg and donor sperm. If there are concerns about egg quality, same-sex couples can also choose to use donor eggs.

Choose Tennessee Fertility Institute for Reciprocal IVF in Tennessee

At Tennessee Fertility Institute, our experienced fertility specialists deliver the highest standards of care for all patients, including those in the LGBTQ+ community. With comprehensive evaluations, world-class treatment options, and advanced laboratory facilities, we're dedicated to providing personalized support and innovative solutions for individuals and couples seeking to grow their families.

If you're interested in reciprocal IVF, schedule a consultation at one of our clinics in Franklin or Nashville. We understand the diverse needs of LGBTQ+ families and look forward to helping you on your journey to parenthood.