Options for Same-Sex Couples Who Wish to Start a Family

Ethical and Personalized Treatments

Thanks to advances in reproductive medicine, there are now several options that allow same-sex couples to achieve pregnancy, actively sharing the process according to their needs, possibilities, and desires. Whether the couple is made up of two women or two men, there are clinical alternatives tailored to each situation, always under the care of a specialized team.

Options for Female Couples

1. Intrauterine Insemination (IUI) with Donor Sperm:
   An outpatient, painless procedure with a good success rate in young women with regular ovulation. It involves placing prepared sperm directly into the uterus during ovulation.
2. ROPA Method (Reception of Oocytes from the Partner):
   Allows one woman to provide the eggs and the other to carry the pregnancy. It involves IVF with donor sperm, medical evaluation, ovarian stimulation, and embryo transfer. This is a meaningful and emotionally powerful option.

Options for Male Couples

Gestational Surrogacy:
An egg from a donor is fertilized with the sperm of one of the partners. The resulting embryo is transferred to a woman who agrees to carry the pregnancy. In Mexico, this procedure is only permitted in certain states under specific legal conditions. Baja Fertility can provide both legal and medical guidance in these cases.

Donor Selection

The process of selecting a sperm or egg donor is carried out through certified banks that guarantee:

• Genetic quality

• Anonymity (according to current legislation)

• Thorough medical testing

Couples can choose based on physical characteristics, blood type, and other criteria important to them.

Care for Single Women and Trans Individuals

At Baja Fertility, we are also proud to care for:

• Single women

• Trans individuals who wish to explore their fertility, preserve gametes, or pursue pregnancy

Our approach is inclusive, professional, and ethical—adapted to each unique story.

Commitment to the LGBTQ+ Community

We understand that many LGBTQ+ individuals face social, legal, and emotional barriers to starting a family. Our commitment is to:

• Provide care without judgment

• Respect the reproductive rights of all people

• Offer ethical, empathetic, and professional support

• Ofrecer atención sin juicios

• Respetar los derechos reproductivos de todas las personas

• Brindar acompañamiento ético, empático y profesional

Ready to Begin the Journey?

If you and your partner are ready to begin this journey—or simply want to get your questions answered—we are here to offer:

• Clear guidance

• Reliable diagnostics

• Personalized treatments

Every family deserves their chance.

REFERENCES

1. American Society for Reproductive Medicine (ASRM). Access to fertility services by transgender and nonbinary individuals: a committee opinion. Fertil Steril. 2021;115(4):874–879.
2. ESHRE Ethics Task Force. Medically assisted reproduction in same-sex couples. Hum Reprod Open. 2020;2020(2):hoaa014.
3. ACOG Committee Opinion No. 923: Preconception Care for Lesbian Women and Same-Gender Couples. Obstet Gynecol. 2023;141(1):e24–e30.
4. Asociación Mexicana de Medicina de la Reproducción (AMMR). Guía Clínica de Reproducción Humana Asistida en Diversidad de Familias. 2022.