Reciprocal IVF: What Is It & How Does It Work?

For many LGBTQ+ couples, family-building isn’t just a dream—it’s a shared experience. Reciprocal IVF, also known as partner IVF or co-maternity, is a fertility treatment option that allows both partners in a same-sex female couple to participate biologically in the conception process.

At Fertility Partnership, we believe that every family is unique—and we’re proud to offer advanced reproductive technologies like reciprocal IVF to help you grow your family your way.

What Is Reciprocal IVF?

Reciprocal IVF is a type of in vitro fertilization (IVF) in which one partner provides the eggs and the other partner carries the pregnancy. This allows both partners to be physically involved—one as the biological parent, and the other as the gestational parent.

This approach is popular among lesbian couples or transgender men with female partners who want to share the experience of pregnancy and parenthood in a meaningful way.

How Does Reciprocal IVF Work?

The reciprocal IVF process follows a series of coordinated steps, guided by your fertility specialist:

1. Consultation and Testing

Both partners undergo fertility evaluations, including hormone levels, ultrasounds, and health screenings to determine egg quality, uterine health, and overall readiness for treatment.

2. Ovarian Stimulation and Egg Retrieval

The partner providing the eggs (the egg donor) undergoes hormone treatments to stimulate the ovaries. Once the eggs are mature, they are retrieved in a short, outpatient procedure.

3. Fertilization

The retrieved eggs are fertilized in the lab with donor sperm (from a known or anonymous source). Embryos are monitored for quality and development over several days.

4. Embryo Transfer

A high-quality embryo is selected and transferred into the uterus of the partner who will carry the pregnancy (the gestational carrier). This is a quick and minimally invasive procedure.

5. Pregnancy Test and Follow-Up

About 10–14 days after the embryo transfer, a blood test is performed to confirm pregnancy. If successful, the gestational partner continues with standard prenatal care.

Who Is a Good Candidate for Reciprocal IVF?

Reciprocal IVF is ideal for couples where:

  • Both partners want a biological and physical connection to the child
  • One partner has healthy eggs, and the other can carry a pregnancy
  • You’re using donor sperm for conception

It’s also an empowering option for transgender men and nonbinary individuals who may still have viable eggs or the ability to carry a pregnancy, depending on their medical history and transition.

Choosing Donor Sperm

You can choose sperm from:

  • A known donor (a friend or family member)
  • An anonymous donor from a licensed sperm bank

All donor sperm is thoroughly screened to ensure safety and quality. Your fertility specialist can help guide this process based on your needs, values, and future plans.

Legal and Emotional Considerations

Reciprocal IVF can raise legal and emotional questions about parental rights and roles. Although both partners are considered equal parents, legal documentation—such as second-parent adoption or parentage orders—may be necessary to secure rights in all states.

We strongly recommend speaking with a legal professional who specializes in reproductive law before beginning treatment.

Why Choose Fertility Partnership for Reciprocal IVF?

At Fertility Partnership, we are proud to offer LGBTQ+ inclusive care backed by compassionate specialists and advanced fertility technology. Our team works closely with both partners to design a treatment plan that aligns with your medical needs, emotional goals, and family vision.

We’re here to support your journey from day one—with expert care, transparent pricing, and heartfelt guidance.

Ready to Begin Your Journey Together?
Let’s talk about how reciprocal IVF can help you build your family. Schedule a consultation with Fertility Partnership today, and take the first step toward creating something truly beautiful—together.

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Take the first step towards realizing your dreams of parenthood. Contact us today to schedule your consultation.

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