Skip to main content


When it comes to starting a family, Northwell Health Fertility understands that the LGBTQIA+ community has unique needs and challenges. The renowned fertility specialists at Northwell are here to assist individuals and couples from all communities achieve their dreams of parenthood by developing a treatment plan best suited to their needs. Our expert team has developed a custom-tailored program for lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual or allied (LGBTQIA+) individuals and couples, which may include insemination (IUI), in vitro fertilization (IVF), egg donation, sperm donation or fertility preservation.

Fertility and lesbian couples

Inseminations are typically used first to help lesbian couples conceive a child. Some couples wish for one partner to conceive, and other couples wish for both partners to conceive at different times. Both partners will have an initial consultation with one of our fertility specialists to discuss medical history, testing, treatment and financial options. This will be followed by an evaluation of fertility potential (ovarian reserve testing) through physical examination, ultrasound of the ovaries and blood tests.

Next, couples will meet with our donor sperm coordinator. Our medical team will help guide you through this phase, and ultimately, the couple chooses who the donor will be. Once the sperm has arrived at our facility, inseminations can begin. Based on the patient’s age and fertility profile, we will advise her regarding the use of fertility drugs, and in some cases, IVF may be recommended to enhance her chances of birth. Reciprocal IVF may also be performed, in which the eggs of one partner are used to create embryos that will be transferred into the uterus of the other partner.

Fertility and gay couples

Gay men who would like to have a child using a gestational carrier can achieve that through our center. At this time, New York state law does not allow a hired gestational carrier. However, if your potential gestational carrier is a friend or relative and is not getting financial compensation, we can help. All potential gestational carriers are screened by us prior to starting treatment.

Fertility and the transgender community

Northwell Health Fertility is committed to helping transgender individuals preserve their fertility to have a biological child in the future, if desired. Ideally, this would be done before the initiation of gender-affirming hormones or bottom surgery. For transgender women, this can be done by freezing sperm. For transgender men, this can be done using a process called elective egg freezing. Elective egg freezing involves hormone injections for about two weeks, frequent monitoring with ultrasounds and blood work, and a short outpatient procedure to harvest the eggs. The eggs are frozen that day. Our dedicated team will be with you every step of the way.

Go to top