Step-by-Step
LGBTQ+ family building is not one path—it’s many, and the best plan depends on your body, your relationship structure, your timeline, and how you want to build your family. Hanabusa IVF provides affirming, medically precise fertility care for LGBTQ+ individuals and couples—including IUI, IVF, reciprocal IVF (co-maternity), donor egg, and surrogacy pathways. Our goal is to make the process feel clear and supported—so you know your options, your next step, and what’s realistic for your goals.
not a system that makes you “fit the form."
From at-home insemination monitoring to IUI, IVF, reciprocal IVF, and surrogacy coordination—planned as one cohesive journey.
A streamlined, cost-conscious reciprocal pathway (often oral-med based) and a full-access reciprocal IVF pathway with advanced lab options when needed.
Thoughtful fertilization choices and embryo planning, with single embryo transfer guidance for safer pregnancies.
Clear coordination for donor eggs and surrogacy when appropriate—so steps don’t fall through the cracks.
For patients planning more than one child, we help think ahead (embryo freezing, timing, and sibling planning).
You’re planning pregnancy using donor sperm or donor eggs
You’re considering reciprocal IVF (co-maternity)
You want support choosing between at-home insemination monitoring, IUI, and IVF
You’re exploring surrogacy and want a coordinated medical plan
You want a clear path that supports future siblings and long-term family planning
You already have donor arrangements and completed testing and are ready to begin a specific cycle (we can confirm and proceed)
You’d benefit from starting with fertility preservation first due to timing (we’ll guide you clearly)
Pathway chosen (cycle monitoring vs IUI vs IVF vs reciprocal IVF vs surrogacy coordination)
Donor sperm or donor egg costs (if applicable)
Medication needs and monitoring frequency
IVF lab services, embryo freezing and storage
Optional genetic testing (PGT)
Legal and agency costs (for surrogacy/third-party reproduction, where applicable)
Often included: consultation and pathway planning; procedure costs vary by pathway
Often separate: donor costs, medications, storage fees, genetic testing, and outside legal/agency fees
Success depends on the pathway, age, egg quality, sperm/embryo quality, uterine factors, and whether donor gametes are used. The most important driver is matching the right treatment intensity to your goals and biology.
Age and ovarian reserve (if using own eggs)
Egg/sperm source and quality (partner vs donor)
Uterine factors and transfer timing
Embryo development and lab strategy (for IVF paths)
Pathway chosen (cycle monitoring, IUI, IVF, reciprocal IVF, surrogacy)
Consult + baseline testing + choosing your pathway
Selection and screening can affect timeline
Cycle monitoring/IUI can move quickly; IVF/reciprocal IVF involves stimulation, retrieval, embryo development, and transfer planning
Clear checklists and coordination so you always know what’s next
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.
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