Adoption, IVF and Fertility Options for Same Sex Couples

Same-sex couples face different fertility options and issues from heterosexual couples who can attempt conception without any medical help. Lesbian couples require an outside source of sperm while gay men require both eggs and uterus.

Singles, gays, and lesbians are sometimes called "dysfertile" as opposed to "infertile" to emphasize their social (rather than just biological) obstacles to reproduction. The U.S. should expand IVF coverage for the infertile and include the dysfertile too. Currently the U.S. has among the lowest rates of IVF usage of any developed country in the world, owing in part to boasting the highest cost for the procedure, on average $100,000 per successful pregnancy.

Reproductive Options:

In Skinner v. Oklahoma, a 1942 Supreme Court case, Justice Douglas proclaimed marriage and procreation "the basic civil rights of man," calling them together "fundamental to the very existence and survival of the race." As the Court considers whether gays and lesbians should be permitted to marry who they love, this is the moment to consider reasonable measures to combat reproductive inequalities too.


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