Your Business has been quietly building one of the largest LGBTQ+ fertility programs in the Pacific Northwest since 2012. Two of our doctors have built their own families through reciprocal IVF and donor sperm. We know the questions before they're asked.
Most LGBTQ+ patients we see are exploring one or two of the paths below. We'll help you choose, and we'll handle every part — including donor selection and surrogate matching where needed.
One partner provides the egg, the other carries the pregnancy. Both are biologically connected to your child. About 35% of our female-female couples choose this path.
The most common path for single people and female-female couples. We work with all major sperm banks (Cryos, Fairfax, California Cryobank, Seattle Sperm) and several smaller ones.
For male-male couples and single fathers, or for any patient who cannot carry a pregnancy. We handle the IVF side; partner agencies handle carrier matching.
Egg or sperm freezing before gender-affirming hormone therapy or surgery, with care that uses your name and pronouns from intake forward. Dr. Castellanos coordinates this program.
These aren't promises we make to LGBTQ+ patients. They're promises we make to every patient — they're listed here because they tend to be where the experience falls apart elsewhere.
Our intake forms ask for chosen name, legal name, and pronouns separately. Charts show all three. Every clinician sees them.
We'll list both parents on every form, every record, every superbill — not "patient" and "support person."
Open-ID, anonymous, known — we'll walk through the implications of each. Your choice, not ours.
Many plans still write "infertility" in heteronormative terms. Our billers know how to argue back.
Two free sessions with an LGBTQ+-affirming therapist for any donor or surrogacy cycle.
Dr. Park and Dr. Castellanos lead this program. Both have built their own LGBTQ+ families.
The first form they handed me had three lines: legal name, name you go by, pronouns. I cried in the parking lot. It was the smallest piece of paper, but it felt like the first time I wasn't going to have to fight for the next nine months.Em, 31Patient of Dr. Castellanos · pre-HRT egg freezing
If yours isn't here, ask in your consultation form — we read every one.
It depends on your state and plan. Washington and Oregon both have partial mandates that increasingly include same-sex couples. Our billers will run a full benefits check before you start treatment, and our financial counselor will walk you through what's covered and what isn't.
Yes. We require FDA-mandated screening (about 6 months) and recommend a brief legal-counseling session with an attorney experienced in donor agreements. We can refer you to two we've worked with for years.
In Washington, Oregon, and California, yes. We still recommend a confirmatory-adoption or pre-birth-order process for travel and across-state-line protection. We'll connect you with a family-law attorney before transfer.
You choose. We're agnostic about which sperm bank you use — most patients pick from Cryos, Seattle Sperm Bank, or California Cryobank. We'll review profiles with you and screen donors against your medical history.
Trans women on estrogen typically need to pause for sperm retrieval (typically 3 months). Trans men on testosterone typically need to pause for egg retrieval (typically 3-6 months). Dr. Castellanos walks each patient through what's clinically necessary versus what's overcautious.
Schedule a consultation with Dr. Park or Dr. Castellanos. Bring questions, bring your partner, bring a list of fears. We'll meet you where you are.
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