Options For LGBTQ


At RMANJ we are proud to offer comprehensive fertility treatment and success rates that are well above the national average to all patients, regardless of sexual orientation, gender identity or expression, or marital status. We have been at the forefront of LGBTQ fertility care since opening our doors in 1999. RMANJ is recognized by the Human Rights Campaign for our commitment and expertise in providing access to care for gay, lesbian and trans patients in a safe and professional environment. Our staff is dedicated to making this process as easy as possible to navigate. Let us help you manage the logistics, so you can focus on the important decisions.

Find support with ThePath. ThePath’s private Facebook group is a safe and supportive space to share your experiences, connect with other hopeful LGBTQ parents, celebrate our success stories, and support you on your road to becoming a parent. Join the conversation.


Explore Your Options

Congratulations on your decision to pursue fatherhood! At RMANJ we are dedicated to helping you navigate your path to having a family. We’ve compiled information here to help support you in this process, whether this is the first step or another stop along the way.

Gay men have the option of egg or embryo donation combined with gestational surrogacy. While it’s only possible to use the sperm from one man to fertilize any given egg, some gay couples choose to do a split insemination, in which half of the eggs are put with one man’s sperm and the other half are put with the other man’s sperm. We recognize that this process requires a considerable investment of time, energy and money, not only for the medical treatment, but also for the legal contracts, agency fees and other expenses for the involved parties. We can help develop a customized treatment plan that meets your family’s needs and our team has the experience necessary to help you every step of the way.

Take the next step toward parenthood. Speak to an RMANJ patient liaison today, 973-656-2089.



A gestational surrogate, also called a gestational carrier, is a woman who carries a pregnancy for a patient or couple who cannot do so for themselves. There is no genetic tie between the gestational carrier and the pregnancy she is carrying.

At RMANJ, your care team will help guide you through your options for selecting the right surrogate for your family. Some may choose to use a friend or relative to carry the pregnancy, while others prefer using a reputable agency to match with a compassionate woman willing to become a gestational carrier. Whichever you choose, ultimately the match is important as you will be working closely together during this journey.

There are many important legal issues to consider when using a gestational carrier, including the laws governing these relationships. As parental rights and obligations can vary from state to state, we recommend working with an experienced attorney that specializes in third party reproduction. At RMANJ we only work with carriers from surrogacy-friendly states to assure that legal parentage is established without question.  For this reason, paid carriers from New York and New Jersey are not eligible. Our staff can assist you in finding the legal professionals and resources necessary to make the best family building decisions.

In order to prevent a delay once a gestational carrier has been approved, some gay couples choose to simultaneously look for an egg or embryo donor, or match with an egg donor first so that embryos can be created and ready for transfer as soon as the carrier is ready.



There are several options available when looking for an egg or embryo donor — An anonymous egg donor, a known egg donor (family or friend), or embryo donation. Egg donation allows for a genetic link to the child when using you or your partner’s sperm to fertilize the egg, while embryo donation is an anonymous gift of embryos previously created by another couple undergoing IVF. These embryos have no genetic tie to either the gestational surrogate carrying the pregnancy, or to you, the intended parent(s). Your RMANJ care team is available to guide you towards the path best suited for your family.

RMANJ’s Ovatures Egg Donation Program is a reputable anonymous egg donation program in New Jersey that offers exceptional live birth rates, along with a short donor and recipient matching process. Ovatures egg donors undergo an extensive medical, genetic and psychological screening process using standards established by the American Society for Reproductive Medicine (ASRM). We have high standards for our egg donors, and only match with donors who are healthy and reliable.

We also work with egg donors from several trusted agencies across the United States who have been screened by our specialists for their quality standards and patient care. If you decide to work with an outside agency, we will screen the donor to the same standards as one from our own program to ensure a perfect match.

Patients can also work with a donor egg bank to use frozen eggs. Using a frozen egg bank may shorten the time spent in the egg donor matching process, as the donors have already cycled and the eggs are immediately available. This process allows you to choose your own egg donor match from a data bank.

RMANJ’s Embryo Donation Program was established by couples who have completed their own families and given their remaining embryos to RMANJ with the intent of matching them to hopeful parents. Our embryo and recipient matching process is similar to the egg donation process, and will allow you to review detailed profiles of donors.

Every path is different—whether you choose to pursue an anonymous egg donor, a known egg donor, or embryo donation, your RMANJ care team is here to support your decisions and facilitate a successful outcome.



In Vitro Fertilization (IVF) is an essential step in the family building process for gay men. IVF, along with help from an egg donor and a gestational carrier, allows gay men to participate in the genetic makeup of their offspring.

The IVF – donor egggestational carrier process is a series of steps in which eggs are removed from one woman, put with sperm to create embryos which are then implanted back in another woman’s uterus. The team at RMANJ will work with both your matched egg donor and gestational carrier to coordinate all aspects of the IVF treatment cycle and will communicate with you, the intended parents, to keep you informed.

Patients may also elect to do comprehensive chromosome screening (CCS), which involves testing whether an embryo has the correct number of chromosomes and is capable of developing into a healthy pregnancy. CCS has been shown to decrease miscarriage rates and also improve the live birth rate per transfer.  In addition to testing the health of the embryo by looking at 22 chromosomes, CCS also tests the sex chromosome, making it possible to determine whether a particular embryo is male or female. Some patients prefer to know this information and to act on it when choosing which embryo to transfer. We recognize priorities may differ from couple to couple and are here to guide you every step of the way.



Gay couples have several options to consider when deciding which fertilization methods are best for their family building plans. While it’s only possible to use the sperm from one man to fertilize any given egg, some gay couples choose to do a split insemination, in which half of the eggs are put with one man’s sperm and the other half are put with the other man’s sperm.

Intracytoplasmic sperm injection (ICSI) is a common fertilization treatment method used during an IVF cycle which may increase the number of eggs fertilized over the traditional fertilization process. ICSI is a procedure where one sperm is placed directly with the egg by an embryologist. After the egg has been injected with the sperm, the embryologist will observe the egg over the next day. If fertilization occurs and the embryo matures properly, it will be transferred into your gestational carrier’s uterus or cryopreserved for later use.

For more information or to learn more about your LGBTQ family building options, please contact us today.