Conditions That May Affect LGBT Fertility and How to Address Them

Starting a family is a cherished goal for many individuals and couples, including those in the LGBT community. While modern reproductive technologies have made it possible for LGBT individuals to achieve their dreams of parenthood, certain medical conditions can impact fertility. At the Fertility Institute of San Diego, led by Dr. Minoos Hosseinzadeh, we are dedicated to providing comprehensive care to address these challenges. In this article, we will explore common conditions that may affect LGBT fertility and discuss strategies to overcome them.

Common Conditions Affecting LGBT Fertility

Polycystic Ovary Syndrome (PCOS)


PCOS is a hormonal disorder that affects ovulation and can lead to infertility in women. It is characterized by irregular menstrual cycles, high levels of androgens (male hormones), and the presence of cysts on the ovaries. Lesbian couples or transgender men with ovaries who wish to conceive may face challenges due to PCOS.

How to Address PCOS:

Medications such as clomiphene or letrozole can stimulate ovulation.
Lifestyle changes, including weight loss and exercise, can improve symptoms and fertility.
In vitro fertilization (IVF) may be recommended if other treatments are unsuccessful.



Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterine cavity. It can cause pelvic pain, irregular periods, and infertility. Lesbian couples or transgender men with uteruses who are trying to conceive may be affected by endometriosis.

How to Address Endometriosis:

Hormonal therapies can help manage symptoms and may improve fertility.
Surgical removal of endometrial tissue can enhance the chances of conception.
Assisted reproductive technologies (ART) like IVF may be considered.

Uterine Fibroids


Uterine fibroids are noncancerous growths in the uterus that can affect fertility. They can cause heavy menstrual bleeding, pelvic pain, and complications during pregnancy.

How to Address Uterine Fibroids:

Medications can help shrink fibroids and relieve symptoms.
Surgical options include myomectomy (removal of fibroids) or, in severe cases, hysterectomy (removal of the uterus).
Fertility treatments like IVF may be recommended, especially if fibroids are impacting the uterine cavity.

Low Sperm Count or Motility


For gay couples or transgender women with sperm, low sperm count or poor sperm motility can be a barrier to conception.

How to Address Low Sperm Count or Motility:

Lifestyle changes such as quitting smoking, reducing alcohol consumption, and maintaining a healthy weight can improve sperm quality.
Medications or supplements may be prescribed to enhance sperm production and motility.
Assisted reproductive technologies, such as intrauterine insemination (IUI) or IVF with intracytoplasmic sperm injection (ICSI), can be effective in achieving pregnancy.

Age-Related Fertility Decline


Fertility naturally declines with age, affecting both egg and sperm quality. This is a crucial consideration for LGBT individuals and couples planning to use their own genetic material.

How to Address Age-Related Fertility Decline:

Early fertility planning and assessment are recommended for those considering parenthood later in life.
Egg or sperm freezing (cryopreservation) can preserve fertility for future use.
Donor eggs or sperm may be an option for those facing significant age-related fertility challenges.

Navigating Fertility Treatments as an LGBT Individual or Couple

When addressing fertility conditions, it’s essential to work with a fertility clinic that understands the unique needs of the LGBT community. At the Fertility Institute of San Diego, we provide personalized treatment plans and a supportive environment for all our patients. Our team, led by Dr. Minoos Hosseinzadeh, is committed to helping you overcome fertility challenges and achieve your dream of parenthood.

LGBT individuals and couples may face unique fertility challenges due to various medical conditions. However, with the right support and treatment, many of these obstacles can be overcome. At the Fertility Institute of San Diego, we are dedicated to providing inclusive and compassionate care to help you navigate your fertility journey.

If you’re ready to start your fertility journey, please book a complimentary virtual consultation with Dr. Hosseinzadeh, to go over fertility options or any other reproductive healthcare questions, click here.

Book Your Free Initial Video Consult

By submitting this form, you consent to receiving SMS and Email appointment reminders, marketing messages, general information, and healthcare-related messages from Fertility Institute San Diego, including those sent by autodialer. Message and data rates may apply. Message frequency varies. You can unsubscribe at any time by replying STOP or clicking the unsubscribe link in our messages. View our Privacy Policy and Terms of Service.

Popular Fertility Reads


More Fertility Reads

Fertility Clinic in San Diego

Have a question? Our fertility specialists are happy to assist

9850 Genesee Ave #300,
La Jolla, CA 92037, USA




Pay Bill