Know the options of assisted reproduction for homosexual couples

The fight against prejudice and discrimination is still far from over. But, increasingly, the homosexual couple leads a full life, including a right of stable union guaranteed by the Federal Supreme Court. From this fullness comes the desire to have children. Until recently, there were few alternatives. Adoption by same-sex couples, for example, is still rare, almost non-existent.

And where does assisted reproduction come in this story?

Let's exemplify the situation of two women living together and wanting to live together. have a child. The only option in the past was for one to get pregnant independently, with semen from anonymous donor. However, today there is another possibility in which both participate. What can be done is the use of a woman's egg and the uterus of the other. The ovum is taken from one of them, there is fertilization in the laboratory, and the embryo formed from the fertilization is transferred to the uterus of the second woman. That is, the genetic material belongs to one of them, but the pregnancy occurs in your partner. Before not allowed, this procedure is now a reality. In fact, the opinion of the Regional Council of Medicine (CRM) was quite clear in agreeing to infertility treatments for the homosexual couple.

The situation of two men who wish to have children becomes a bit more bureaucratic. This is because there will be a need for treatment with embryos from one of them and the transfer of these embryos to a woman's uterus. The first step is the formation of the embryo. Sperm from one partner fertilizes donated eggs anonymously. Unfortunately, getting donated eggs is harder than giving donated semen, by the nature of the process. The second step is the transfer of these embryos to a woman's uterus. This specific procedure, the temporary donation of the uterus, needs authorization from the CRM, because there can be no "rent" of the uterus. Thus, it is necessary to apply for authorization, making it very clear that there is no profit in the process, which can take some time.

These are new perspectives for Reproductive Medicine!

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