Alternative options

Exploring options beyond IVF? Consider gamete/embryo donation, surrogacy, or adoption as fulfilling alternatives to parenthood.

Hand holding an embryo illustration

What is gamete (egg or sperm) or embryo donation?

If your fertility specialist is concerned with the quality of the eggs and/or sperm, using donated eggs or sperm (or an entire embryo) may be an alternative.28

Donated sperm can be used via artificial insemination or via IVF. Donated eggs can be used via IVF. Both allow a genetic contribution from either you or your partner to the baby, with the remaing half coming from the donor, and they allow you to experience pregnancy and birth.28

Using a donated embryo means that neither you nor your partner provide a genetic contribution to the baby, but you can still experience a biological connection to the baby via pregnancy and birth.28

What is surrogacy?

Surrogacy is a process where a person with a uterus becomes pregnant and gives birth to a child for a couple or single person, with the intention of giving the child to the couple or single person once they are born.25

Why surrogacy?

If carrying a baby isn’t possible or is too risky, surrogacy provides another option to becoming a parent in a safe and supportive way. There are two different types of surrogacy available in Australia, the most common of which is gestational surrogacy.25 

What are the differences between the two types of surrogacies?

In Australia, surrogacies must be arranged as an altruistic agreement, which means that no financial payment or other award is given in exchange for carrying the baby. However, you can help with any medical expenses and general expenses that may arise during your surrogate’s pregnancy.25

Gestational Surrogacy illustration

Gestational surrogacy

Is when the surrogate does not make any genetic contribution to the child; rather, they provide the safe environment during the gestation period.25

The embryo that is implanted comes from in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI), typically using the sperm of one of the partners and an egg donation.25

Traditional Surrogacy illustration

Traditional surrogacy

Is when the surrogate also donates her egg and adds her genetic contribution to the baby.25

The surrogate can get pregnant through intrauterine insemination (IUI) – a procedure where sperm are delivered directly to the uterus at the same time as ovulation to create a chance for fertilisation to occur.25,26 Or, they can get pregnant through IVF or ICSI.27

What about adoption?

Adoption is another way to build a family. Adoption allows you (and your partner) to make a profound change in a child’s life, providing them with love and stability that they may not have had otherwise. While adoption may not be for everyone, it is definitely an alternative worth exploring if you’re interested.7

Please be aware that the regulations around surrogacy and adoption may vary in different states and territories, so it’s important to check the regulations where you reside when making your decision.

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