Anne Borkowski, MD

Reproductive Endocrinologist
Infertility Specialist

4250 Dempster St.
Skokie, IL, 60076
847-763-8850

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Lesbian Insemination

Lesbian insemination is offered to committed couples by Anne Borkowski, MD. IUI is performed using sperm from a known, or anonymous, donor. A known donor is usually a friend or family member. We have access to a large selection of other donors through numerous sperm banking services.

Donors are selected based upon the couple's choice of physical characteristics and other factors. All sperm banks thoroughly screen donors for genetic diseases and infections and semen is quarantined for six months to guard against pathogens that may have a latent period, such as HIV.

If the female has normal fertility, intrauterine insemination without ovulation inducing drugs can be effective. Sometimes clomiphene citrate (Clomid) or follicle stimulating hormone (FSH) is administered to stimulate the development of eggs within the ovarian follicles. Older females, or those with ovulatory dysfunction (irregular or no menses), usually require stimulation with these fertility medications.

Once the follicles are mature, an injection of human chorionic gonadotropin is administered to induce ovulation in 36-38 hours. In this way the insemination can be timed appropriately. The procedure is performed in our office, takes about five minutes, and is essentially painless.

Women undergoing ovulation induction with follicle stimulating hormone must come to our office periodically for monitoring. We perform ultrasounds to assess the develop of the follicles and measure the size of the ovaries. Estradiol hormone measurements are taken to determine if the eggs are developing normally within the follicles. Estradiol levels also help predict a potentially serious side effect of FSH, hyperstimulation syndrome.

If a woman does not conceive after multiple IUI cycles, in vitro fertilization is often considered. IVF may be recommended as a "first line" treatment if conditions such as tubal disease or endometriosis are present.

The IVF procedure is the same for lesbian couples except that donor sperm is utilized. Eggs are retrieved after stimulation with FSH and combined with the donor's sperm. The resultant embryos are incubated (cultured) until mature and then transferred to the recipient female.

Sometimes couples seek the care of a gynecologist for inseminations, which can be effective. However, reproductive endocrinologists are trained to closely monitor cycles to prevent potentially serious side effects including multiple births. Most of the high order multiple births (>3) reported in the media are from IUI cycles that were conducted by non-specialists.

Dr. Borkowski has helped numerous committed couples achieve their dreams of creating families. All of our patients receive the highest quality of care in a warm and compassionate environment.

Lesbian.org contains information for couples considering starting a family.