MRKH: Planning Ahead to Become a Parent, or Not

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MRKH butterflyPlanning to start a family is a big decision (regardless of whether or not a woman has MRKH) that only you and your partner should make. Becoming a parent is right for some people and not for others.

As a woman with MRKH it is likely that your uterus is underdeveloped so you will not be able to carry a baby. Since you do have normal ovaries, you are able to have a biological child. This involves taking an egg from your ovary and your partner’s sperm or a sperm donor and fertilizing them in a lab. When the egg fertilizes it becomes an embryo. It is the embryo that is then placed in the uterus of a surrogate woman, also called a gestational carrier. The woman doesn’t have any genetic connection to your baby; she simply is the carrier until birth. There are a lot of steps in between that involve much coordination by a fertility team. Insurance coverage for this procedure is another story. Different insurance companies cover different costs and coverage can vary drastically between states and countries. The procedure and gestational carrier can be very expensive. You’ll need to do a bit of research and see what is financially possible in your community. The websites in the “Resource” section of this booklet will allow you to compare the surrogacy and adoption laws by state. You should also check with your insurance company to find out what they will cover if you decide to have a child via surrogacy. Be aware that different states mandate insurance coverage for fertility treatments such as IVF. Currently only 15 states in the U.S. mandate that health insurance companies must cover infertility treatment. To find out information about the law in your state, click here.

Your options for creating a family include:

  1. Adoption: Domestic, International, Private, and via public child and family programs
  2. IVF (In–Vitro Fertilization): with a Gestation Carrier