Therapeutic donor insemination TDI , is indicated for couples where the male partner has abnormalities in sperm function or for women who do not have a male partner. If there are no other significant fertility factors, TDI can be combined with ovulation monitoring or ovulation induction and intrauterine insemination IUI. For women who cannot carry a pregnancy, in whom pregnancy is contraindicated, or for couple without a female partner, embryos created at IVF can be transferred to gestational carrier GC to carry the pregnancy. In this case, the GC does not have a genetic relationship to pregnancy. There are specifically legal and requirements in Texas for evaluation of the intended parents and the gestational carrier. It is important to address these issues and have a pre-transfer legal agreement in place.
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