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“With today’s technology, gay men who want to have a biological half-related child generally need to find a donor for the egg that will often be fertilized by one of the men’s sperm and gestated in a surrogate. Lesbian couples need, of course, a male sperm donor. This means that for the estimated 4 percent of the population who self-described to Gallup as being lesbian, gay, bisexual, or transgender (LGBT), assisted reproduction is already not the exception but the norm. As in other areas, the LGBT community stands at the vanguard of social change. For IVF to become a more common way for all women to conceive, this kind of different thinking about conception will need to go even more mainstream, as is already happening in places like Denmark. The IVF model will also need to become easier, less clinical, and less painful for women, a process already well underway.”