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Sher's clinics have been treating same-sex and opposite-sex couples for more than 20 years. There are three main ways lesbians can get pregnant: These options lesbians trying to get pregnant pros and cons depending on your current medical conditions, costs involved, age, and more. For instance, someone who is older will have a smaller percentage of eggs available, so IVF may be a more viable option. With IVF, parents can also select gender. In fact, people who have failed insemination after more than three tries often try IVF.