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Family Building for Women and People with a Uterus

Women and people with a uterus have a wide range of family-building options today, whether pursuing pregnancy themselves or building a family through adoption or foster care. Each path comes with its own medical, emotional, legal, and financial considerations, and the right choice depends on personal circumstances, health, relationships, and goals. This page offers a clear, supportive overview of the most common family-building pathways, helping intended parents understand their options and take informed next steps.

GWK Academy is a free, nonprofit resource created to support women and people with a uterus through inclusive education, expert guidance, and community, providing trusted information without pressure or judgment.

Biological Family Building for Women and People with a Uterus

Many women and people with a uterus pursue biological parenthood through pregnancy, assisted reproductive technology, or fertility treatment, depending on their health, age, and family structure. Common pathways include unassisted conception, IVF, IUI, fertility preservation, and pregnancy using donor sperm or donor eggs when needed.

Biological family building may involve working with:

  • A fertility clinic experienced in inclusive, patient-centered care

  • A reproductive endocrinologist or OB-GYN

  • Donor sperm or donor eggs, depending on circumstances

Decisions around fertility treatment often include understanding timelines, success rates, costs, insurance coverage, and medical considerations. GWK Academy provides education to help intended parents explore fertility options for women and people with a uterus, understand treatment pathways, and prepare for conversations with care teams, while reserving detailed guidance for deeper Academy resources.

This section can link to pillar pages on:

  • Fertility options and assisted reproduction

  • IVF and IUI basics

  • Using donor sperm or donor eggs

  • Costs, timelines, and insurance considerations


Adoption and Foster Care for Women and People with a Uterus

Adoption and foster care are meaningful family-building options for many women and people with a uterus, whether parenting solo or with a partner. Common pathways include private domestic infant adoption, foster-to-adopt, older youth adoption, and, in some cases, international adoption through affirming agencies.

Each adoption or foster care path comes with different requirements, timelines, emotional considerations, and support needs. Topics such as openness, trauma-informed parenting, revocation periods, and long-term family support are often central to decision-making. GWK Academy helps intended parents explore adoption and foster care options for women and people with a uterus by offering education, context, and connections to affirming professionals.


What Makes This Journey Unique

Women and people with a uterus may face distinct challenges during the family-building process, including fertility uncertainty, pregnancy loss, medical decision-making, societal expectations, and the emotional toll of treatment or waiting periods. Financial planning, legal protections, and access to affirming care can also shape the experience.

GWK Academy recognizes these realities and centers education and support around the full journey, not just the outcome. By offering inclusive resources, lived-experience insight, and trusted guidance, the Academy helps women and people with a uterus feel informed, supported, and empowered as they build their families.