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Not everyone gets pregnant the old-fashioned way anymore. Gay and lesbian couples, couples suffering from infertility and surrogate mothers are a few examples of people who often become pregnant without having intercourse. There are several effective methods for conceiving without traditional intercourse. Of these methods, the least expensive and clinical is artificial insemination at home. Jokingly called the “turkey baster” method, artificial insemination at home involves introducing sperm to the mother’s vagina with a needless syringe instead of through intercourse.

Through surrogacy, a woman carries a baby for an infertile or same-sex couple. Typically, an agency matches the parents-to-be and a perspective surrogate, who must agree on terms that might include payment to cover medical or living expenses during the pregnancy. Conception occurs via insemination, and the surrogate gives the newborn to the couple after delivery. In some states, the surrogate signs away her parental rights before the birth.

When you’ve made the decision to adopt a child, you’ve got another hard choice to make — which agency to go through for your adoption. Typically, you can adopt through a state agency, a private agency in the United States or one that adopts children internationally. All have different requirements that you must meet if you want to adopt.