LGBT: REPRODUCTIVE HEALTH & FAMILY PLANNING

In-depth interviews with a diverse sample of 39 female-assigned-at-birth individuals (ages 18-44) was conducted, who also identified as lesbian, bisexual, queer, and/or genderqueer, or trans masculine. Interviews were primarily conducted in person. We asked participants about their current reproductive health care needs, topics they felt researchers should pursue, and past reproductive health care experiences. Data were analyzed using a framework method, incorporating deductive and inductive thematic analysis techniques. Reproductive health care needs among participants varied widely and included treatment of polycystic ovary syndrome and irregular menses, gender-affirming hysterectomies, and fertility assistance. Many faced challenges getting their needs met. Themes related to these challenges cross-cutting across identity groups included primary focus on fertility, provider lack of LGBTQ health competency relevant to reproductive health priorities and treatment, and discriminatory comments and treatment. Across themes and identity groups, participants highlighted that sexual activity and reproduction were central topics in reproductive health care settings. These topics facilitated identity disclosures to providers, but also enhanced vulnerability to discrimination. Reproductive health priorities of LGBTQ individuals include needs similar to cisgender and heterosexual groups (e.g., abortion, contraception, PCOS) as well as unique needs (e.g., gender affirming hysterectomies, inclusive safer sex guidance) and challenges in pursuing care. Future reproductive health research should pursue health care concerns prioritized by LGBTQ populations.

Family Planning -LGBTQ

Deciding to start a family can be an exciting and nerve-wracking decision. But for LGBTQ+ couples and individuals in particular, selecting the best path to parenthood can be overwhelming in light of the many available options. Below, we’ll sift through the pros and cons of each in order to help you make an informed decision.

Artificial Insemination

IUI uses a device to insert pre-washed sperm directly into the uterus, giving it a better chance of reaching the fallopian tubes. IUI-prepped vials of sperm from a sperm bank are typically more expensive, but increase the likelihood of pregnancy.

In Vitro Fertilization

In Vitro fertilization (IVF) is the process by which an egg is fertilized outside of the body and transferred to the uterus where the child is carried to term. For gay men interested in being biologically connected to their child, IVF is typically a necessary step in the surrogacy process. Lesbian couples, on the other hand, may arrive at IVF only after other methods of insemination have failed, or if either partner encounters other fertility issues.

Surrogacy

For straight couples and lesbians, surrogacy is typically considered if a woman has experienced miscarriages or unsuccessful IVF attempts. For gay men, surrogacy is a way to conceive a child that is biologically connected to one or both partners through the process of artificial insemination or IVF. While less common, a lesbian couple may also use a surrogate mother if one or both partners are unable to produce an egg or unable to carry a child to term. Surrogate mothers can be someone the couple knows personally, or can be selected through a surrogate agency. Professionals recommend the latter, as agency surrogates are pre-screened to avoid medical or fertility-related complications.

Written by:- Rohit Modh