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Chapter 16 - Counseling Lesbian, Gay, Bisexual and Queer Fertility Patients

from IV - Addressing the Needs of Diverse Populations

Published online by Cambridge University Press:  24 November 2022

Sharon N. Covington
Affiliation:
Shady Grove Fertility, Rockville, MD
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Summary

Lesbian, gay, bisexual and queer (LGBQ) women and men are increasingly utilizing fertility treatment services to build their families. This chapter provides an overview of topics to consider when providing fertility counseling to this population of prospective parents. It first explores the decisions that same-sex couples need to make with regard to family building and fertility treatment, including various routes to parenthood, whose gametes to use, or who will serve as the carrier. The chapter further explores many of the challenges couples often face during fertility treatment via the sexual minority stress framework. Particular attention is given to issues of homophobic discrimination, heteronormative bias and stigma, as well as to challenges related to social support, costs and legal rights. Finally, this chapter provides guidance to fertility counselors and treatment professionals on steps to take to provide culturally competent care to LGBQ patients and their partners. Such practices are crucial for offering an inclusive treatment environment to support same-sex couples in their family-building efforts.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Mamo, L. Queering Reproduction. Durham, NC: Duke University Press, 2007.Google Scholar
Wykes, KA. Fertility services for same-sex couples: policy and practice. Br J Nurs 2012;21(14):871875.CrossRefGoogle ScholarPubMed
Child Welfare Information Gateway. Frequently asked questions from LGBTQ+ prospective foster and adoptive parents. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau, 2021.Google Scholar
Goldberg, AE. Lesbian and gay parents and their children: research on the family life cycle. Washington, D.C.: American Psychological Association, 2010.CrossRefGoogle Scholar
Kinkler, LA, Goldberg, AE. Working with what we’ve got: perceptions of barriers and supports among small-metropolitan same-sex adopting couples. Fam Relat 2011;60(4):387403.CrossRefGoogle ScholarPubMed
Patterson, CJ. Children of lesbian and gay parents: psychology, law, and policy. Am Psychol 2009;64(8):727736.Google Scholar
Amato, PR, Jacob, MC. Providing fertility services to lesbian couples: the lesbian baby boom. Sex Reprod Menopause 2004;2(2):8388.CrossRefGoogle Scholar
Ethics Committee of the American Society for Reproductive Medicine. Access to fertility treatment by gays, lesbians, and unmarried persons. Fertil Steril 2006;86(5):13331335.CrossRefGoogle Scholar
De Wert, G, Dondorp, W, Shenfield, F, et al. ESHRE Task Force on Ethics and Law 23: medically assisted reproduction in singles, lesbian and gay couples, and transsexual people. Hum Reprod 2014;29(9):18591865.Google Scholar
Calhaz-Jorge, C, De Geyter, CH, Kupka, MS, et al. Survey on ART and IUI: legislation, regulation, funding and registries in European countries: the European IVF-monitoring Consortium (EIM) for the European Society of Human Reproduction and Embryology (ESHRE). Hum Reprod Open 2020;2020(1):hoz044.CrossRefGoogle ScholarPubMed
Corbett, SL, Frecker, HM, Shapiro, HM, Yudin, MH. Access to fertility services for lesbian women in Canada. Fertil Steril 2013;100(4):10771080.Google Scholar
Meyer, IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull 2003;129(5):674697.Google Scholar
Gurmankin, AD, Caplan, AL, Braverman, AM. Screening practices and beliefs of assisted reproductive technology programs. Fertil Steril 2005;83(1):6167.Google Scholar
Lawrence, RE, Rasinski, KA, Yoon, JD, Curlin, FA. Obstetrician-gynecologists’ beliefs about assisted reproductive technologies. Obstet Gynecol 2010;116(1):127135.Google Scholar
Carpinello, OJ, Jacob, MC, Nulsen, J, Benadiva, C. Utilization of fertility treatment and reproductive choices by lesbian couples. Fertil Steril 2016;106(7):17091713 e4.CrossRefGoogle ScholarPubMed
Wu, HY, Yin, O, Monseur, B, et al. Lesbian, gay, bisexual, transgender content on reproductive endocrinology and infertility clinic websites. Fertil Steril 2017;108(1):183191.CrossRefGoogle ScholarPubMed
Gregg, I. The health care experiences of lesbian women becoming mothers. Nurs Womens Health 2018;22(1):4050.Google Scholar
Kirubarajan, A, Patel, P, Leung, S, Park, B, Sierra, S. Cultural competence in fertility care for lesbian, gay, bisexual, transgender, and queer people: a systematic review of patient and provider perspectives. Fertil Steril 2021;115(5):12941301.Google Scholar
Chabot, JM, Ames, BD. “It wasn’t ‘Let’s get pregnant and go do it’”: decision making in lesbian couples planning motherhood via donor insemination. Fam Relat 2004;53(4):348356.CrossRefGoogle Scholar
Yager, C, Brennan, D, Steele, LS, Epstein, R, Ross, LE. Challenges and mental health experiences of lesbian and bisexual women who are trying to conceive. Health Soc Work 2010;35(3):191200.Google Scholar
Goldberg, AE. Gay Dads: Transitions to Adoptive Fatherhood. New York, NY: New York University Press, 2012.Google Scholar
Kawwass, JF, Penzias, AS, Adashi, EY. Fertility – a human right worthy of mandated insurance coverage: the evolution, limitations, and future of access to care. Fertil Steril 2021;115(1):2942.CrossRefGoogle ScholarPubMed
Englert, Y. Artificial insemination of single women and lesbian women with donor semen. Artificial insemination with donor semen: particular requests. Hum Reprod 1994;9(11):19691971.Google Scholar

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