Open AccessBuilding Families Through Healthcare: Experiences of Lesbians Using Reproductive Services
Author(s) -
Kelly B Gregory,
John G. Mielke,
Eleeiterman
Publication year - 2022
Publication title -
journal of patient experience
Language(s) - English
Resource type - Journals
eISSN - 2374-3743
pISSN - 2374-3735
DOI - 10.1177/23743735221089459
Subject(s) - lesbian , transgender , queer , fertility , qualitative research , nursing , psychology , medicine , gender studies , sociology , population , environmental health , social science
The use of assisted human reproduction (AHR) represents a meaningful and important life event for lesbians wishing to create biologically related families. Despite increasing numbers of lesbians utilizing AHR services, barriers to access persist. This qualitative study investigated the experiences of lesbians and their interactions with reproductive services in Ontario, Canada, where limited public funding is available for all AHR patients and where the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community makes up to 30% of clientele. Eleven semi-structured interviews were conducted, and findings revealed a wide range of experiences. Lesbian patients expressed a desire for more support from their care providers in navigating a complex and costly medical journey through a system largely designed for the needs of heterosexual patients. Additionally, private fertility clinics, as the environment for accessing publicly funded services, were felt to contribute pressure to pay out-of-pocket for add-on medical procedures. To improve the quality of care, participants recommended providing more high-level information on the medical journey and taking an individual approach with lesbian patients, in particular, assuming a patient has sufficient fertility until proven otherwise.