Utilization of fertility treatment and reproductive choices by lesbian couples

This study provides numbers, demographics, and goals of lesbian couples seeking reproductive assistance, as well as the number of cycles needed to achieve a live birth.

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Volume 106, Issue 7, Pages 1709-1713

Authors:

Olivia J. Carpinello, M.D., Mary Casey Jacob, Ph.D., A.B.P.P., John Nulsen, M.D., Claudio Benadiva, M.D., H.C.L.D.

Abstract:

Objective

To describe intentions and outcomes of lesbian couples requesting reproductive assistance; and report number of cycles needed to achieve a live birth.

Design

Retrospective chart review.

Setting

University-based fertility center.

Patient(s)

A total of 306 lesbian couples who sought reproductive assistance between 2004 and 2015.

Intervention(s)

Intrauterine insemination or IVF using donor sperm.

Main Outcome Measure(s)

Mean age, relationship status, family size, preconception goals, conception attempts, number of cycles to achieve a live birth.

Result(s)

Preconception plans were available for 233 couples: 76.4% planned for one partner to conceive and carry (single partner conception); 23.6% planned for both partners to eventually conceive and carry (dual partner conception). Of 306 couples who presented, 85.1% attempted single partner conception, and 68% of these achieved a live birth. Dual partner conception was attempted by 14.9% of couples, and 88.9% achieved a live birth. Of those who conceived with IUI, a mean (±SD) of 3 ± 1.1 cycles were completed. Of those who conceived with IVF, a mean of 6 ± 1.4 IUI and 1.7 ± 0.3 IVF cycles were completed.

Conclusion(s)

Lesbian couples may improve their likelihood of a live birth if both partners attempt conception. Further studies are needed to understand why one-fifth of patients did not pursue treatment.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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