Utilization of fertility treatment and reproductive choices by lesbian couples

Carpinello, Olivia; Jacob, Mary Casey; Nulsen, John; Benadiva, Claudio

doi:10.1016/j.fertnstert.2016.08.050

Cited by 36 publications

(25 citation statements)

References 5 publications

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“…Second, we compared our IVF/ICSI results with those reported in previous studies. 2,9,10 With regard to the first ET results, we report a clinical pregnancy rate of 40.0%, somewhat higher than the 34.4% reported by Fiske and Weston 2 (further pregnancy outcomes were not reported). Similarly, we obtained a live birth rate of 29.8%, close to the 26.2% reported by Nordqvist et al 9 When considering cumulative live birth rates, we obtained 43.4% in the IVF/ICSI group, after an average of 1.4 -0.7 ETs.…”

Section: Discussioncontrasting

confidence: 65%

Reproductive Outcomes in Lesbian Couples Undergoing Reception of Oocytes from Partner Versus Autologous In Vitro Fertilization/Intracytoplasmic Sperm Injection

Núñez

García²,

Gimenez‐Bonafé

et al. 2021

LGBT Health

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Purpose: This study aimed to compare reproductive outcomes after Reception of Oocytes from Partner (ROPA; also called reciprocal in vitro fertilization) with those after in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) with autologous oocytes, in lesbian couples. Methods: This was a retrospective matched cohort study of couples performing a first cycle of either ROPA (n = 60) or autologous IVF/ICSI (n = 120) between February 2012 and May 2018. Couples were matched 1:2 by age of the oocyte provider, day of embryo transfer (ET), and number of embryos transferred. Pregnancy and live birth rates after the first ET and cumulative results after all subsequent ETs performed until June 2019 were evaluated. Results: Reproductive outcomes were significantly better after ROPA at first ET: biochemical pregnancy 70.0% versus 47.5% ( p = 0.004), clinical pregnancy 60.0% versus 40.0% ( p = 0.011), ongoing pregnancy 60.0% versus 36.7% ( p = 0.003), and live birth 57.1% versus 29.8% ( p = 0.001). After adjusting for age, body mass index, and number of mature oocytes, we still observed a significant improvement across all outcomes in ROPA (live birth rate odds ratio [OR]: 3.05, 95% confidence interval [CI] 1.42-6.57). Cumulative pregnancy and live birth rates were also higher after ROPA (live birth 66.1% vs. 43.4% [p = 0.005]). The adjusted analysis result for cumulative live birth was OR: 2.51, 95% CI: 1.14-5.54. Conclusion: When medically indicated, ROPA can potentially improve reproductive outcomes for lesbian couples through the possibility of selecting the best combination between two oocyte providers and two gestational mothers, provided that both women wish to participate in the pregnancy plan.

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Section: Discussioncontrasting

confidence: 65%

Reproductive Outcomes in Lesbian Couples Undergoing Reception of Oocytes from Partner Versus Autologous In Vitro Fertilization/Intracytoplasmic Sperm Injection

Núñez

García²,

Gimenez‐Bonafé

et al. 2021

LGBT Health

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“…According to the most recent data, 440,986 U.S. women used donor insemination (DI) in family creation in 2015-2017 (1). Although most insemination recipients are heterosexually coupled and have infertility or a genetically transmitted disease, lesbian-identified women are increasingly using DI to become pregnant (2). The first generation of DI-conceived offspring from lesbian-parent families has now entered adulthood in substantial numbers.…”

mentioning

confidence: 99%

Adult offspring of lesbian parents: How do they relate to their sperm donors?

Koh

Beusekom

Gartrell

et al. 2020

Fertility and Sterility

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The 76 participants were 25-year-old donor insemination (DI) offspring whose lesbian parent(s) enrolled in a prospective longitudinal study when these offspring were conceived. Intervention(s): None. Main Outcome Measure(s): Offspring were asked about donor type, feelings about permanently unknown donor, satisfaction with and role of known donor, whether relationship with known donor was ongoing, and age of meeting open-identity donor. Result(s): This cohort (n = 76) of DI offspring with lesbian parents was among the first generation to reach adulthood. Thirty participants had permanently unknown donors and most participants felt comfortable about not knowing them. Sixteen participants had open-identity donors they had not met. Thirty had currently known donors-met in childhood (n =22) or after open-identity donor disclosure (n= 8)-of whom two thirds had ongoing relationships with donors, half considered their donors as acquaintances, and nearly half had good feelings about their relationship, although a minority expressed conflicted feelings. Conclusion(s): This study of adult DI offspring from planned lesbian families shows that those who knew their donors mainly felt positively about these relationships. Qualitative analyses offered insight into offspring-donor relationships, whose numbers are increasing due to historical and demographic trends.

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“…A publication by Carpinello et al showed that in 2015, the majority of those utilizing donor intrauterine insemination (DIUI) at a single site were SSFCs, whereas SSFCs made up less than 1% of therapeutic donor insemination users in 1985. 1 Additionally, a single-center study in Australia observed overall trends in reproductive treatment use among single women and SSFCs prior to and following a legislation change, which previously limited reproductive treatment utilization to married heterosexual couples with medical infertility. The same study showed that after the change in legislation, a 102.8% increase in utilization was observed among the single woman population, and a 258.8% increase in reproductive treatment cycles was seen among SSFCs during the same time period.…”

Section: Same-sex Female Couples: Biological Obstaclesmentioning

confidence: 99%

“…In the literature, co-IVF has also been referred to as "ROPA" (reception of oocytes from partner), shared conception, shared maternity, or shared parenthood. 1 Co-IVF involves one woman who undergoes ovarian stimulation and vaginal oocyte retrieval, while her partner receives the developed embryo(s) through transfer and carries out the pregnancy. The process of co-IVF is analogous to heterosexual couples who utilize an ovum donor; albeit SSFCs will always require a sperm donor.…”

Section: Same-sex Female Couples: Treatment Strategymentioning

confidence: 99%

“…Medical costs and insurance coverage are among the top reasons SSFCs decide not to pursue reproductive treatment. 1 SSFCs must think about the costs associated with buying, shipping, and storing sperm, along with hormone stimulation expenses. At Reproductive Medicine Associates of New York (RMANY), 13 many SSFCs, along with single women and couples using donors, purchase sperm from California Cryobank (CCB) 14 and other donor sperm banks.…”

Section: Same-sex Female Couples: Treatment Strategymentioning

confidence: 99%

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Co-IVF for Same-Sex Female Couples

2017

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The utilization of assisted reproductive technology (ART), particularly by same-sex female couples (SSFCs), has increased over the past few decades. Alongside the increase in use by lesbian women, there has also been an increase in the number of available treatment options. The process by which SSFCs make the various decisions associated with conceiving and parenting, however, has been largely overlooked. This review provides an overview of the reproductive treatments available to lesbian women and specifically highlights the “biological” and “social” obstacles they must overcome on their journey to parenthood. This review also describes how a relatively novel treatment strategy, co-in vitro fertilization, can give couples greater flexibility and provide them with the unique opportunity of a shared biological motherhood.

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Utilization of fertility treatment and reproductive choices by lesbian couples

Abstract: 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.

Cited by 36 publications

References 5 publications

Reproductive Outcomes in Lesbian Couples Undergoing Reception of Oocytes from Partner Versus Autologous In Vitro Fertilization/Intracytoplasmic Sperm Injection

Reproductive Outcomes in Lesbian Couples Undergoing Reception of Oocytes from Partner Versus Autologous In Vitro Fertilization/Intracytoplasmic Sperm Injection

Adult offspring of lesbian parents: How do they relate to their sperm donors?

Co-IVF for Same-Sex Female Couples

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