Category: Reproductive Medicine

EP125-2 - The Reproductive Needs of Single Women and LGBTQ Families: A Survey of People Attending a Well Persons Conception Clinic

Thursday, Nov 23
2:50 PM – 3:05 PM

Background:
Increasingly more single women and LGBTQ people are having children. Although people seeking to conceive with donor sperm often receive care from fertility clinics, historically, many have not had positive experiences. Specifically, care at fertility clinics has been reported to be heteronormative, disrespectful and unnecessarily medicalized.
Summary of Work:
In January 2016, a clinic designed to meet the reproductive needs of single women and LGBTQ people opened in Toronto. An REB approved survey was administered to assess patients previous experiences and their current goals for fertility care.
Summary of
Results:
30 surveys were completed; 70% by LGBTQ people and 30% by heterosexual women. 30% had accessed fertility services previously and 50% reported not feeling respected. Current goals for care included a strong desire for baseline fertility testing and a strong desire to conceive with minimal medical intervention.

Discussion:
This study supports previous research which shows that people who access fertility services for conception with donor sperm frequently report a perceived lack of respect clinics. It also supports previous work which indicates that people wish to conceive as naturally as possible but is novel in that itshows that many people do wish to have baseline fertility testing prior to undergoing insemination.

Conclusion:
Family physicians are often the first point of contact for people wishing to conceive outside of traditional heterosexual relationships. Understanding reproductive legislation, the negative experiences some have had with fertility care and what this population may desire allows family physicians to counsel patients and advocate for informed care.

Carrie A. Schram

Family Physician and Fertility Specialist
Women's College Hospital and Hannam Fertility Centre
Toronto, Ontario, Canada

Carrie Schram is a primary care provider with a special interest in women's health and fertility. At Women's College Hospital, she maintains an academic family medicine practice which includes low risk obstetrics. At Hannam Fertility Centre, she provides low intervention fertility care which includes a high volume of patients with polycystic ovarian syndrome (PCOS). Carrie also maintains an appointment with the University of Toronto as an Assistant Professor.

Carrie A. Schram

Family Physician and Fertility Specialist
Women's College Hospital and Hannam Fertility Centre
Toronto, Ontario, Canada

Carrie Schram is a primary care provider with a special interest in women's health and fertility. At Women's College Hospital, she maintains an academic family medicine practice which includes low risk obstetrics. At Hannam Fertility Centre, she provides low intervention fertility care which includes a high volume of patients with polycystic ovarian syndrome (PCOS). Carrie also maintains an appointment with the University of Toronto as an Assistant Professor.

Carrie A. Schram

Family Physician and Fertility Specialist
Women's College Hospital and Hannam Fertility Centre
Toronto, Ontario, Canada

Carrie Schram is a primary care provider with a special interest in women's health and fertility. At Women's College Hospital, she maintains an academic family medicine practice which includes low risk obstetrics. At Hannam Fertility Centre, she provides low intervention fertility care which includes a high volume of patients with polycystic ovarian syndrome (PCOS). Carrie also maintains an appointment with the University of Toronto as an Assistant Professor.