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Counseling lesbian patients about getting pregnant
1Department of Family and Community Medicine, University of Toronto.
Objective:
To describe an approach to counseling lesbian patients about getting pregnant.
Sources Of Information:
Information in this paper is based on evidence from randomized controlled trials (level I evidence), non-randomized trials (level II evidence), expert opinion (level III evidence), and government regulations.
Main Message:
We review 5 steps that comprise an approach to counseling lesbian patients about getting pregnant safely and efficiently. These steps are preconception care (including counseling, testing, and immunization); donor choice (including explaining the risks and benefits of choosing between a known or anonymous donor and the difference between fresh and frozen semen); donor testing (including Health Canada's requirements for semen processing and recommendations for testing before home insemination); ordering the semen (including information about sperm banks and the need for "Canadian compliant" semen); and the insemination process (including techniques for monitoring ovulation and various methods of insemination).
Conclusion:
Primary care physicians can help lesbians achieve pregnancy by providing education, testing, referrals, and insemination services.
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