通过辅助生殖技术寻求怀孕的男性同性伴侣的决策:一种定性研究
Sean Dailey1, MaryAnn Campion1, Kimberly Zayhowski2
1Department of Genetics, Stanford University School of Medicine, Stanford, California.
F&S reports
|October 7, 2025
概括
男性同性伴侣在使用辅助生殖技术 (ART) 时面临复杂的决策,平衡遗传联系,风险,控制和成本. 财政障碍和缺乏基于证据的指导强调了需要改善这些家庭的支持和保险覆盖.
科学领域:
- 生殖医学 生殖医学
- 家庭社会学 家庭社会学
- 在LGBTQ+健康方面
背景情况:
- 辅助生殖技术 (ART) 为不同的家庭结构提供了成为父母的途径.
- 男同性伴侣在通过ART建立家庭时面临着独特的考虑.
研究的目的:
- 在ART中探索男性同性伴侣在精子,卵子和胚胎选择期间的决策过程.
- 确定影响这些复杂选择的关键因素.
主要方法:
- 定性研究设计. 定性研究设计.
- 对20名参与者 (同性恋,白人,半性别男性) 的采访成绩单进行反思性主题分析.
- 参与者包括那些已经怀孕和那些通过ART积极追求怀孕的人.
主要成果:
- 四个核心主题出现了:对遗传关系的渴望,风险减轻,对控制的渴望和财务成本.
- 情侣优先考虑遗传贡献,经常使用相同的捐赠者为多个孩子,并寻找类似伴侣的捐赠者.
- 关于基因测试和单个胚胎移植的决定旨在最大限度地提高健康怀孕的机会,而成本显著影响了选择和家庭建设目标.
结论:
- 使用ART的男性同性伴侣的决策是复杂的,受遗传欲望,风险降低,控制和财务影响.
- 需要加强临床指导和基于证据的信息,以支持夫妇和生殖专家.
- 高昂的ART成本构成一个巨大的障碍,需要改善对这一群体的保险覆盖和支持.
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