13. Listening to LGBTQ People on Assisted Human Reproduction: Access to Reproductive Material, Services, and Facilities

Abstract

This chapter aims to demonstrate a series of issues faced by lesbian, gay, bisexual, trans and queer [LGBTQ] people seeking assisted human reproduction [AHR] services. We write this as members of a qualitative, community-based study that has aimed to shed light on the experiences of LGBTQ people in Ontario, Canada who have used or have considered using AHR services to have biologically related children. In line with community-based research principles, this study was guided by an advisory committee of AHR service providers and service users. In total, sixty-six LGBTQ people from across Ontario were interviewed about their experiences with AHR services. Representing to our knowledge the largest project of its kind, this pilot study was conducted collaboratively by researchers at the Centre for Addiction and Mental Health, the Sherbourne Health Centre, and Osgoode Hall Law School.Based on this research, we point out the gaps and limitations in the current regulatory framework and offer suggestions to ensure a more equitable access and utilization of AHR services by LGBTQ people in Canada. The chapter draws upon data from the “Creating Our Families” study to demonstrate how reproductive policy affects LGBTQ people in distinctive ways. Although there are other areas of law that impact how LGBTQ people access and use AHR services, this chapter takes up the pressing consideration of access to reproductive materials, services, and facilities. Our research shows that questions of access pose unique challenges for LGBTQ people accessing AHR, few of which have been addressed within Canadian case law or legislation. In highlighting these areas of inequality and differential access to reproductive assistance and materials, we hope to encourage future developments in AHR legislation to take into account the specific concerns of LGBTQ parents and parents-to-be.