oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Same, same but different: lesbian couples undergoing sperm donation
Department of Women's and Children's Health, Obstetrics and gynecology, Uppsala University, Uppsala, Sweden.
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction: The desire to have children and form a family is for many people central for life fulfilment and the desire does not differ by sexual orientation. Due a series of societal changes during the last decade, today we see a lesbian baby boom. Planned lesbian families are a relatively new group of patients and parents in reproductive health care, yet little is known about psychological wellbeing during the transition to parenthood in these families. Aim: The overall aim of this thesis was to fill a gap of knowledge about the psychological aspects of undergoing treatment with donated sperm, at the time of pregnancy and during early parenthood that affect lesbian couples forming a family. Method: This is a multicentre study comprising all 7 university clinics that perform gamete donation. The study includes lesbian couples undergoing treatment with donated sperm and heterosexual couples undergoing IVF treatment with their own gametes. Participants were recruited consecutively during 2005 and 2008. 165 lesbian couples and 151 heterosexual couples participated in the study. Participants responded questionnaires at three time points (T); time point 1 (T1) at the commencement of treatment, (T2) after the first round of treatment, around 2 month after T1 and (T3) 12-18 months after first treatment when a presumptive child had reached 1 year. Data was analysed with statistical methodology. Results: Lesbian couples reported an all over high satisfaction with relationship quality, good psychological wellbeing and low parenting stress. Heterosexual couples also reported good satisfaction with relationship quality, however somewhat lower than the lesbian couples. Parenting stress in the heterosexual couples was similar to the lesbian couples. A strong association was found between high relationship satisfaction and low parenting stress. Conclusions: Lesbian couples forming a family through sperm donation treatment are satisfied with their relationships, they report a good psychological health and experiences of low parenting stress. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2013. , 63 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 952
Keyword [en]
Lesbian couples, sperm donation, assisted reproduction, relationship quality, symptoms of anxiety and depression, parenting stress
National Category
Medical and Health Sciences Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:oru:diva-36975ISBN: 978-91-554-8803-1 (print)OAI: oai:DiVA.org:oru-36975DiVA: diva2:748030
Public defence
2013-12-13, Gustavianum, Auditorium Minus, Uppsala, 09:15 (Swedish)
Opponent
Supervisors
Note

Name change: Paper 2, "Psychological health in lesbian and heterosexual couples undergoing assisted reproduction" in the list of papers has been changed to "Symptoms of anxiety and depression in lesbian couples treated with donated sperm: a descriptive study"

Available from: 2014-09-18 Created: 2014-09-18 Last updated: 2014-09-18Bibliographically approved
List of papers
1. Relationship quality in lesbian and heterosexual couples undergoing treatment with assisted reproduction
Open this publication in new window or tab >>Relationship quality in lesbian and heterosexual couples undergoing treatment with assisted reproduction
2012 (English)In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 27, no 3, 779-786 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND

One of the major factors impacting on a couple's relationship is the desire to have children. To many couples having a child is a confirmation of their love and relationship and a means to deepen and develop their intimate relationship. At the same time parental stress can impact on relationship quality. Relationship quality in lesbian couples is, currently, sparsely studied. The aim of the present study was to compare lesbian and heterosexual couples' perceptions of their relationship quality at the commencement of assisted reproduction, and to relate this to background data such as educational level, having previous children and, for lesbian couples, the use of a known versus anonymous donor.

METHODS

The present study is part of the prospective longitudinal 'Swedish study on gamete donation', including all fertility clinics performing donation treatment in Sweden. Of a consecutive cohort of 214 lesbian couples about to receive donor insemination and 212 heterosexual couples starting regular IVF treatment, 166 lesbian couples (78% response) and 151 heterosexual couples (71% response) accepted participation in the study. At commencement of assisted reproduction participants individually completed questionnaires including the instrument 'ENRICH', which is a standardized measure concerning relationship quality.

RESULTS

In general, the couples rated their relationship quality as good, the lesbian couple better than the heterosexuals. In addition, the lesbian women with previous children assessed their relationship quality lower than did the lesbian woman without previous children. For heterosexual couples previous children did not influence their relationship quality. Higher educational levels reduced the satisfaction with the sexual relationship (P = 0.04) for treated lesbian women, and enhanced the rating of conflict resolution for treated lesbian women (P = 0.03) and their partners (P = 0.02). Heterosexual women with high levels of education expressed more satisfaction with communication in their relationship (P = 0.02) than did heterosexual women with lower educational levels.

CONCLUSIONS

In this Swedish study sample of lesbian and heterosexual couples' relationships, we found that they were generally well adjusted and stable in their relationships when starting treatment with donated sperm or IVF, respectively. However, where lesbian women had children from a previous relationship, it decreased relationship quality. For the heterosexual couples previous children did not affect relationship quality.

Keyword
relationship, sperm donation, lesbian
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-36977 (URN)10.1093/humrep/der472 (DOI)000300510100020 ()22252089 (PubMedID)2-s2.0-84857223530 (Scopus ID)
Available from: 2012-02-15 Created: 2014-09-18 Last updated: 2014-09-18Bibliographically approved
2. Symptoms of anxiety and depression in lesbian couples treated with donated sperm: a descriptive study
Open this publication in new window or tab >>Symptoms of anxiety and depression in lesbian couples treated with donated sperm: a descriptive study
Show others...
2013 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 120, no 7, 839-846 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate symptoms of anxiety and depression in lesbian couples undergoing assisted reproductive treatment (ART), and to study the relationship of demographic data, pregnancy outcome and future reproductive plans with symptoms of anxiety and depression.

Design Descriptive: A part of the prospective longitudinal Swedish study on gamete donation'. Setting All university clinics in Sweden performing gamete donation. Population A consecutive sample of 214 lesbian couples requesting assisted reproduction, 165 of whom participated. Methods Participants individually completed three study-specific questionnaires and the Hospital Anxiety and Depression Scale (HADS): time point 1 (T1), at commencement of ART; time point 2 (T2), approximately 2months after treatment; and time point 3 (T3), 25years after first treatment. Main outcome measures Anxiety and depression (HADS), pregnancy outcome and future reproductive plans.

Results: The vast majority of lesbian women undergoing assisted reproduction reported no symptoms of anxiety and depression at the three assessment points. A higher percentage of the treated women, compared with the partners, reported symptoms of anxiety at T2 (14% versus 5%, P=0.011) and T3 (10% versus 4%, P=0.018), as well as symptoms of depression at T2 (4% versus 0%, P=0.03) and T3 (3% versus 0%, P=0.035). The overall pregnancy outcome was high; almost three-quarters of lesbian couples gave birth 25years after sperm donation treatments. Open-ended comments illustrated joy and satisfaction about family building.

Conclusion: Lesbian women in Sweden reported good psychological health before and after treatment with donated sperm.

Keyword
Anxiety and depression, assisted reproduction, lesbian
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-36976 (URN)10.1111/1471-0528.12214 (DOI)000318795500008 ()2-s2.0-84877744201 (Scopus ID)
Available from: 2013-06-24 Created: 2014-09-18 Last updated: 2014-09-18Bibliographically approved
3. Parenting stress: comparisons between lesbian couples, heterosexual IVF-couples and spontaneous pregnat couples
Open this publication in new window or tab >>Parenting stress: comparisons between lesbian couples, heterosexual IVF-couples and spontaneous pregnat couples
Show others...
(English)Manuscript (preprint) (Other academic)
Keyword
lesbian, parenting stress, sperm donation, toddlers
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-36979 (URN)
Available from: 2013-10-29 Created: 2014-09-18 Last updated: 2014-09-18Bibliographically approved
4. Relationship satisfaction in lesbian and heterosexual couples before and after assisted reproduction
Open this publication in new window or tab >>Relationship satisfaction in lesbian and heterosexual couples before and after assisted reproduction
Show others...
(English)Manuscript (preprint) (Other academic)
Keyword
lesbian couples, sperm donation, relationships, assisted reproduction
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-36978 (URN)
Available from: 2013-10-29 Created: 2014-09-18 Last updated: 2014-09-18Bibliographically approved

Open Access in DiVA

fulltext(1010 kB)121 downloads
File information
File name FULLTEXT01.pdfFile size 1010 kBChecksum SHA-512
fd1439a5a75ea69ba2c533677fd5b6868f835803deb6a43f600766d008729e006cc7822d1b59b58d382e3ec62098562920eb22e974089857374b7b5129855d0b
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Borneskog, Catrin
Medical and Health SciencesObstetrics, Gynecology and Reproductive Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 121 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 204 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf