Abstract
OBJECTIVE
To compare single women, lesbian couples, and heterosexual couples receiving therapeutic donor insemination (TDI).
DESIGN
Chart review followed by anonymous mail questionnaires to donor insemination recipients and their partners.
SETTING
Infertility clinic in a university hospital.
PATIENTS
One hundred fifteen women receiving donor insemination were identified by chart review.
RESULTS
Too few single women responded for reliable comparison. Lesbian women were similar to married women in age, education, duration, and outcome of donor insemination. When considering alternatives to TDI, married women were more likely to consider adoption and lesbians were most likely to consider using a known semen donor or having intercourse with a man aware of their desire to have a child. Married couples were less likely to tell others, including the child, about conception by donor insemination. They were also less likely to support disclosing identifying data about the donor to the child. Lesbians were more likely to report stress in their relationships as a result of TDI. Married men were most likely to support mandatory counseling before TDI initiation.
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