A Comparison of Polycystic Ovary Syndrome and Related Factors Between Lesbian and Heterosexual Women

Smith, Howard C.; Marković, Nina; Matthews, Alicia K.; Danielson, Michelle E.; Kalro, Brinda N.; Youk, Ada O.; Talbott, Evelyn O.

doi:10.1016/j.whi.2010.11.001

Cited by 15 publications

(12 citation statements)

References 22 publications

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“…There are several other studies which also could not find a difference in PCOS prevalence based on sexual orientation (De Sutter et al , 2008; Smith et al , 2011). …”

Section: Discussionmentioning

confidence: 88%

Sexual orientation of women does not affect outcome of fertility treatment with donated sperm

et al. 2014

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STUDY QUESTIONIs there a difference in fertility between heterosexual women and lesbians undergoing sperm donation?SUMMARY ANSWERWomen undergoing treatment with donated sperm are equally fertile regardless of sexual orientation.WHAT IS KNOWN ALREADYLesbians have an increased prevalence of smoking, obesity, sexually transmitted diseases and, possibly, polycystic ovary syndrome, all factors known to affect fertility. Previous studies on sperm donation inseminations (D-IUI) show conflicting results regarding pregnancy outcome.STUDY DESIGN, SIZE, DURATIONThis is a national study of 171 lesbians and 124 heterosexual women undergoing sperm donation both as D-IUI (lesbian n = 438, heterosexual n = 298) and as embryo transfers (ET) after IVF with donated sperm (lesbians n = 225, heterosexuals n = 230) during 2005–2010.PARTICIPANTS/MATERIALS, SETTING, METHODSAll clinics in Sweden offering sperm donation recruited patients. Differences in patients' medical history, treatment results and number of treatments to live birth were analyzed using independent samples t-test, Pearson's χ2 test or Fisher's exact probability test.MAIN RESULTS AND THE ROLE OF CHANCE71.8% of heterosexuals and 69.0% of lesbians had a child after treatment. The mean number of treatments was 4.2 for heterosexual women and 3.9 for lesbians. The total live birth rate, regardless of treatment type, was 19.7% for heterosexuals and 19.5% for lesbians. For D-IUI, the live birth rate was 12.8% for heterosexuals and 16.0% for lesbians and the live birth rate for all IVF embryo transfers (fresh and thawed cycles) was 28.7% for heterosexuals and 26.2% for lesbians. There were no differences in live birth rate between the groups for each of the different types of insemination stimulations (natural cycle; clomiphene citrate; FSH; clomiphene citrate and FSH combined). Nor was there a difference in live birth rate between the groups for either fresh or thawed embryo transfer. There was no difference between the proportions of women in either group or the number of treatments needed to achieve a live birth. Heterosexuals had a higher prevalence of smokers (9.2%), uterine polyps (7.2%) or previous children (11.3%) than lesbians (smokers 2.8%, P = 0.03; polyps 1.8%, P = 0.03; child 2.5%, P = 0.003).LIMITATIONS, REASONS FOR CAUTIONThis study is limited to women living in stable relationships undergoing treatment with donated sperm in a clinical setting and may not apply to single women or those undergoing home inseminations.WIDER IMPLICATIONS OF THE FINDINGSThese results may influence healthcare policy decisions as well as increase the quality of clinical care and medical knowledge of healthcare professionals. The data also have important implications for individuals regarding screening, infertility diagnostic procedures and treatment types offered to heterosexuals and lesbians seeking pregnancy through sperm donation.STUDY FUNDING/COMPETING INTEREST(S)Funding was granted by the Stiftelsen Familjeplaneringsfonden i Uppsala; the Swedish Research Council for Health, Working...

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“…There are several other studies which also could not find a difference in PCOS prevalence based on sexual orientation (De Sutter et al , 2008; Smith et al , 2011). …”

Section: Discussionmentioning

confidence: 88%

Sexual orientation of women does not affect outcome of fertility treatment with donated sperm

et al. 2014

View full text Add to dashboard Cite

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“…Austin & Irwin (2010) (Aaron & Hughes, 2007;Engeln-Maddox, Miller, & Doyle, 2011;Markey & Markey, 2013;Smith et al, 2010;Smith et al, 2011). Nonprobability studies of the relationship between obesity and sexual orientation mirror findings from the probability studies, although more of the nonprobability studies were of lesbian-only populations without comparison within sexual orientation groups.…”

Section: Nonprobability Sample Studiesmentioning

confidence: 99%

A Systematic Review of the Literature on Weight in Sexual Minority Women

Eliason

Ingraham

Fogel

et al. 2015

Women's Health Issues

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“…7,8 Recent research examining health maintenance behaviors has found that lesbian women may also be at increased risk for cervical and breast cancers, 2,9,10 though definitively higher risk of both conditions in LBQ women has yet to be established. Lesbian women also share the same risk of polycystic ovarian syndrome (PCOS) as heterosexual women, 11 that may often go undiagnosed due to lack of preventive healthcare utilization. Additionally, sexual minority women are at a heightened risk for cigarette smoking, alcohol abuse, obesity, and chronic physical health problems.…”

Section: Introductionmentioning

confidence: 99%

Multiple Mediational Model of Outness, Social Support, Mental Health, and Wellness Behavior in Ethnically Diverse Lesbian, Bisexual, and Queer Women

2015

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Purpose: A growing body of research has begun to examine wellness behaviors in sexual minority women. While a number of constructs have been associated with wellness behaviors in this population, including outness, social support, and mental health, no research has attempted to forge the specific and unique connections among them. The aim of the current study was to construct a theoretical chain among these variables leading to wellness behaviors among an ethnically diverse sample of sexual minority women. Methods: A sample of 150 ethnically diverse, cisgender women identifying as lesbian, bisexual, queer, or an ''other'' non-heterosexual sexual orientation completed a web-administered national survey. Scales assessed participants' outness, social support, mental health, and wellness behaviors. Results: In a series of simultaneous, multiple regressions, outness to one's family was positively associated with wellness behavior and social support; social support from one's family and friends was positively associated with mental health; and depression was negatively associated with wellness behaviors. Two multiple mediational models generally suggested a cascading influence of outness to one's family on wellness behaviors through social support from one's family and depression. Conclusion: The study is one of the first to find potentially cascading links among personal, social, and mental health variables with health behaviors in a sample of diverse lesbian, bisexual, and queer (LBQ) women. It thereby illuminates a number of potential targets for health promotion interventions in this population.

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A Comparison of Polycystic Ovary Syndrome and Related Factors Between Lesbian and Heterosexual Women

Cited by 15 publications

References 22 publications

Sexual orientation of women does not affect outcome of fertility treatment with donated sperm

Sexual orientation of women does not affect outcome of fertility treatment with donated sperm

A Systematic Review of the Literature on Weight in Sexual Minority Women

Multiple Mediational Model of Outness, Social Support, Mental Health, and Wellness Behavior in Ethnically Diverse Lesbian, Bisexual, and Queer Women

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