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Am J Obstet Gynecol. 2004 May;190(5):1298-304.

Reproductive health history of lesbians: implications for care.

Author information

1
Department of Medicine, University of Washington, Seattle, Washngton, USA. jmm2@u.washington.edu

Abstract

OBJECTIVE:

Parity and hormonal contraceptives modify the risk of reproductive cancers and cardiovascular disease. However, clinicians may not obtain reproductive histories from patients who self-identify as lesbian. We report lifetime pregnancy-related outcomes and hormonal contraception for 392 women who reported sexual activity with another woman in the preceding year.

STUDY DESIGN:

Among self-referred volunteers, previous pregnancy, pregnancy outcome, contraceptive use, and sexual identity were assessed with self-administered questionnaire.

RESULTS:

One in 4 subjects had been pregnant, and more than 50% of the women had used oral contraceptives (mean duration, 40 months). Sixteen percent of all subjects and 63% of those who had been pregnant previously reported having 1 or more induced abortions. The most common pregnancy outcome for women younger than 25 years was induced abortion (59% of pregnancies). Identifying as "lesbian" or "bisexual" predicted neither the duration of oral contraceptive use nor a report of induced abortion.

CONCLUSION:

Previous pregnancy, induced abortion, and hormonal contraceptive use are common among women who report sex with women, regardless of self-identification as lesbian.

PMID:
15167833
DOI:
10.1016/j.ajog.2003.12.001
[Indexed for MEDLINE]

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