Lesbian, gay, bisexual, transgender content on reproductive endocrinology and infertility clinic websites

Harold Y. Wu, Ophelia Yin, Brent Monseur, Jessica Selter, Lillian J. Collins, Brandyn D. Lau, Mindy S. Christianson

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objective To assess geographical distribution and practice characteristics of fertility clinics inclusive of lesbian, gay, bisexual, and transgender (LGBT) patients. Design Cross-sectional analysis. Setting Not applicable. Patient(s) None. Intervention(s) None. Main Outcome Measure(s) Prevalence and geographical distribution of fertility clinic websites with LGBT-specific content, indicated by keywords and home page cues specific to the LGBT patient population. Assessment of relationship between LGBT-specific content and clinic characteristics, including U.S. region, clinic size, private versus academic setting, and state-mandated fertility insurance coverage. Result(s) Of 379 websites analyzed, 201 (53%) contained LGBT content. Clinics with the highest proportion of LGBT website content were in the Northeast (59/82, 72%) and West (63/96, 66%), while the lowest proportion was in the Midwest (29/74, 39%) and South (50/127, 39%). Most frequently used terms included lesbian (72%), LGBT/LGBTQ (69%), and gay (68%), while less used terms included trans/transgender (32%) and bisexual (15%). Larger clinic size was associated with LGBT-specific website content (odds ratio, 4.42; 95% confidence interval, 2.07–9.67). Practice type and state-mandated fertility insurance coverage were not associated with a clinic website having LGBT content. Conclusion(s) Over half of Society for Assisted Reproductive Technology member fertility clinics included LGBT content on their websites, yet those in the Midwest and South were significantly less likely to do so. Predictive factors for having LGBT website content included location in northeastern and western regions and increasing clinic size. Further studies are needed to evaluate whether inclusion of LGBT content on clinic websites impacts use of reproductive services by the LGBT patient population.

Original languageEnglish (US)
Pages (from-to)183-191
Number of pages9
JournalFertility and sterility
Issue number1
StatePublished - Jul 2017


  • LGBT
  • assisted reproduction technology
  • bisexual
  • healthcare disparity
  • transgender

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


Dive into the research topics of 'Lesbian, gay, bisexual, transgender content on reproductive endocrinology and infertility clinic websites'. Together they form a unique fingerprint.

Cite this