Excluding lesbian and single women? An analysis of U.S. fertility clinic websites

SynopsisU.S. fertility services are concentrated in a private medical market. Research has examined disparities in access to these services by race/ethnicity and socioeconomic status, but has often overlooked access by marital status and sexual orientation. Some conclude that the private market has reduced all barriers except economic ones; others are more critical, noting that inequality still exists for lesbian and single women. To assess clinic receptivity to serving lesbian and single women, I conducted a content analysis of U.S. fertility clinic websites. Most clinics (89.8%) officially accepted single women, according to data from the Society for Assisted Reproductive Technology. Yet, less than one-third displayed explicit information on their websites; only 10% displayed non-discriminatory statements. Not all website references were inclusive of both groups of women. Findings suggest that clinics may continue to intentionally or unintentionally gatekeep in subtle ways by maintaining a partnered, heterosexual framework of reproduction.

► I analyze U.S. fertility clinic websites for receptivity to lesbian/single clients.
► Official reports show that most clinics (89.8%) accept single women.
► Actual analysis shows a lack of relevant website information for these clients.
► Clinics appear to continue to gatekeep fertility services through subtle exclusion.