Minority stress theory applied to conception, pregnancy, and pregnancy loss: A qualitative study examining LGBTQ+ people’s experiences
Open accessAbstract
Many lesbian, gay, bisexual, transgender (trans), queer, and other sexual and gender minority (LGBTQ+) people desire to conceive children. Yet, LGBTQ+ peoples' experiences are scant in reproductive health literature, particularly around pregnancy loss-a stigmatized and distressing pregnancy outcome. Informed by minority stress theory, this qualitative study aimed to explore the experiences of multi-level stigma and resilience among LGBTQ+ people in the context of conception, pregnancy, and loss. Seventeen semi-structured individual interviews (25-70 minutes) were conducted (2019) with a purposive sample of LGBTQ+ people in the United States (U.S.) who had experienced pregnancy loss (n = 14) or in an intimate partnership in which a pregnancy was lost (n = 3) in the last two years. Transcribed interviews were analyzed thematically. Participants described the profound sadness of pregnancy loss due to unique challenges of LGBTQ+ conception. Multiple types of stigma manifested at intrapersonal (e.g., anticipated sexual stigma upon disclosure), interpersonal (e.g., unsolicited advice about conception decisions), and structural levels (e.g., differential requirements to access conception compared to heterosexual/cisgender couples). Resilience was also seen individually (e.g., purposeful disclosure of conception, pregnancy, and loss), relationally (e.g., connecting with other LGBTQ+ community members), and collectively (e.g., creating/engaging in LGBTQ+-specific conception, pregnancy, and loss online spaces). LGBTQ+ people experience minority stressors of multi-level stigmatization throughout the pregnancy process, which limits their access to social support after experiencing pregnancy loss. However, individual, relational, and collective resilience strategies abound in response. Thus, minority stress theory can also be applied to recognize strengths-based and affirming approaches to reproductive healthcare for LGBTQ+ people.
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People who identify as part of the LGBTQ+ community may experience different levels of stigma than heterosexual couples after a stillbirth.
“Similarly, people who identify as part of the LQGTQ+ community may experience different levels of stigma than heterosexual couples after a stillbirth (40).”
From Parent hospital experiences following stillbirth (2026) · cites this paper as [40]
The Results section reports stigma experienced by LGBTQ+ participants during conception, pregnancy, and pregnancy loss, including fears that others would judge a loss because of their LGBTQ+ identity. It also describes different expectations for LGBTQ+ and heterosexual people, but the cited passages do not establish a difference in stigma specifically after stillbirth. The Introduction discusses stillbirth stigma generally, not a comparison between LGBTQ+ people and heterosexual couples. (LLM, conf=0.84)
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Shimizu, J. P. K., Dawson, S. J., Fitzpatrick, E. T., Tavares, I. M., Kempster, O., & Rosen, N. O. (2026) · LGBTQ+ Family An Interdisciplinary Journal · doi:10.1080/27703371.2026.2635395
Coward, C. O., Swaminathan, K., Hahn‐Holbrook, J., & Howell, J. L. (2026) · International Journal of Transgender Health · doi:10.1080/26895269.2026.2656939
The experiences of sexual and gender minorities accessing perinatal care: A scoping review
Zeta, B., & Patil, T. (2026) · Women s Health · doi:10.1177/17455057261444891
Tarar, H., Kalembo, L., Bainbridge, S., & Fontaine‐Bisson, B. (2026) · Archives of Medical Research · doi:10.1016/j.arcmed.2026.103443
Cherry, K. E. (2026) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2026.2708743
The Queer Sperm Donor Therapeutic Model of Enquiry: an affirming framework for clinical practice
Smith, W. (2026) · Sexual & Relationship Therapy · doi:10.1080/14681994.2026.2719767
Cáceres, I., de-Juan-Iglesias, P., Nieto-Casado, F. J., Caffieri, A., Lapping-Carr, L. R., & Motrico, E. (2026) · Research Square · doi:10.21203/rs.3.rs-10360701/v1
- Authors
- Lacombe-Duncan, A., Andalibi, N., Roosevelt, L., & Weinstein-Levey, E.
- Affiliations
- University of Michigan (US)
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2022-07-26
- Volume
- 17
- Issue
- 7
- Pages
- e0271945
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC9321415
- OpenAlex
- W4288035168
- Cited by
- 31
- References
- 79
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 5 · 2023: 5 · 2022: 1
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- MCubed, University of Michigan
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- minority stress theory, LGBTQ+ people, miscarriage, conception, stigma, resilience, social support, disclosure, access to reproductive health services, affirming care, online support groups
- MeSH terms
- Abortion, Spontaneous, Sexual and Gender Minorities, Bisexuality, Child, Female, Humans, Male, Pregnancy, United States, Homosexuality, Female, Transgender Persons
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