Do LGTB people desire to have children? A Brazilian cross-sectional survey.

Objective: To identify whether the LGBT community desires to start a family and the major challenges they experience, especially in regards to assisted reproductive technology (ART) procedures in Brazil.

Methods: This cross-sectional study invited individuals Brazilian, identified themselves as cisgender, and homosexual (male and female); aged 18-60, the study used an online questionnaire distributed through various platforms.

Results: Of the 698 respondents, mostly educated and Caucasian, 86.7% were female. While 69% expressed same-sex orientation, many were in long-term relationships. Family acceptance varied, with financial barriers (69.3%) and societal prejudices (73.1%) being significant concerns. Despite a desire for children (92% were childless), only 10% consulted infertility specialists, and 66.5% were unaware of ART legislation. Emotionally, 51.1% felt unprepared for parenthood. While societal acceptance of non-heteronormative families is perceived to be increasing (53%), unequal healthcare treatment (73.1%) and societal pressures (20% felt pressured towards adoption) remain prevalent.

Conclusions: Over 90% of LGBT individuals contemplate having biological or adoptive children. There's notable ignorance about legislation and ART. Financial hurdles in ART are significant but manageable with proper planning. Prejudice also strongly influences their lives.