title: [Requests for assisted reproduction formulated by same-sex couples consulting physicians in France].
abstract: METHODS
  In order to determine the characteristic features of requests for assisted reproduction formulated by same-sex couples consulting physicians in France, we conducted a study in collaboration with professional organizations, general practitioners, gynecologists and obstetricians who distributed an email questionnaire among their recruitment.
  
  
  RESULTS
  In our sample, 191 physicians (71% of responders) reported that 1040 homosexual couples expressed desire to become parents in 2011-2012. Nearly all of the physicians (94%) reported that the couples sought assistance before participating in an assisted reproduction technology (ART) program in a foreign country, but 35% reported that advice was solicited concerning natural reproduction and 48.5% reported requests for advice concerning inseminations performed by the woman herself. Most of the physicians responded to all or part of the requests and 61% of those who had been consulted reported they had directly participated in preparing an ART program in a foreign country. Among the 270 physicians who participated in this study, 162 (60%) believed that ART should be assessable to homosexual couples in France, but less than half of them were in favor of reimbursement by the national health insurance fund.
  
  
  CONCLUSIONS
  Although biased and non-representative, this study shows that assisted reproduction, with or without medical intervention, is a real-life phenomenon for many homosexual couples, and for many physicians, even before same-sex marriage became legal.
authors.affiliation: 16, rue Bonaparte, 75006 Paris, France. Electronic address: pierre.jouannet2@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Jouannet
authors.affiliation: 16, rue Bonaparte, 75006 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Spira
mesh_terms: D003625:Data Collection / Q000706:statistics & numerical data; D037001:Directive Counseling / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000191:economics / Q000706:statistics & numerical data; D006716:Homosexuality / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D011247:Pregnancy; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D027724:Reproductive Techniques, Assisted / Q000191:economics / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Aide à la procréation; Assisted reproduction; Couple homosexuel; Enquête; France; Homosexual couple; Survey