Introduction
Sexual minority individuals who are pregnant or want to become pregnant face worse pregnancy outcomes than heterosexual patients.1, 2 The American College of Obstetricians and Gynecologists (ACOG) endorses quality care to all people regardless of sexual orientation or gender identity.3, 4 This includes providing gender affirming care throughout a patient’s pregnancy, acknowledging risk factors for diverse sexual minority populations that affect reproductive outcomes, and utilizing appropriate evidence-based clinical recommendations to tailor care.3, 4 Despite that, these patients still encounter many barriers to health care and have limited access to obstetric care and fertility clinics.3, 5 As clinicians and scientists, it is crucial that we continue to promote equitable care to pregnant individuals of any background.
The aim of this commentary is to describe pregnancy outcomes of sexual minority individuals, identify research gaps, describe clinical perspectives, and propose future directions from a research, clinical care, and educational perspective.