Received February 23, 2023
Accepted August 31, 2023

Although the term homosexuality was removed from the International Classification of Diseases and trans identities from the mental disorders that kind of classification promoted the pathologisation of homosexuality. The direct consequence was discrimination, which brings to the difficulty in carrying out accurate informations related to the LGBT population, and makes it very difficult to organize public policies suited to their needs. An important issue is related to the limited access of that population to assisted reproduction techniques, when compared to traditional families. The desire for same sex couples and transgender persons to have biological children is reportedly the same as for cisgender persons, but parenthood can be a much greater endeavor both medically and psychologically for them. The right to health includes freedom to control one’s health and body, including sexual and reproductive. But despite the difficulties we are living in a period of great social progress that allows for growing access to assisted reproduction among novel patient populations. With legalization of gay marriage, individuals and couples who identify as lesbian, gay, bisexual and transgender, may seek to begin or expand their families with assisted reproduction technologies. Therefore the aim of this review was assist in the restructuring of health services, routines and procedures, mainly related to reproductive medicine, in order to promote changes in values based on respect for differences. In conclusion the healthcare personnel of fertility centers should undergo specific training and preparations to meet the LGBT patient population specific demands and to overcome communication barriers.