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The limited availability of such care in South Africa is demonstrated by the fact that the waiting listing for gender affirming surgeries at the Groote Schuur Hospital, the only state hospital openly acknowledging their gender clinic, is 26 years long. Some LBQ women take do-it-yourself approaches to insemination, relying on guidance from the lesbian community and employing basal body temperatures charts, ovulation kits, and donor sperm, all without the help of clinicians 6. Access to fertility treatment by lesbian, gay, bisexual, transgender, and queer LGBTQ people has improved considerably in recent years, as a matter of ethics standards and practice.

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Andrew was a private person. Fortunately, this person missed his window of opportunity to fulfil his threat — since Matome was at home the next time he visited.

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Three described themselves as lesbian, three described themselves as bisexual, and two described themselves as heterosexual. Comprising a subculture of a group already burdened by minority status, cisgender female partners of a masculine identifying trans person have a very small chance of finding another person in a similar situation with whom to relate. So, me talking about my difficulties or challenges or even the magical stuff around our growing relationship or anything like that was not really accepted.