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Despite the many advances of medical technology to help treat infertility, approximately half of women seeking fertility treatment will never give birth to a child. Women coping with treatment failure face many challenges, including deciding when to abandon treatment and how to let go of their dreams of having a baby to focus on other pursuits. In order to better understand how women cope with these challenges, in depth interviews and a focus group were carried out with 12 women for whom fertility treatment had not been successful. Data was gathered and analysed using Grounded Theory, and a model of the process of adjustment from pursuing treatment to coming to terms with involuntary childlessness was co-constructed from the data. The model conceptualizes women's journey as moving through three main phases; 'living in limbo' in which women are still undergoing treatment, 'leaving treatment' in which women decide to terminate treatment and abandon the search for a resolution to their infertility, and finally 'learning to live with involuntary childlessness' in which women start the 'work' of grappling with the questions that childlessness seems to raise about the meaning of their lives, their identity and self image, and their sense of social belonging. The model goes on to highlight the factors which seem to aid women in resolving these challenges. The findings of this study suggest that the emotional challenges of coping with unsuccessful fertility treatment extend well beyond the end of treatment, highlighting the need for good access to therapeutic support for women coping with involuntary childlessness longer term. Results also point to certain sources and types of support which may be particularly helpful, including peer support from other childless women, and therapeutic interventions which help women develop more positive perspectives on childlessness and to identify alternative sources of fulfillment. The results of this study also point to the need for social action which works to challenge the misconceptions and stigma surrounding infertility and childlessness which add a further challenge to the lives of women who are involuntarily childless.

Going through an assisted reproduction procedure treatment might be physical and emotionally demanding. In vitro fertilization is a complex treatment that usually requires a significant amount of patient care and attention, including the administration of self-injections. From a design standpoint, this project explored ways to improve the well-being of patients during their fertility treatment journeys, with a focus on women. The study took a holistic approach, involving several interviews with cis women from Brazil and Sweden who had undergone various assisted reproduction treatments, primarily IVF, with the goal of identifying the major challenges they faced during their fertility treatment journeys. Ovarian stimulation medications and the need for a support system were often mentioned among several other identified challenges. Interviews and feedback sessions with fertility specialists, nurses and psychologists were conducted.Patients may feel overwhelmed by the number of medications and instructions, the strict medication time schedule, the need for cooling storage, and the fear of having to self-inject. Trine, the project's result, is a brand providing ovarian stimulation medication kits. The concept ecosystem consists of three components: a unified solution for ovarian stimulation injectable medications, a kit containing all the needed items for taking the injections and a digital platform that provides a clear overview of the treatment and connects peers. When the physical and digital concepts work together, they can provide a unified source of information and medications for patients, resulting in a smoother experience. Design methodologies that are patient- centered have a great potential to benefit the fields of fertility treatments and assisted reproduction by creating more positive experiences.

Options and possibilities for lesbian parents have changed fundamentally since the turn of the millennium. A legal change in 2003 enabled a same-sex couple  to share legal parenthood of the same child. An additional legal change, in 2005, gave lesbian couples access to fertility treatment within public healthcare in Sweden. The present thesis focuses on families where two women share legal parenthood of their children. It aims to provide knowledge about lesbian parenting couples and their children, and to focus on the interplay between family members within lesbian families, and between family members and their surroundings. Furthermore, the thesis aims to visualize and analyse notions of heteronormativity and homonormativity in contemporary Sweden. The thesis draws on interviews with 118 parents in 61 families, and 12 children in 11 families. The participants’ stories, descriptions, reflections and discourses have been analysed using discursive psychology and thematic analysis. The thesis includes five empirical papers. Paper I focuses on encounters with healthcare professionals prior to and during pregnancy, at childbirth and during the early stages of parenthood. Paper II deals with the participants’ experiences of second-parent adoption processes. Paper III focuses on equality in parenting relations. Paper IV focuses on encounters with fertility clinics within public healthcare. Paper V highlights the children’s reflections and shows how the children talk about fathers and donors. / För lesbiska par har förutsättningarna för föräldraskap förändrats i grunden sedan millennieskiftet. År 2003 möjliggjorde en lagändring att ett barn kan ha två rättsliga föräldrar av samma kön. Ytterligare en lagändring öppnade år 2005 möjligheten för lesbiska par att få barn genom assisterad befruktning inom svensk sjukvård. I avhandlingen fokuseras familjer där två kvinnor delar det rättsliga föräldraskapet om sina gemensamma barn. Studien syftar till att bredda kunskaper om lesbiska familjeliv och fokuserar samspelet mellan familjemedlemmar såväl som samspelet mellan familjen och dess omgivning. Vidare syftar studien till att synliggöra och analysera uttryck för heteronormativitet och homonormativitet i dagens Sverige. Studien bygger på intervjuer med 118 föräldrar i 61 familjer och 12 barn i 11 familjer. Deltagarnas berättelser, beskrivningar, reflektioner och diskurser analyseras med diskursiv psykologi och tematisk analys. Avhandlingen består av fem empiriska artiklar och en kappa. I Artikel I analyseras föräldrarnas berättelser om att möta sjukvården i samband med graviditet och förlossning. Artikel II belyser deltagarnas berättelser om att genomgå en närståendeadoption. I Artikel III fokuseras hur föräldrarna pratar om jämställdhet i sina föräldraroller. Artikel IV analyserar intervjuer med föräldrar som vänt sig till svensk sjukvård för fertilitetsbehandling. I Artikel V, är det barnen som står i fokus. Studien bygger på intervjuer med tolv barn som var mellan 5 och 8 år gamla och växte upp i familjer med två mammor. I artikeln analyseras barnens beskrivningar av pappor och spermadonatorer.