(199) Exploring Sexuality and Intimacy Among Lesbian Couples in Quebec: A Qualitative Comparison Between Couples with and Without Children

Introduction Traditionally, research on sexuality has often focused on sexual difficulties and reproductive health. In recent years, however, researchers have become increasingly interested in sexual health and pleasure. Sexual health represents a positive and respectful approach to sexuality and the possibility of having safe and enjoyable sexual experiences. It is now recognised as a fundamental right, as well as being closely linked to general health and well-being. At the same time, although there is a growing body of international literature on the sexual health and practices of individuals who identify with the 2SLGBTQIA+ community, an area that was previously explored mainly in heterosexual couples, there are still major gaps in our understanding of lesbian sexuality. Moreover, studies of heterosexual couples have shown that parenthood influences their well-being and sexual practices. However, the effect of parenthood on lesbian sexuality, particularly in the context of homoparenthood, remains under documented. Objective The aim of this qualitative study was to gain a better understanding of the perceptions of sexuality and sexual practices in lesbian couples, and to examine more specifically the role of parenthood on the sexuality of these couples. The aim was also to compare the sexual lives of lesbian couples with children with those of lesbian couples without children, to identify similarities and differences in the sexual experiences of these two groups. Methods A sample of 13 lesbian couples (whose members were aged between 22 and 63 years old), including five with children (aged under 5) and 8 without, was recruited until operational saturation of the data was reached. Semi-structured couple interviews were conducted to explore their lived experiences. Data were analysed using abductive coding and a phenomenological approach with the support of NVivo software. Results The results of this study highlight a diversity in the sexual practices of lesbian couples that is not based on the traditional heteronormative model. These couples expressed a detachment from socially prevalent heterosexual sexual scripts, which typically structure intercourse with a defined beginning, middle, and end. Certain aspects are unique to lesbian relationships regarding sexual practices, including the presence of two female anatomies and distinct dynamics surrounding the experience of orgasm. Regarding parenthood, fatigue, professional responsibilities, body image, and children are key factors influencing the sexual experiences of lesbian couples. Moreover, similar to parents in heterosexual relationships, new lesbian mothers reported having to rethink their sexuality after the arrival of a baby in order to maintain a high level of sexual health despite the changes in their daily lives. Conclusions This study explores the aspects of sexuality among lesbian couples, a population often overlooked in research. Findings show that intimacy extends beyond sexual intercourse and that practices are diverse and not based on traditional gender roles or heteronormative scripts. These results suggest that health professionals working with lesbian couples would benefit from questioning them about their own perceptions and sexual practices, without assuming a single script for sexuality. Overall, this study contributes to better represent lesbian sexuality and parenthood, break taboos, and deepen social and professional understanding of these couples. Disclosure No