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Here’s why abortion is an LGBTQ rights issue

One-third of lesbians have experienced pregnancy

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Advocates maintain LGBTQ people require access to abortion amid expectations of Supreme Court ruling (Blade file photo by Michael Key)

As pro-choice advocates brace for a ruling from the U.S. Supreme Court overturning Roe v. Wade, many LGBTQ people are joining them not just as supporters concerned that a decision overturning marriage equality could be next — but also over fears their own access to abortion could be stripped away.

Those fears peaked after the leak of a draft opinion from Justice Samuel Alito reversing a 50-year precedent that found a constitutional right to abortion. But some observers may wonder why LGBTQ Americans would be worried about abortion access. After all, the risk of unwanted pregnancy is largely non-existent among gay and lesbian couples, right?

Wrong. Studies have found that isn’t the case, not just because bisexual people often do have intercourse with a different-sex partner, but also because pregnancies result from sexual violence and efforts to suppress sexual orientation during the coming out process. According to a 2000 study, more than 80 percent of bisexual women have experienced at least one pregnancy, and more than a third of lesbians have done so.

Julie Gonen, federal policy director for the National Center for Lesbian Rights, told the Blade among the many reasons why LGBTQ people care about abortion rights is “a lot of queer folks can and do become pregnant and some will need abortion care if they face an unwanted pregnancy.”

“We know from studies that lesbian, bisexual and other non-heterosexual women are at least as likely as other women to experience unintended pregnancy and therefore might require abortion care,” Gonen said. “Some of those studies also show that sexual minority women are more likely to have unintended pregnancies that result from sexual violence. For younger people, there are studies that suggest that some of them actually engage in heterosexual sex to prove they’re not gay, and so they put themselves at greater risk of unintended pregnancy.”

Indeed, the legal brief filed jointly by LGBTQ groups before the Supreme Court in the case of Dobbs v. Jackson Women’s Health Organization, which will determine the constitutionality of a Mississippi law prohibiting abortion after 15 weeks of pregnancy, makes the case for preserving Roe on the basis of the need for LGBTQ people to have access to abortion.

Chief among the arguments in the legal brief: Overturning Roe would “have a deeply disruptive effect” on the lives and expectations of millions of women, including members of the LGBTQ community.

“Sexual minority women have the same interest as other women in reproductive autonomy,” the brief says. “They are at least as likely to experience unintended pregnancies, in part due to sexual violence and to economic and other barriers to reproductive care. Sexual minority women often face both sexism and homophobia, and many confront racism and poverty as well, which makes their quest for equal citizenship an uphill battle.”

Studies cited in the brief, including research finding pregnancy is not uncommon among lesbians and bisexual women, find sexual minority women are more likely than other women to have experienced unwanted pregnancy through sexual violence. One study found sexual minority women are more likely to experience violence and sometimes by a factor of 15 or more. Another study found lesbians were nine times more likely than those identifying as straight to report having been subjected to violence by the man involved in the pregnancy, and bisexual women were more than twice as likely to do so.

Also pointed out in the legal brief is lesbian and bisexual women “are at an especially high risk for pregnancy due to social pressures to hide their sexual orientation and convince others they are heterosexual.” One 2017 study found bisexual women were significantly more likely to have been pregnant in the past 12 months than their peers who were women who have sex with men only and the trend often continues for these women until adulthood.

The Williams Institute at the University of California Los Angeles published a study in 2020 finding bisexual women and girls are more sexually active than their straight peers and face odds of an unwanted pregnancy at a rate that is 1.75 times greater. The prevalence of poverty among bisexual women, transgender people, and LGBTQ people of color makes access to contraception more difficult, the study finds. They also have less ability to cross state lines to access abortion.

Transgender men and non-binary people are also counted as among the members of the LGBTQ community who could experience unwanted pregnancies and could require access to abortion.

Megan Caine, family nurse practitioner at the D.C.-based Whitman-Walker Health, told the Blade assumptions LGBTQ people wouldn’t need access to abortion “currently excludes many transgender and gender-expansive people with uteruses from accessing the services they need.”

“The prohibition of safe and accessible abortion will only add to this health disparity,” Caine said. “Transgender and gender-expansive people as a population have an alarmingly high rate of suicide. Coupled with significant barriers to accessing birth control, eliminating the option to safely terminate a pregnancy could absolutely put a pregnant person’s life at risk.”

Compounding concerns among LGBTQ Americans about access to abortion is the fear that the legal reasoning behind a decision overturning Roe would undermine legal precedent in favor of LGBTQ rights, including the 2015 decision in favor of same-sex marriage nationwide, as well as general access to medical care for LGBTQ people.

Kellan Baker, executive director and chief learning officer at the Whitman-Walker Institute, said his organization is “already hearing questions from clients who are concerned about what steps they need to take to protect their future options to have an abortion if needed, as well as to protect their families and relationships.”

“Just as we fought to get the government out of our bedrooms, we need to fight back against a Supreme Court decision that would insert itself in private medical decisions that should be made between patients and their providers,” Baker concluded.

Among concerns about a Supreme Court decision jeopardizing health outcomes for LGBTQ people, including access to abortion, many LGBTQ groups are making the fight over abortion a top priority following the leak of the draft opinion overturning Roe. The congressional LGBTQ Equality Caucus, for example, issued a statement this week calling for the expansion of the court in an effort to dilute the conservative majority that would overturn Roe. The Human Rights Campaign, on the other hand, issued a statement endorsing the Women’s Health Protection Act, which is Democrats’ legislative attempt to codify Roe in law in anticipation the constitutional right will no longer exist.

Gonen said groups representing LGBTQ people “are going to continue to fight for abortion rights right alongside our allies in the reproductive health rights and justice movements.”

“I mean, if this happens, and it looks like it’s going to, this is a truly alarming moment for anyone who cares about human rights, gender equality, and justice,” Gonen said. “Because abortion bans force people to be pregnant against their will, and while not all people who experience pregnancy are women, the vast majority are, which makes abortion bans a particularly invidious form of sex discrimination. And LGBTQ people know what it’s like to experience sex discrimination and to have others trying to force us into gender norms that we don’t fit.”

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2026 Midterm Elections

Chris Pappas wins NH Democratic Senate primary

Gay congressman running to succeed retiring U.S. Sen. Jeanne Shaheen

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U.S. Rep. Chris Pappas (D-N.H.) speaks at the LGBTQ+ Victory Fund's 2025 National Champagne Brunch in D.C. (Washington Blade photo by Michael Key)

New Hampshire Congressman Chris Pappas on Tuesday won the Democratic primary in the race to succeed retiring U.S. Sen. Jeanne Shaheen (D-N.H.) in the U.S. Senate.

Pappas defeated Karishma Manzur, who was his primary challenger, by a 61.8-36.1 percent margin.

The gay congressman will face off against former U.S. Sen. John E. Sununu, who defeated former U.S. Sen. Scott Brown in the Republican primary.

“Tonight’s victory sends a clear message that voters are looking for leaders who will fight for their rights, their freedoms, and to be treated with dignity and respect,” said Human Rights Campaign President Kelley Robinson in a statement. 

She campaigned for Pappas in Manchester, New Hampshire’s largest city, on Aug. 30.

“Chris Pappas has delivered results, stood up for equality, and showed up for the people he serves,” said Robinson in her statement. “HRC was proud to mobilize Equality Voters across New Hampshire to help power this win. We don’t have a second to waste between now and November. We look forward to continuing our work with Rep. Pappas as he drives toward victory in November so he can help return a pro-equality majority to the United States Senate.”

poll the University of New Hampshire Survey Center released on Aug. 26 showed Sununu ahead of Pappas by a 45-43 percent margin if they were to face off in the general election. The margin of error is +/-2.1 percent.

Pappas would become the first openly gay man elected to the U.S. Senate if he were to win in November.

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Georgia

Everton Blair makes history as first openly gay congressman from Ga.

Former Gwinnett County Board of Education member to serve remainder of David Scott’s term

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Everton Blair, Jr. (Photo courtesy of Blair's campaign website.)

Georgia made history last week when Everton Blair, Jr., was sworn into the U.S. House of Representatives, becoming the state’s first openly LGBTQ member of Congress and the latest LGBTQ addition to the chamber.

Blair, who represents Georgia’s 13th Congressional District, was sworn in on Sept. 1 after winning a special election to fill the vacancy left by the late-Congressman David Scott. Blair defeated Marcye Scott, the late congressman’s daughter, in the Aug. 25 runoff, winning 53.2 percent of the vote to Scott’s 46.8 percent.

He will serve the remainder of Scott’s term through Jan. 3, 2027. Blair is not running in the November general election for a full term.

Blair brings a progressive platform to Congress.

The 34 year-old supports Medicare for All, a Green New Deal, raising the minimum wage, and universal gun background checks. His campaign platform also included positions on LGBTQ rights, reproductive freedom, workers’ rights, climate, and gun violence.

Since joining the House, Blair has joined the Congressional Black Caucus and Congressional Progressive Caucus. He is also a co-chair of the Congressional Equality Caucus.

Before joining the House, Blair served on the Gwinnett County Board of Education, where he became the first Black member and youngest-ever member elected to the board, as well as its first openly gay member. He was later unanimously selected as chair.

Blair also served as a fellow in President Barack Obama’s White House Initiative on Educational Excellence that focused on improving academic outcomes and expanding opportunities for minority students.

The son of Jamaican immigrants, Blair was born and raised in Georgia’s 13th Congressional District. He earned a bachelor’s degree in applied mathematics from Harvard University, a master’s degree in policy, organization, and leadership from Stanford University, and a Doctor of Education Leadership degree from Harvard.

Blair’s campaign received endorsements from a number of organizations, including the LGBTQ+ Victory Fund and progressive Democratic groups such as Future Democrats.

The Equality PAC, a political action committee dedicated to electing openly LGBTQ candidates to office, celebrated Blair’s victory and provided a statement to the Washington Blade about the historic nature of his election.

“This is a historic election for Georgia, the South, and our entire country,” Equality PAC said in an email. “Everton Blair brings a strong record of public service and a deep commitment to making government work for working families.”

The group said Blair would “fight to lower costs, expand access to quality health care, create economic opportunity, and ensure every community has a voice in Washington.”

“At the same time, Everton understands the importance of standing up for equality and defending the rights and freedoms of LGBTQ Americans and every community facing discrimination,” Equality PAC said. “His historic election as Georgia’s first openly LGBTQ Member of Congress and the first openly LGBTQ man elected from the South is a powerful reminder of how far our country has come — and how much work remains.”

Equality PAC said it was “proud to welcome Everton to the House” and looked forward to working with him.

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U.S. Military/Pentagon

Pentagon expands testosterone screening as trans troops face hormone therapy restrictions

Defense Department says updated guidelines to be issued shortly

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Defense Secretary Pete Hegseth (Washington Blade photo by Michael Key)

The Pentagon has announced that new clinical guidance will be released establishing mandatory testosterone deficiency screening for active-duty and reserve cisgender male service members ages 30 and older, advancing a policy that expands hormone-related care for cisgender troops.

The Defense Department said the existing clinical guidelines, which are not currently available on the Defense Health Agency’s website, are being updated and that the final guidance will be issued shortly.

The announcement comes amid a wave of anti-transgender policies from both the DoD and the Trump-Vance administration, which continue to prohibit trans men from receiving the same treatment.

Under the forthcoming guidance, men ages 30 and older will be forced to undergo testosterone blood tests as part of their medical care. Younger male service members will be tested if they request screening or if clinicians identify warning signs of low testosterone.

The new guidelines formalize a screening program Defense Secretary Pete Hegseth announced in July, when he said the Pentagon would begin testing service members to ensure that “you have the right testosterone levels to operate at your absolute best.”

“Taking care of your long-term health means ensuring you remain strong, resilient, and capable — not just for your next deployment, but for the rest of your life, so you can thrive long after you take off the uniform,” Hegseth said at the time.

The Defense Health Agency’s clinical guidance says the program is intended to address “hormonal and energy-availability issues.” Hegseth said in July that testosterone replacement therapy would remain voluntary for service members if treatment is recommended.

The Food and Drug Administration is also scheduled to hold a meeting later this month with experts to discuss the medical use of testosterone.

The Pentagon’s push to routinely test testosterone levels runs counter to current medical guidance, which generally recommends considering testosterone therapy only for men who have symptoms consistent with low testosterone and have documented low hormone levels on two separate blood tests.

Testosterone is a sex hormone naturally produced by people of all sexes. It plays a role in regulating muscle mass, bone density, and sex drive. Testosterone levels in men naturally decline with age and have been associated with symptoms including erectile dysfunction, low libido, mood changes and weight gain, although experts continue to debate when testosterone therapy is medically appropriate.

The policy has drawn scrutiny from LGBTQ advocates because the Pentagon and Hegseth have simultaneously cited hormone therapy as part of the rationale for removing trans service members from the military.

Under President Donald Trump’s 2025 executive order, “Prioritizing Military Excellence and Readiness,” the military has moved to bar trans people diagnosed with gender dysphoria from serving and has begun formal administrative separation proceedings against trans personnel.

The Pentagon continues to pursue implementation of the trans military ban as litigation over the policy proceeds. As a result, some trans service members have had their gender-affirming hormone therapy halted even as the Pentagon expands testosterone screening and potential treatment for cisgender service members.

SPARTA Pride, a nonpartisan nonprofit organization made up of trans service members, veterans and their allies, criticized the disparity to the Washington Blade when Hegseth first announced the screening program.

“If hormone therapy helps warfighters perform at their best, then it cannot simultaneously be used as evidence that transgender service members are unfit to serve,” said Kara Corcoran, executive director of SPARTA Pride. “The same class of evidence-based medical treatment cannot be characterized as readiness-enhancing for one group and readiness-destroying for another.”

On June 1, the U.S. Court of Appeals for the D.C. Circuit ruled that trans service members already serving in the military could continue to do so while allowing the armed services to continue refusing to enlist new trans recruits.

The Blade reached out to the Pentagon when the testosterone screening program was first announced in July, asking why cisgender service members could receive testosterone therapy while transgender service members could not. The Pentagon did not respond.

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