Between Exclusion and Legitimacy: Identity Negotiation and Ethical Dilemmas of Chinese Lesbians in the Assisted Reproduction System

In China's current assisted reproduction system, marriage and sexual orientation serve as key entry barriers, leaving lesbians facing institutional exclusion under the dual identities of "unmarried" and "non-heterosexual." The marriage system, heterosexual norms, and technical regulations jointly construct the institutional structure that excludes them from the legal reproductive system. Drawing on the theoretical frameworks of reproductive justice and biopolitics, this article analyzes how Chinese lesbians navigate state institutional restrictions on their reproductive rights, drawing on literature research and five in-depth interviews. Despite current closed policies, some interviewees, in response to hypothetical questions, expressed openness to the strategic identity path of "single motherhood." This article proposes that, in the context of future policy relaxation, this path may become an important tool for negotiating entry into the legal reproductive system. The study finds that this strategy not only demonstrates individuals' negotiation of legitimacy within institutional interstices, but also reveals the complex tensions between moral norms, legal gaps, and kinship structures. This article argues that the ethical governance of reproductive technology should not screen reproductive eligibility based on the criteria of "qualified citizenship," but should instead be based on the principles of human rights and equality, responding to the legitimate needs of marginalized groups.

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Publication Details

Journal
Developing World Bioethics
Published
2025-12-31
DOI
https://doi.org/10.1111/dewb.70019
Primary Topic
Demographic Trends and Gender Preferences
Type
article
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article

Between Exclusion and Legitimacy: Identity Negotiation and Ethical Dilemmas of Chinese Lesbians in the Assisted Reproduction System

Yuan Liu
Developing World Bioethics
Demographic Trends and Gender Preferences
article

Between Exclusion and Legitimacy: Identity Negotiation and Ethical Dilemmas of Chinese Lesbians in the Assisted Reproduction System

Yuan Liu
article en

Abstract

In China's current assisted reproduction system, marriage and sexual orientation serve as key entry barriers, leaving lesbians facing institutional exclusion under the dual identities of "unmarried" and "non-heterosexual." The marriage system, heterosexual norms, and technical regulations jointly construct the institutional structure that excludes them from the legal reproductive system. Drawing on the theoretical frameworks of reproductive justice and biopolitics, this article analyzes how Chinese lesbians navigate state institutional restrictions on their reproductive rights, drawing on literature research and five in-depth interviews. Despite current closed policies, some interviewees, in response to hypothetical questions, expressed openness to the strategic identity path of "single motherhood." This article proposes that, in the context of future policy relaxation, this path may become an important tool for negotiating entry into the legal reproductive system. The study finds that this strategy not only demonstrates individuals' negotiation of legitimacy within institutional interstices, but also reveals the complex tensions between moral norms, legal gaps, and kinship structures. This article argues that the ethical governance of reproductive technology should not screen reproductive eligibility based on the criteria of "qualified citizenship," but should instead be based on the principles of human rights and equality, responding to the legitimate needs of marginalized groups.

Developing World BioethicsVol. 26(1)
Universitat Autònoma de Barcelona (ES)
Reduced inequalities
Openalex Percentile: Top 24%
Demographic Trends and Gender Preferences
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Between Exclusion and Legitimacy: Identity Negotiation and Ethical Dilemmas of Chinese Lesbians in the Assisted Reproduction System — Yuan Liu · Developing World Bioethics (2025) | TGRS Research Map | TGRS