Where did we go wrong? Recruitment challenges in exploring LGBTIQA+ experiences following miscarriage.

This editorial examines recruitment challenges during a qualitative study on LGBTIQA+ experiences of miscarriage. Despite targeted outreach, engagement was low, prompting reflection on broader barriers. We suggest four key factors: systemic discrimination in medicine and law; the small number of LGBTIQA+ people who have pursued conception and experienced miscarriage; increasing hostility toward LGBTIQA+ communities; and the psychosocial sensitivity of the topic. These challenges reflect wider patterns of exclusion from reproductive health and research. We argue for academic advocacy to address these inequities and to protect the rights and visibility of LGBTIQA+ people in health research and beyond.