| Sumario: | 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. Miscarriage is a deeply personal and often overlooked experience, especially in LGBTIQA+ communities where it remains under-researched. Our study faced major recruitment barriers, including small population size, topic sensitivity and ongoing threats to rights. Such challenges are likely to affect future researchers, highlighting the need for inclusive, well-resourced approaches to ensure LGBTIQA+ voices shape reproductive health policy and care.
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