The concerns and strategies of lesbian couples at the time of donor insemination, throughout pregnancy and during early parenthood differ in several ways from those of heterosexual couples. For the majority of the lesbian couples insemination was the first option to conceive. They reported having strategies for their children growing up in a heteronormative society, and the parents shared time with and responsibility for the children equally. Issues considered most important by the couple were an open and non-judgmental attitude from caregivers without heteronormative assumptions, knowledge about lesbian women's situation and acknowledgement of the co-mother.