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Broadly speaking, in late 20th-century Europe and North America, many of the issues faced by lesbians were not radically different from those that concerned either heterosexual women or many gay men. Like heterosexual women, lesbians were affected by such issues as equal pay or the historical exclusion of women from medical research studies, the latter of which led to a lack of understanding about the effect of lesbian sexuality on women’s health. Like many gay men, many lesbians in long-term relationships regretted the lack of legal recognition for same-sex unions. Other issues of concern to lesbians included child rearing (ranging from the inability to adopt a partner’s offspring to laws barring same-sex adoption), the sharing of medical health benefits with a partner, the right to make health decisions for a partner, taxes, inheritance, and other questions of family law. Starting in the early 21st century, many jurisdictions, particularly in Europe and North America, adopted laws or constitutional provisions establishing the legality of same-sex unions or recognizing the right of same-sex couples to marry (see same-sex marriage); in other jurisdictions, such changes were effected through court decisions (see, for example, Obergefell v. Hodges). Rights regarding family law were also addressed in those changes or by other means. See also gay rights movement.
