This paper uncovers how LGBTIQA+ service users navigate fertility clinics in the UK whilst under conditions of reproductive bioprecarity. By conducting 36 interviews with 54 fertility service users and providers, we identify four types of reproductive labor (intimate, emotional, decisional, and auto-didactic), which are used to manage structural and clinical inequalities. We contribute to existing theory by introducing novel forms of labor (decisional and auto-didactic) and by framing reproducti