{"cache":{"allSettings":{"__typename":"Settings","readingSettingsPostsPerPage":10},"postPagination":{"__typename":"PostPaginateHelper","totalPosts":6},"posts0":{"__typename":"RootQueryToPostConnection","edges":[{"__typename":"RootQueryToPostConnectionEdge","cursor":"YXJyYXljb25uZWN0aW9uOjM3MQ=="},{"__typename":"RootQueryToPostConnectionEdge","cursor":"YXJyYXljb25uZWN0aW9uOjM2Ng=="},{"__typename":"RootQueryToPostConnectionEdge","cursor":"YXJyYXljb25uZWN0aW9uOjQ4Nw=="},{"__typename":"RootQueryToPostConnectionEdge","cursor":"YXJyYXljb25uZWN0aW9uOjM3MA=="},{"__typename":"RootQueryToPostConnectionEdge","cursor":"YXJyYXljb25uZWN0aW9uOjM2OA=="},{"__typename":"RootQueryToPostConnectionEdge","cursor":"YXJyYXljb25uZWN0aW9uOjM2Nw=="}],"nodes":[{"__typename":"Post","id":"cG9zdDozNzE=","title1":"Top 10 Things Transgender People Should Discuss with their Healthcare Provider","slug":"top-10-things-transgender-people-should-discuss-with-their-healthcare-provider","resources":null,"title0":"Top 10 Things Transgender People Should Discuss with their Healthcare Provider","content1":"\n

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Following are the health issues GLMA’s healthcare providers have identified as most commonly of concern for transgender people. While not all of these items apply to everyone, it’s wise to be aware of these issues.

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1. Access to healthcare

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Although things are slowly improving, it is not always easy to find a healthcare provider who knows how to treat transgender people. Trans people should find a primary care provider that is both affirming of them, and also has the knowledge and skills to provide them with the care they need. Even if you do find someone who will treat you, sometimes your insurance may not pay for the treatment. Check your insurance policy to see if your costs will be covered by your insurance. If the costs are not covered, ask your provider what other options exist for affordable care.

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2. Health history

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It is important for you to be able to trust your healthcare provider. Tell them about the medicines you have taken and the surgeries you may have had. If your provider knows what has happened with you in the past, they will be better able to give you the best treatment today.

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3. Hormones

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Talk with your provider about gender-affirming hormone treatment. If you are starting hormones for the first time, ask about the things you need to watch out for while taking these medicines. If you are a transgender woman, ask if you are at a higher risk for blood clots, high or low blood pressure, or high blood sugar from estrogen. Estrogen can still usually be prescribed under close monitoring. If you are a transgender man, ask about the blood tests you will need to be sure your testosterone dose is safe. Take only the hormones prescribed by your provider. Work closely with your provider to assure your hormone doses are right for you.

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4. Cardiovascular health

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Transgender people may be at increased risk for heart attack or stroke, not only from hormone use but also from cigarette smoking, being overweight, high blood pressure, and diabetes. Because transgender women may fear that their provider may make them stop estrogen if they develop heart trouble, they may not report symptoms such as chest pain or trouble breathing. Be sure to tell your provider if you do have these symptoms.

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5. Cancer

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It is very rare to develop cancer due to hormone treatment, but your provider should evaluate you for this possibility when they see you for check-ups. Your provider should also recommend screening for cancer of whichever sex organs or other body tissues you have. Transgender people should also be screened for lung and colon cancer according to existing screening guidelines.

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6. Sexually-transmitted infections (STIs) and HIV

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The ability to prevent acquisition and transmission of HIV has improved drastically in recent years. If you are living with HIV, anti-HIV medications can help you live a normal lifespan and prevent you from transmitting HIV to your sex partners (Treatment as Prevention), taking this worry out of sex. Studies show that if you take anti-HIV medications and have an undetectable viral load, HIV cannot be transmitted through sex (Undectable = Untransmitable).

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If you don’t currently have HIV, taking pre-exposure prophylaxis (PrEP) is an effective way to nearly eliminate the chance of you getting HIV. If you aren’t taking PrEP and you have an unexpected exposure to HIV, taking post-exposure prophylaxis (PEP) within 72 hours can drastically reduce the chance of you getting HIV from that exposure. PEP can be prescribed by emergency rooms, by your primary care provider, or by some sexual health clinics. Know where you can get PEP ahead of time.

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Getting screened for STIs regularly is important for your health and the health of your sex partners. Most sexually active people should get tested at least every 6 months, but every 3 months may be more appropriate if you have a higher number of sex partners.

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7. Alcohol and tobacco

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Excessive alcohol consumption may damage the liver or other organs. Too much alcohol may also cause a person to treat themselves or other people badly, or to drive unsafely. Many transgender people smoke cigarettes. This increases their risk of heart and lung disease, especially in people taking hormones. Discuss your alcohol and tobacco use habits with your primary care provider and ask for assistance if you want to reduce or eliminate your use of them.

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8. Depression

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For a variety of reasons, depression is common among transgender people. Even after transition, depression can still be a problem. Talk with your provider or your therapist about your mood and tell them if you feel sad or depressed. There are many treatments available for depression.

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9. Injectable silicone

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Some transgender women may choose to inject silicone or other fillers to change the shape of their body. The silicone sold and injected by non-medical people and not under sterile conditions can be contaminated with, or contain, substances inappropriate for human use. It may cause scars, severe allergic reactions, or infections. Talk to your healthcare provider about how you can achieve body shape changes by using medications or surgical procedures.

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10. Fitness (diet & exercise)

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A healthy diet and a frequent exercise routine are just as important for transgender people as for anyone else. Try to eat a healthy diet and try to exercise for at least 30 minutes three times a week. Talk to your primary care provider if you have questions about nutrition or exercise.

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Revised 2023. (2012 Author: Rebecca Allison, MD)

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1. Have—and post—an inclusive nondiscrimination policy

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Be sure to include sexual orientation and behavior, gender identity and expression, sex and sex characteristics, HIV status, and weight along with race, ethnicity, immigration status, marital status, veteran status, etc.

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2. Update website and social media

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Include relevant expertise in LGBTQ+ health, transgender health, and HIV/AIDS on your profiles; post on important dates (like Transgender Day of Visibility and Pride Month); and use photos that showcase diversity.

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3. Add LGBTQ-friendly literature and signage to waiting rooms and clinic

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Ideas include inclusive language on intimate partner violence posters and quit smoking brochures, and info from local LGBTQ+ support groups.

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4. Update forms with sexual orientation and gender identity data collection

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Use the two-step method by asking patients or clients about their “current gender identity” separately from their “sex assigned at birth”; ask sexual orientation, pronouns, and current name; and keep legal/insurance info separate when different. Read more in: National Academies of Sciences, Engineering, and Medicine. 2022. Measuring Sex, Gender Identity, and Sexual Orientation. Washington, DC: The National Academies Press.

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5. Provide all-gender single user restrooms

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Include signage and give directions to find gender-neutral restrooms easily and without making assumptions.

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6. Train staff to ask and use pronouns and name correctly and consistently

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Do not make assumptions based upon name or gender identity or gender expression whether any patient has the right to be there (e.g., don’t assume that men are out of place at an Ob-Gyn clinic – transgender men may need gynecological care too).

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7. Take an inclusive sexual history

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Learn to ask about the 5 P’s from CDC (Partners, Practices, Protection, Past History, Pregnancy) and ask everyone, every time in a non-stigmatizing way. Get comfortable asking a sixth P for Pleasure!

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8. Troubleshoot insurance coverage and concerns for patients

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Some examples include: transgender patients who may have a gender identity that is different than their sex assigned at birth, and baby-making for LGBTQ+ families.

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9. Appreciate the impact of homophobia and transphobia

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Stress and discrimination mean many LGBTQ+ people have a lack of early detection and educational outreach, which leads to higher rates of many preventable and treatable conditions. Do not blame or shame patients for “unhealthy” or “risky” behaviors. Learn about minority stress and the unique health concerns of LGBTQ+ patients in the Top 10 lists on this website.

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10. Come out! Speak up!

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If you feel safe to do so, let patients know you are part of the LGBTQ+ community or an ally. Speak up for your LGBTQ+ patients and their rights!

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2022 Author: Jessica Halem, MBA

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All providers agree to these affirmations before being listed in the LGBTQ+ Healthcare Directory.

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1. I believe all lesbian, gay, bisexual, and transgender, and queer (LGBTQ+) people have a right to competent and sensitive healthcare providers, who understand their unique health concerns and treat them and their families with respect.

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2. I offer all health services on an equal basis, regardless of sexual orientation and behavior, gender identity and expression, intersex conditions, marital status, race, ethnicity, body size, mental or physical ability.

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3. I believe that all LGBTQ+ identities are part of the range of human diversity and are not a disease, disorder, pathological, unnatural, or sinful. I do not promote or support attempts to change any patient’s sexual orientation or gender identity.

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4. I respect the visitation and healthcare decision-making rights of LGBTQ+ patients, their unmarried or married partners, their non-biological or biological children, and anyone they may define as family and/or caregivers.

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5. I commit to taking steps to make my practice fully inclusive of LGBTQ+ people in all forms, policies, procedures, and training for clinical and administrative staff.

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6. I commit to taking steps to learn about the unique health needs of LGBTQ+ people so that I can provide the highest quality care to them.

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7. I affirm my commitment to creating a welcoming environment for LGBTQ+ patients, and I agree to The LGBTQ+ Healthcare Directory Terms of Use.

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Following are the health issues GLMA’s healthcare providers have identified as most commonly of concern for lesbian women. While not all of these items apply to everyone, it’s wise to be aware of these issues.

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1. Breast cancer

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Lesbian women are more likely to have risk factors for breast cancer, yet less likely to get screening exams due to past negative experiences with healthcare providers. This combination means that breast cancer may not be diagnosed early when the disease is most curable. A way to address this is to let your provider know you are interested in a discussion of when and how to begin screening for breast cancer.

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2. Depression/Anxiety

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Lesbian women may experience chronic stress from discrimination. This stress is worse for women who need to hide their sexual orientation as well as for lesbian women who have lost important emotional support because of their sexual orientation. Living with this stress can cause depression and anxiety. Healthcare providers may offer resources for emotional health and well-being. A good way to begin to address depression/anxiety is to tell your healthcare provider you would like to discuss your emotional health at your next visit.

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3. Heart health

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Heart disease is the leading cause of death for women. Smoking and obesity are the most common risk factors for heart disease among lesbian women. Talk to your provider about how often you should have medical exams for high blood pressure, cholesterol problems, and diabetes. Healthcare providers can also offer tips on quitting smoking, increasing physical activity, and maintaining a healthy weight.

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4. Gynecological cancer

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Lesbian women have higher risks for certain types of gynecological (GYN) cancers compared to heterosexual women. Having regular pelvic exams and Pap tests can detect cancers early and offer the best chance of cure. Talk to your healthcare provider about what gynecological cancer screenings may be right for you.

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5. Fitness

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A healthy diet and a frequent exercise routine are just as important for lesbian women as for anyone else. Try to eat a healthy diet and try to exercise for at least 30 minutes three times a week. Talk to your primary care provider if you have questions about nutrition or exercise.

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6. Tobacco

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Research also shows that more lesbian than heterosexual women smoke cigarettes. It is easy to get addicted to smoking, even if it’s only done socially. Smoking has been associated with higher rates of cancers, heart disease, and emphysema — three major causes of death among women. Healthcare providers can assist with quitting smoking.

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7. Alcohol

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Heavy drinking and binge drinking are more common among lesbian women compared to heterosexual women. While one drink a day may be good for the heart, more than that can increase your risk of cancer, liver disease, and other health problems.

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8. Substance use

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Lesbian women may use drugs like cannabis or amphetamines more often than heterosexual women. This can be due to stress from homophobia, sexism, and/or discrimination. Lesbians need support to find healthy ways to reduce and cope with stress. If your drug use is interfering with work, school or relationships, your healthcare provider can connect you to help. You can also talk to your healthcare provider about strategies and local resources to help optimize your safety when using substances.

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9. Intimate partner violence

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Contrary to stereotypes, some lesbian women experience violence in their intimate relationships. However, healthcare providers do not ask lesbian women about intimate partner violence as often as they ask heterosexual women. A good healthcare provider should ask lesbian women about violence and be able to provide referrals to welcoming counseling and shelters when needed.

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10. Sexual health

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Lesbian women are at risk for the same sexually transmitted infections (STIs) as heterosexual women. Lesbians can give each other STIs by skin-to-skin contact, mucus membrane contact, vaginal fluids, and menstrual blood. It is important for sexually active lesbian women to be screened regularly for STIs by a healthcare provider, especially those that have more than one sexual partner.

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Revised 2023. (2012 Author: Tonia Poteat, MMSc, PA-C, MPH, PhD)

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Following are the health issues GLMA’s healthcare providers have identified as most commonly of concern for gay men. While not all of these items apply to everyone, it’s wise to be aware of these issues.

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1. Come out to your primary healthcare provider

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In order to provide you with the best care possible, your primary care provider should know you are gay. Knowing your sexual orientation and sexual behaviors will help your healthcare provider offer the correct preventative screenings, and order the appropriate tests. If your provider does not seem comfortable with you as a gay man, find another provider. You can consult the LGBTQ+ Healthcare Directory for help finding a provider.

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2. Reducing risk of getting or transmitting HIV

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Many men who have sex with men are at an increased risk of getting HIV, but the ability to prevent aquisition and transmission of HIV has improved drastically in recent years. If you are living with HIV, anti-HIV medications can help you live a normal lifespan and prevent you from transmitting HIV to your sex partners (Treatment as Prevention), taking this worry out of sex. Studies show that if you take anti-HIV medications and have an undetectable viral load, HIV cannot be transmitted through sex (Undectable = Untransmitable).

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If you don’t currently have HIV, taking pre-exposure prophylaxis (PrEP) is an effective way to nearly eliminate the chance of you getting HIV. It is important to remember that PrEP does not protect against other sexually transmitted infections (STIs) like gonorrhea and chlamydia. If you aren’t taking PrEP and you have an unexpected exposure to HIV, taking post-exposure prophylaxis (PEP) within 72 hours can drastically reduce the chance of you getting HIV from that exposure. PEP can be prescribed by emergency rooms, by your primary healthcare provider, or by some sexual health clinics. Know where you can get PEP ahead of time. If you are HIV negative and are in a relationship with someone who is living with HIV, you can talk with your primary healthcare provider about options for prevention.

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3. Hepatitis immunization and screening

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Men who have sex with men can get Hepatitis A, Hepatitis B, or Hepatitis C through sexual activity. These infections can be potentially fatal, or can lead to very serious long-term issues such as liver failure and liver cancer. Immunizations are available for Hepatitis A and B, and are recommended for all men who have sex with men. Condoms can reduce the transmission of viral hepatitis, and are currently the only means of prevention for the very serious Hepatitis C Virus. Hepatitis C can also be transmitted through exposure to the blood of another person, such as by sharing needles. If you have Hepatitis C there are newer, highly effective treatments that can cure it.

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4. Fitness (diet and exercise)

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Problems with body image are more common among gay men, and gay men are more likely to experience an eating disorder such as bulimia or anorexia. While regular exercise is very good for your health, too much of a good thing can be harmful. The use of substances such as anabolic steroids and certain supplements can be dangerous. A healthy diet and a frequent exercise routine are just as important for gay men as for anyone else. Try to eat a healthy diet and try to exercise for at least 30 minutes three times a week. Talk to your primary care provider if you have questions about nutrition or exercise.

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5. Substance use/Alcohol

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Gay men use substances more commonly than the general population, and not just in larger cities. These include a number of substances ranging from amyl nitrate (“poppers”), to cannabis, ecstasy, and amphetamines. Some of these substances have significant health risks. If your drug use is interfering with work, school or relationships, your healthcare provider can connect you to help. You can also talk to your healthcare provider about strategies and local resources to help optimize your safety when using substances.

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6. Depression/Anxiety

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Depression and anxiety appear to affect gay men at a higher rate than in the general population. The likelihood of depression or anxiety may be greater, and the problem may be more severe, for those men who remain “in the closet” or who do not have adequate social support. Adolescents and young adults may be at particularly high risk of suicide because of these concerns. Culturally sensitive primary care providers and mental health services may be more effective in the prevention, early detection, and treatment of these conditions. A good way to begin to address depression/anxiety is to tell your healthcare provider you would like to discuss your emotional health at your next visit.

\n\n\n\n

7. Sexually-transmitted infections (STIs)

\n\n\n\n

Sexually-transmitted infections (STIs) occur commonly in sexually active gay men. These include infections for which effective treatment is available (e.g. syphilis, gonorrhea, chlamydia), and for which no cure is available (e.g. Human Papillomavirus, herpes). Condoms can reduce the risk of many sexually transmitted infections when used properly. You can have an STI without having any symptoms, and still pass it to your sex partners. Getting screened for STIs regularly is important for your health and the health of your sex partners. Most sexually active men should get tested at least every 6 months, but every 3 months may be more appropriate if you have a higher number of sex partners.

\n\n\n\n

8. Prostate, testicular, and colon cancer

\n\n\n\n

Gay men may be at risk for prostate, testicular, or colon cancer. Screening for these cancers occurs at different times across the life cycle, and access to screening services may be harder for gay men due to barriers to accessing culturally sensitive care. All gay men should undergo these screenings routinely as recommended for the general population.

\n\n\n\n

9. Tobacco

\n\n\n\n

Gay men use tobacco at much higher rates than heterosexual men. Tobacco-related health problems include lung disease and lung cancer, heart disease, high blood pressure, and a whole host of other serious problems. All gay men should be screened for and offered culturally sensitive prevention and cessation programs for tobacco use. Additionally, gay men over the age of 55 who have smoked for many years should ask their healthcare provider if yearly lung cancer screening is right for them.

\n\n\n\n

10. HPV (virus that causes warts and can lead to anal and other cancers)

\n\n\n\n

Human papillomavirus (HPV) — which causes anal and genital warts — is often thought to be little more than an unsightly inconvenience. However, besides causing warts, HPV also causes anal cancer and cancer of the throat. A vaccine to prevent HPV infection is recommended for all men and women age 9-26 years and also for gay men age 27-45 who are not planning to remain monogamous. It is estimated that 90% of HPV associated cancers can be prevented if you get the vaccine. The HPV vaccine does not cure, nor protect against strains of HPV you have already been exposed to. Several treatments are available for HPV-associated pre-cancerous lesions. Screening for anal cancer is sometimes recommended for gay men living with HIV, in whom the risk of anal cancer is higher. Discuss with your provider if screening for anal cancer is appropriate for you.

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Revised 2023. (2012 Author: Robert J Winn, MD AAHIVMS)

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Following are the health issues GLMA’s healthcare providers have identified as most commonly of concern for bisexual people. While not all of these items apply to everyone, it’s wise to be aware of these issues.

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1. Come out to your primary healthcare provider

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In order to provide you with the best care possible, your primary care provider should know you are bisexual. Knowing your sexual orientation and sexual behaviors will help your healthcare provider offer the correct preventative screenings, and order the appropriate tests. Many providers are less familiar with bisexuality and may make assumptions about your behavior. Remind your provider each time you see them about who your current partners are—it may change the screening tests they offer you. If your provider does not seem comfortable with your sexual orientation, find another provider. You can consult the LGBTQ+ Healthcare Directory for help finding a provider.

\n\n\n\n

2. Reducing the risk of getting or transmitting HIV/AIDS

\n\n\n\n

Bisexual people are at an increased risk of getting HIV, but the ability to prevent aquisition and transmission of HIV has improved drastically in recent years. If you are living with HIV, anti-HIV medications can help you live a normal lifespan and prevent you from transmitting HIV to your sex partners (Treatment as Prevention), taking this worry out of sex. Studies show that if you take anti-HIV medications and have an undetectable viral load, HIV cannot be transmitted through sex (Undectable = Untransmitable).

\n\n\n\n

If you don’t currently have HIV, taking pre-exposure prophylaxis (PrEP) is an effective way to nearly eliminate the chance of you getting HIV. PrEP is effective for men, women, and gender nonbinary people. It is important to remember that PrEP does not protect against other sexually transmitted infections (STIs) like gonorrhea and chlamydia. If you aren’t taking PrEP and you have an unexpected exposure to HIV, taking post-exposure prophylaxis (PEP) within 72 hours can drastically reduce the chance of you getting HIV from that exposure. PEP can be prescribed by emergency rooms, by your primary healthcare provider, or by some sexual health clinics. Know where you can get PEP ahead of time. If you are HIV-negative and are in a relationship with someone who is living with HIV, you can talk with your primary healthcare provider about options for prevention.

\n\n\n\n

3. Hepatitis immunization and screening

\n\n\n\n

If you have sex with multiple partners (of any gender) you are at an increased risk of sexually transmitted infection with the viruses that cause hepatitis, a serious condition of the liver. These infections can be potentially fatal, and can lead to very serious long-term issues such as liver failure and liver cancer. Immunizations are available to prevent two of the three most serious viruses. Universal immunization for Hepatitis A Virus and Hepatitis B Virus is recommended for all sexually active people. Condoms are effective at reducing the risk of viral hepatitis, and are currently the only means of prevention for sexually transmitted Hepatitis C. If you have Hepatitis C there are newer, highly effective treatments.

\n\n\n\n

4. Fitness (diet and exercise)

\n\n\n\n

Problems with body image are more common among bisexual people and bisexual people are much more likely to experience an eating disorder such as bulimia or anorexia nervosa. While regular exercise is very good for your health, too much of a good thing can be harmful. The use of substances such as anabolic steroids and certain supplements can be dangerous. A healthy diet and a frequent exercise routine are just as important for bisexual people as for anyone else. Try to eat a healthy diet and try to exercise for at least 30 minutes three times a week. Talk to your primary care provider if you have questions about nutrition or exercise.

\n\n\n\n

5. Substance use/Alcohol

\n\n\n\n

Bisexual people may use substances at a higher rate than the general population, and not just in larger cities. These include a number of substances ranging from amyl nitrate (“poppers”), to cannabis, ecstasy, and amphetamines. The long-term effects of many of these substances are unknown, however, current knowledge suggests potentially serious consequences as we age. If your drug use is interfering with work, school or relationships, your healthcare provider can connect you to help. You can also talk to your healthcare provider about strategies and local resources to help optimize your safety when using substances.

\n\n\n\n

6. Depression/Anxiety

\n\n\n\n

Depression and anxiety appear to affect bisexual people at a higher rate than in the general population. The likelihood of depression or anxiety may be greater, and the problem may be more severe for those people who remain in the closet or who do not have adequate social support. Many bisexual people keep their orientation and sexual behavior a secret from their providers. Adolescents and young adults may be at particularly high risk of suicide because of these concerns. Culturally sensitive mental health services targeted specifically at bisexual people may be more effective in the prevention, early detection, and treatment of these conditions. A good way to begin to address depression/anxiety is to tell your healthcare provider you would like to discuss your emotional health at your next visit.

\n\n\n\n

7. Sexually-transmitted infections (STIs)

\n\n\n\n

Sexually transmitted infections (STIs) occur commonly in sexually active people. These include infections for which curative treatment is available (e.g., syphilis, gonorrhea, chlamydia) and for which no cure is available (e.g. Human Papillomavirus, herpes). Condoms can reduce the risk of many sexually transmitted infections when used properly. You can have an STI without having any symptoms, and still pass it to your sex partners. Getting screened for STIs regularly is important for your health and the health of your sex partners. Most sexually active people should get tested at least every 6-12 months, but every 3 months may be more appropriate if you have a higher number of sex partners.

\n\n\n\n

8. Prostate, testicular, breast, cervical and colon cancer

\n\n\n\n

Bisexual people are at risk for death by these cancers. Screening for these cancers occurs at different times across the life cycle, and access to screening services may be harder for bisexual people because of barriers to accessing culturally sensitive care. All bisexual people should undergo these cancer screenings routinely as recommended for the general population.

\n\n\n\n

9. Tobacco

\n\n\n\n

Recent studies seem to show that bisexual people use tobacco at much higher rates than heterosexual people, reaching nearly 50 percent in several studies. Tobacco-related health problems include lung disease and lung cancer, heart disease, high blood pressure, and a whole host of other serious problems. All bisexual people should be screened for and offered culturally sensitive prevention and cessation programs for tobacco use. Additionally, people over the age of 55 who have smoked for many years should ask their healthcare provider if yearly lung cancer screening is right for them.

\n\n\n\n

10. HPV (virus that causes warts and can lead to anal & cervical cancer)

\n\n\n\n

Human papillomavirus (HPV) — which causes anal and genital warts — is often thought to be little more than an unsightly inconvenience. However, besides causing warts, HPV also causes anal cancer and cancer of the throat. A vaccine to prevent HPV infection is recommended for all men and women age 9-26 years and also for people age 27-45 who are not planning to remain monogamous. It is estimated that 90% of HPV associated cancers can be prevented if you get the vaccine. The HPV vaccine does not cure, nor protect against strains of HPV you have already been exposed to. Several treatments are available for HPV-associated pre-cancerous lesions. Screening for anal cancer is sometimes recommended for people living with HIV, in whom the risk of anal cancer is higher. Discuss with your provider if screening for anal cancer is appropriate for you.

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Revised 2023. (2012 Author: Robert J Winn, MD AAHIVMS)

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1. Access to healthcare

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2. Health history

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3. Hormones

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4. Cardiovascular health

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5. Cancer

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6. Sexually-transmitted infections (STIs) and HIV

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7. Alcohol and tobacco

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8. Depression

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9. Injectable silicone

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10. Fitness (diet & exercise)

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Revised 2023. (2012 Author: Rebecca Allison, MD)

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1. Have—and post—an inclusive nondiscrimination policy

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2. Update website and social media

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3. Add LGBTQ-friendly literature and signage to waiting rooms and clinic

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Ideas include inclusive language on intimate partner violence posters and quit smoking brochures, and info from local LGBTQ+ support groups.

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4. Update forms with sexual orientation and gender identity data collection

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5. Provide all-gender single user restrooms

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Include signage and give directions to find gender-neutral restrooms easily and without making assumptions.

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6. Train staff to ask and use pronouns and name correctly and consistently

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7. Take an inclusive sexual history

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8. Troubleshoot insurance coverage and concerns for patients

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Some examples include: transgender patients who may have a gender identity that is different than their sex assigned at birth, and baby-making for LGBTQ+ families.

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9. Appreciate the impact of homophobia and transphobia

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10. Come out! Speak up!

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If you feel safe to do so, let patients know you are part of the LGBTQ+ community or an ally. Speak up for your LGBTQ+ patients and their rights!

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2022 Author: Jessica Halem, MBA

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All providers agree to these affirmations before being listed in the LGBTQ+ Healthcare Directory.

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5. I commit to taking steps to make my practice fully inclusive of LGBTQ+ people in all forms, policies, procedures, and training for clinical and administrative staff.

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6. I commit to taking steps to learn about the unique health needs of LGBTQ+ people so that I can provide the highest quality care to them.

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7. I affirm my commitment to creating a welcoming environment for LGBTQ+ patients, and I agree to The LGBTQ+ Healthcare Directory Terms of Use.

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\n\n\n\n

1. Breast cancer

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2. Depression/Anxiety

\n\n\n\n

3. Heart health

\n\n\n\n

4. Gynecological cancer

\n\n\n\n

5. Fitness

\n\n\n\n

6. Tobacco

\n\n\n\n

7. Alcohol

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8. Substance use

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9. Intimate partner violence

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10. Sexual health

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Revised 2023. (2012 Author: Tonia Poteat, MMSc, PA-C, MPH, PhD)

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1. Come out to your primary healthcare provider

\n\n\n\n

2. Reducing risk of getting or transmitting HIV

\n\n\n\n

3. Hepatitis immunization and screening

\n\n\n\n

4. Fitness (diet and exercise)

\n\n\n\n

5. Substance use/Alcohol

\n\n\n\n

6. Depression/Anxiety

\n\n\n\n

7. Sexually-transmitted infections (STIs)

\n\n\n\n

8. Prostate, testicular, and colon cancer

\n\n\n\n

9. Tobacco

\n\n\n\n

10. HPV (virus that causes warts and can lead to anal and other cancers)

\n\n\n\n

Revised 2023. (2012 Author: Robert J Winn, MD AAHIVMS)

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1. Come out to your primary healthcare provider

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2. Reducing the risk of getting or transmitting HIV/AIDS

\n\n\n\n

3. Hepatitis immunization and screening

\n\n\n\n

4. Fitness (diet and exercise)

\n\n\n\n

5. Substance use/Alcohol

\n\n\n\n

6. Depression/Anxiety

\n\n\n\n

7. Sexually-transmitted infections (STIs)

\n\n\n\n

8. Prostate, testicular, breast, cervical and colon cancer

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9. Tobacco

\n\n\n\n

10. HPV (virus that causes warts and can lead to anal & cervical cancer)

\n\n\n\n

Human papillomavirus (HPV) — which causes anal and genital warts — is often thought to be little more than an unsightly inconvenience. However, besides causing warts, HPV also causes anal cancer and cancer of the throat. A vaccine to prevent HPV infection is recommended for all men and women age 9-26 years and also for people age 27-45 who are not planning to remain monogamous. It is estimated that 90% of HPV associated cancers can be prevented if you get the vaccine. The HPV vaccine does not cure, nor protect against strains of HPV you have already been exposed to. Several treatments are available for HPV-associated pre-cancerous lesions. Screening for anal cancer is sometimes recommended for people living with HIV, in whom the risk of anal cancer is higher. Discuss with your provider if screening for anal cancer is appropriate for you.

\n\n\n\n

Revised 2023. (2012 Author: Robert J Winn, MD AAHIVMS)

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