All Posts tagged queer health

Coming Out to your Doctor

If you belong in the LGBTQ community, you probably know that coming out is constant and not a “rip off the bandaid processm,” as it happens every time you meet someone new. Seeking a medical provider, and specifically an OBGYN, as a queer person can be challenging; if you already have a provider but have not discussed your sexual orientation or gender identity with them, it may be time to prepare for a coming out discussion. 

Why does it matter?

It’s understandable you may want to avoid another discussion about your sexual orientation and/or gender identity, but when it comes to healthcare this is vital information so you can get the best possible healthcare. A queer ally doctor would be knowledgeable on the health risks a queer person faces. If you are seeing an OBGYN, being open with them about your sexual orientation is important in getting the care you deserve: proper exams and vaccinations, contraceptive methods (if needed), safe sex and risk factors education, and other preventative care. For example, if you are a lesbian couple trying to conceive, your OBGYN should be your strongest advocate in this process. If you are transitioning, your OBGYN should oversee your hormone intake and be there for you through your hormone replacement therapy, helping you remain healthy both physically and mentally. 

How to Find a Queer-Friendly Provider

Whether you are considering coming out to your current doctor or looking for one, it’s good to look for queer friendly signs in a practice: you can inquire whether they have LGBTQ+ patients, or if there are doctors who focus on queer health and are more knowledgeable and experienced. You can also ask for referrals through your community: especially when it comes to finding an OBGYN, word of mouth and personal credibility go a long way. If you are nervous about your initial appointment you can ask a friend or trusted family member to come with you. Sometimes you can also authorize your partner or spouse to speak with your doctor on your behalf about certain matters–should you feel comfortable doing so–or be with you during the appointments. 

What Should Providers Do?

Don’t think this should be a one-way street: not all falls on you when you want to ensure a practice is queer friendly. Providers can specifically showcase they are LGBTQ friendly, and a safe space, by doing some of the following: 

  • Displaying equality symbols in their office and/ or website
  • Specifically stating they are knowledgeable about the LGBTQ community and are allies 
  • Have a visible non-discrimination statement 
  • Customize their patient intake forms to be appropriately inclusive 

Meet the Standards of Practice: a set of recommendations created by the Massachusetts Department of Public Health to improve LGBTQ access to quality care

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Queer Women Health Care

Queer

Many of the gynecological health issues associated with heterosexual women are also concerns of queer women, including homosexual and bisexual women. However, because queer women are not generally concerned with mainstream gynecological health issues, such as pregnancy and contraception, they may find it difficult to receive adequate support from healthcare professionals, or access unbiased and non-discriminatory resources. It should also not be forgotten that minority populations tend to experience higher levels of social anxiety, stress, and depression. As such, the higher levels of mental healthcare that queer women need, along with the lack of resources targeted specifically to them, places them at a precarious position when it comes to sexual and gynecological health.

Gynecological Care Tips

While the following tips and areas of concern to be noted may not apply to everyone, as sexual health depends on sexual preferences, family history, overall health, and health among other factors, these have been identified as the most common areas of concern among queer women.

  1. Bacterial Vaginosis: Lesbian women that seek care for bacterial vaginosis at women’s health clinics have been found to be twice the rate compared to heterosexual women. Bacterial vaginosis has been found to be associated with a higher number of female sexual partners, though its transmission mechanism is only hypothesized to be oral sex.
  2. Yeast Infection: Though not identified as a sexually transmitted infection, yeast infections can occur through direct skin contact with someone who harbors the organism. As far as lesbian sexual relations are concerned, this transmission may occur due to vulva-to-vulva connection, or through the transmission of the bacteria from the fingers to the vagina.
  3. Herpes, HPV, Hepatitis: Common as these are, they are also present in queer women’s intimate relationships—vaccinations against these infections, as well as practicing safe sex and maintaining personal hygiene and health minimize the risk of contraction.

Mental Health Care Tips

Sexual minorities do not only experience higher levels of stress and depression, but they also experience social discrimination and isolation. This can lead to a conglomeration of mental health issues, but most notably it tends to lead to queer women remaining silent when it comes to domestic abuse and intimate partner violence.

This silence is primarily associated with the general misconception that abuse is present only in heterosexual relationships, and it is also attributed to fear of discrimination. Though the discrimination and the experienced violence may be directly related, as queer women have been found to experience mental, physical and verbal abuse that targets their sexual orientation, it may also be indirect. Lack of training in part of service providers or discrimination in shelters create more difficulties for queer women who seek support against intimate or domestic violence, which in turn leaves them in abusive situations for a longer period of time.

It should also be taken into consideration that the fear of being “outed,” not receiving adequate support from health providers, friends, and family, or the fear of social and intimate isolation are factors that contribute to the higher rates of violence and abuse in queer women’s relationships. If you are experiencing partner violence, consider reaching out for support to a trusted individual, or conducting research on domestic violence support that may assist you in creating a plan to leave the abusive environment.

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