Recent Blog Articles
Pouring from an empty cup? Three ways to refill emotionally
Give praise to the elbow: A bending, twisting marvel
Sneezy and dopey? Seasonal allergies and your brain
The FDA relaxes restrictions on blood donation
Apps to accelerometers: Can technology improve mental health in older adults?
Swimming and skin: What to know if a child has eczema
A muscle-building obsession in boys: What to know and do
Natural disasters strike everywhere: Ways to help protect your health
Dementia: Coping with common, sometimes distressing behaviors
Screening tests may save lives — so when is it time to stop?
Talking to your doctor about your LGBTQ+ sex life
- By Cecil R. Webster, Jr., MD, Contributor
Editor's note: in honor of Pride Month, we're re-publishing a 2019 post by Dr. Cecil Webster.
Generally speaking, discussing what happens in our bedrooms outside of the bedroom can be anxiety-provoking. Let's try to make your doctor's office an exception. Why is this important? People in the LGBTQ+ community contend not only with a full range of health needs, but also with environments that may lead to unique mental and physical health challenges. Whether or not you have come out in general, doing so with your doctor may prove critical in managing your health. Sexual experiences, with their impact on identity, varied emotional significance, and disease risk, are a keystone for helping your doctor understand how to personalize your healthcare.
Admittedly, talking about your intimate sexual experiences or your gender identity may feel uncomfortable. Many LGBTQ+ patients worry that their clinicians may not be knowledgeable about their needs, or that they'll to have to educate them. Finding a LGBTQ+ adept doctor, preparing ahead of time for your next appointment, and courageously asking tough questions can give you and your health the best shot.
Finding a skilled clinician who is LGBTQ+ adept
Many large cities have healthcare institutions whose mission centers on care for LGBTQ+ peoples. However, these organizations may prove inaccessible to many for a variety of reasons. Regardless of your location, asking friends, family, or others to recommend a clinician may be a game changer. If your trans friend had a relatively painless experience visiting an area gynecologist, perhaps your Pap smear may go smoothly there as well. If your coworker has a psychiatrist who regularly asks him about his Grindr use, perhaps it may be easier to navigate your gay relationship questions with her.
Word of mouth is often an undervalued method of finding someone skilled and attentive to the needs of LGBTQ+ individuals. Online, many clinicians offer a short bio with their areas of expertise, and there are provider directories featuring trusted clinicians. Further, some doctors regularly write articles and give talks that may offer clues about desired knowledge. A simple Google search of your provider may yield a bounty.
Next, give your doctor or healthcare organization a call. Don't be shy about requesting someone whose practice matches your specific needs. Your health information is protected, and generally, physicians hold your clinical privacy dear. Keep in mind that not all clinics will know or share whether or not your doctor is, for example, also a lesbian, but they may pair you with someone well suited to your request or point you in the right direction.
Preparing for your appointment
Let's say you are nervous about coming out to your doctor. A little preparation may ease this burden. Here are some quick tips:
- Let them know you're nervous at the start of the conversation.
- Be as bold as you can tolerate.
- Write down what you are excited about, nervous about, and/or curious about.
- Go in with a few goals and start with what's most important.
- Maximize your comfort. If your partner is calming, bring them. If Beyoncé soothes what ails you, bring her along too.
- Lightly correct or update your clinician if they get something wrong.
Ask tough questions, give clear answers
As a psychiatrist who works with kids and adults, I often hear questions like, "I don't know really how to say this, but I started experimenting with other guys. Does this mean I'm gay?" I may start by asking if you've enjoyed it. My colleagues in health care might begin with the same question.
Pleasurable experiences come in all sorts of constellations, and healthy exploration is part of being human. Additionally, clinicians need to assess and address your safety. Many LGBTQ+ people are at higher risk of intimate partner violence. We may ask about your use of condoms, how many partners you've had recently, your use of substances during sex, and how these experiences may shift how you see yourself. Give clear answers if possible, but don't fret if you're uncertain. Your doctor will not likely provide a label or pry unnecessarily. They may offer constructive information on the use of condoms, reasons to consider using PrEP (which can effectively prevent HIV), and places you can go for more guidance. Physicians enjoy giving personalized information so that you may make informed healthcare decisions.
There is no end to what is on people's minds. Be bold. Will tucking reduce my sperm count? Maybe. Does binding my breasts come with risk? Likely. Was Shangela robbed of her RuPaul's Drag Race: All Stars 3 crown? Utterly, but let's get back to your cholesterol, shall we?
Remember that it is often impossible to squeeze everything into one appointment. Afterward, take time to catch your breath, reflect on what you've learned, and come up with more questions for next time. We're here for that.
About the Author
Cecil R. Webster, Jr., MD, Contributor
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles.
No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
You might also be interested in…
Harvard Health Letter
Want to reduce pain in your knees and be more active? Eat smarter and reduce your risk for a heart attack? Improve your flexibility and balance so you don’t fall? Sleep the entire night so you have more energy during the day? Take control of your health right now! In Harvard Health Letter, you’ll find easy remedies and solutions to these common challenges and more.
Free Healthbeat Signup
Get the latest in health news delivered to your inbox!