We celebrate the month of June as Pride Month and in many countries; this month is a month to celebrate the struggles and victories of the LGBTQ+ community. But, still, there is social discrimination against the LGBTQ+ community. Discrimination is not only done by society, family members or friends but sometimes by health care professionals as well.

Due to discrimination in health-related facilities, the people of this community start facing problems related to health, especially sexual health. Therefore it is important to understand that they also need proper medical facilities and should not be ignored. DrSujitAish, Consultant, Obstetrics and Gynaecology, PD Hinduja Hospital and Medical Research Centre, Khar tells us about the sexual problems faced by the LGBTQ+ community.

Sexual problems in the LGBTQ community

Sexually transmitted infections (STIs) like chlamydia and gonorrhoea are more common among LGBTQ+ youth. It has also been observed that gay (MSM) and bisexual men and transgender women are also at higher risk of contracting HIV/AIDS. Lesbians, transgender men and bisexuals have a higher risk of breast cancer.

In addition, they are at risk of HPV infection and cervical or anal cancer as well as oral cancer. Due to a lack of medical and social support and regular checkups, old people are at increased risk of serious diseases like cardiovascular.

Consumption of things like alcohol and tobacco also has a bad effect on mental health. Problems like mood disorders, anxiety, eating disorder and obesity are seen due to stress.

Ways to avoid

It is necessary to solve these health-related problems.

  • People of the LGBTQ+ community should have the right information related to the use of condoms/dental dams, correct contraceptives, hygiene of the genital area and sex toys, and STD tests for safe sexual practice.
  • If they are not comfortable with sanitary pads or tampons during periods, period boxers can be a good alternative.
  • Regular checkups should be done for breast or cervical cancer. For this mammogram or pap smear test can be done.
  • Apart from this, it is necessary to have a checkup to reduce the risk of many other diseases like diabetes and heart disease.
  • You should not feel ashamed to admit you have mental health issues and see a psychologist/psychiatrist.
  • If they are thinking of sex change surgery, first consult a gynaecologist, surgeon and endocrinologist, so that you can understand the process and aftereffects of the surgery.

Doctor's opinion

DrSujit Ash says, “A doctor should keep in mind that people of the LGBTQ+ community should never be judged by their identity. Also, I never ask any of my patients if they are married or have children. I always start the conversation by asking if you are sexually active, have one or more partners, have children or are planning to have children. It is structured in such a way that I can give the best treatment to anyone without hurting their views.

The doctor also added, “When we do research as doctors, we see that this community suffers from physical as well as mental health problems. That's why there is a need to spread awareness about early detection and treatment of problems.

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