Mar 072016
 

Double_mars_symbol.svgGay and bisexual cisgender men (men who have sex with men) have their own health needs…and unlike what the popular media would suggest, it’s not all about HIV.

All men who have sex with men should…

  • Talk with their physician about their physical and mental health
  • Talk with their physician about their risk for HIV infection and discuss pre-/post- exposure prophylaxis, in case prophylaxis is ever needed
  • Avoid the use of steroids
  • Practice safer sex where possible. Barrier methods such as condoms and dental dams are best.
  • Receive the Hepatitis A and Hepatitis B vaccines. If you are HIV+, you may also need additional immunizations depending on your T cell count. Those additional vaccines include measles/mumps/rubella, pneumococcus, and varicella (chicken pox).
  • If under the age of 26, get the HPV vaccine. This will reduce the chance for anal, oral, and penile cancer.
  • Talk with their physician about substance use, if relevant. If you choose to use substances (e.g., “poppers” during sex) and are unwilling to stop, consider using them in the safest ways possible. As always, it’s best to avoid tobacco, limit alcohol, and limit/avoid other drugs as much as possible
  • Take special care to maximize your mental health. Get a support network in place.
  • Get help if you’re experience domestic violence.
  • See your physician regularly to maintain your health

Your physician may wish to do other tests, including:Emoji_u1f46c.svg

  • Anal pap smear. This is a test to screen for anal cancer.
  • PSA blood test or digital rectal exam. These are screening tests for prostate cancer. The PSA, however, is not recommended routinely by the USPSTF because it is often positive even when there is no cancer. Talk with your physician about the pros/cons about the PSA before getting it.

If you have unprotected anal sex, especially with multiple partners, you should be checked for the following infections and health conditions:

  • Hepatitis B and Hepatitis C
  • HIV
  • Syphilis
  • Other sexually transmitted infections

Your physician may wish to screen you for these infections even if you do not have unprotected anal sex.

If you are HIV+ it is extremely important that you continue to receive medical care for HIV. This can be through specialized infectious disease physicians or your primary care. Keeping the HIV viral load low is the best way to live a long and healthy life and avoid spreading the virus to others.

Need more information? Check out the CDC, USPSTF, and GLMA webpages.

Mar 072011
 

A report recently came out looking at trends in the medical literature regarding LGBT people. This is a meta-analysis (i.e., it is an article summarizing the original research of others – it is a secondary source) that looked at articles from 1950-2007.

Findings include:

  • Estimations of percentage of the population that is LGBT ranges from 2 to 10%, depending on the survey. In the United States, this should be between 6 and 30.4 million people.
  • Lesbians have a higher risk for breast and gynecological cancers. Gay men are at higher risk for anal cancer. We don’t know if these are because of genetics (homosexuality may have a genetic root), sexual practices, or culture.
  • You canĀ continue reading to understand the biggest barrier to health care for LGBT patients is stigmatization by health care providers, because of poor education and training: “Providers as a whole need to better understand the distinct difference between LGBT status and persons with ‘high risk’ sexual behaviors.” (pg 166)
  • There is an overemphasis in the literature on sexual behavior-related topics. About 1/3rd of all papers published about LGBT people are about HIV, AIDS, STIs, and other related illnesses. This is by far the biggest group of papers. About 13% of papers are about mental health issues, and another 12% are stigmatizing articles about the causes and treatment of homosexuality. All other topics are covered by less than 9% of papers. For example, only 3.28% of papers deal with patient-health care provider interactions, and 2.66% deal with transsexual issues. This overemphasis means that we don’t have enough information about other illnesses that affect LGBT people.
  • Some research specifically excludes LGBT people with no clear explanation or reasoning behind it. This is actually against NIH research policy – populations canNOT be excluded without reason.

Citation:

Snyder, J. E. (2011). Trend Analysis of Medical Publications About LGBT Persons: 1950-2007. Journal of Homosexuality, 58: 164-188.