Patient Resources - LGBTQIA Healthcare Guild

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10 Things GLMA Suggest Gay/Bisexual Men Should Discuss with Their Healthcare Provider:


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.

1. Come Out to your Healthcare Provider

In order to provide you with the best care possible, your clinician should know you are gay. It should prompt him/her to ask specific questions about you and offer appropriate testing. If your provider does not seem comfortable with you as a gay man, find another provider.


2. HIV/AIDS, Safe Sex

Many men who have sex with men are at an increased risk of HIV infection, but the effectiveness of safe sex in reducing the rate of HIV infection is one of the gay community’s great success stories. If you are HIV positive, you need to be in care with a good HIV provider. Safe sex is proven to reduce the risk of receiving or transmitting HIV. You should also discuss and be aware of what to do in the event that you are exposed to HIV (Post-Exposure- Prophylaxis)—contacting your provider IMMEDIATELY following an exposure to explore your options. If you are in a relationship where one of you is positive, you should discuss options for prevention with your provider as well.


3. Hepatitis Immunization and Screening

Men who have sex with men are at an increased risk of sexually transmitted infection with the viruses that cause the serious condition of the liver known as hepatitis. 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 men who have sex with men. Safe sex is effective at reducing the risk of viral hepatitis, and is currently the only means of prevention for the very serious Hepatitis C Virus. If you have Hepatitis C there are new, more effective treatments for that infection.


4. Fitness (Diet and Exercise)

Problems with body image are more common among gay men, and gay men 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. Obesity also affects many gay men and can lead a number of health problems, including diabetes, high blood pressure, and heart disease.


5. Substance Use/Alcohol

Gay men 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 marijuana, Ecstasy, and amphetamines. The long-term effects of many of these substances are unknown; however current wisdom 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.


6. Depression/Anxiety

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 supports. Adolescents and young adults may be at particularly high risk of suicide because of these concerns. Culturally sensitive mental health services targeted specifically at gay men may be more effective in the prevention, early detection, and treatment of these conditions.


7. STDs

Sexually transmitted diseases (STDs) occur in sexually active gay men at a high rate. These include STD infections for which effective treatment is available (syphilis, gonorrhea, chlamydia, pubic lice, and others), and for which no cure is available (HIV, Hepatitis, Human Papilloma Virus, herpes, etc). There is absolutely no doubt that safe sex reduces the risk of sexually transmitted diseases, and prevention of these infections through safe sex is key. The more partners you have in a year, the more often you should be screened. You can have an STD without symptoms, but are still able to give it to others.


8. Prostate, Testicular, and Colon Cancer

Gay men may be at risk for death by 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 because of not getting culturally sensitive care. All gay men should undergo these screenings routinely as recommended for the general population.


9. Tobacco

Gay men use tobacco at much higher rates than straight men, 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 gay men should be screened for and offered culturally sensitive prevention and cessation programs for tobacco use.


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

Of all the sexually transmitted infections gay men are at risk for, human papilloma virus (HVP) — which cause anal and genital warts — is often thought to be little more than an unsightly inconvenience. However, these infections may play a role in the increased rates of anal cancers in gay men. Some health professionals now recommend routine screening with anal Pap Smears, similar to the test done for women to detect early cancers. Safe sex should be emphasized. Treatments for HPV do exist, but recurrences of the warts are very common, and the rate at which the infection can be spread between partners is very high.



Author: Robert J Winn, MD AAHIVMS. Medical Director, Mazzoni Center. Philadelphia, PA. Revised May 2012.




10 Things GLMA Suggest Lesbian/Bisexual Women Should Discuss with Their Healthcare Provider:


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

1. Breast Cancer

Lesbians are more likely to have risk factors for breast cancer yet less likely to get screening exams. This combination means that lesbians may not be diagnosed early when the disease is most curable.


2. Depression/Anxiety

Lesbians may experience chronic stress from discrimination. This stress is worse for women who need to hide their orientation as well as for lesbians who have lost important emotional support because of their orientation. Living with this stress can cause depression and anxiety.


3. Heart Health

Heart disease is the leading cause of death for women. Smoking and obesity are the biggest risk factors for heart disease among lesbians. All lesbians need yearly medical exams for high blood pressure, cholesterol problems, and diabetes. Health care providers can also offer tips on quitting smoking, increasing physical activity, and controlling weight.


4. Gynecological Cancer

Lesbians have higher risks for certain types of gynecological (GYN) cancers compared to straight women. Having regular pelvic exams and pap tests can find cancers early and offer the best chance of cure.


5. Fitness

Research shows that lesbians are more likely to be overweight or obese compared to heterosexual women. Obesity is associated with higher rates of heart disease, cancers, and premature death. Lesbians need competent and supportive advice about healthy living and healthy eating, as well as healthy exercise.


6. Tobacco

Research also shows that lesbians use tobacco more often than heterosexual women do. It is easy to get addicted to smoking, even if smoking 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.


7. Alcohol

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


8. Substance Use

Lesbians may use drugs 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 cope and reduce stress.


9. Intimate Partner Violence

Contrary to stereotypes, some lesbians experience violence in their intimate relationships. However, health care providers do not ask lesbians about intimate partner violence as often as they ask heterosexual women. Lesbians need to be asked about violence and have access to welcoming counseling and shelters when needed.


10. Sexual Health

Lesbians can get the same sexually transmitted infections (STDs) as heterosexual women. Lesbians can give each other STDs by skin-to-skin contact, mucus membrane contact, vaginal fluids, and menstrual blood. It is important for sexually active lesbians to be screened for STDs by a health care provider.


Author: Tonia Poteat, MMSc, PA-C, MPH, PhD. Revised May 2012.




10 Things GLMA Suggest TransPeople Should Discuss with Their Healthcare Provider:


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

1. Access to Healthcare

It is not easy to find a healthcare provider who knows how to treat transgender people. Sometimes it is difficult to find someone who will agree to treat you. Some providers may feel that there is something wrong with you because you are a transgender person. They are not correct, of course. They may not understand that you have always been this way. Even if you do find someone who will treat you, your insurance may not pay for the treatment. Ask your provider if your costs will be covered by your insurance. If they will not, ask if they will reduce your bill so you can pay.


2. Health History

Its 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, he or she will be better able to give you the best treatment today.


3. Hormones

Talk with your provider about 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 about estrogen and blood clots, swelling, high or low blood pressure and high blood sugar. If you are a transgender man, ask about the blood tests you will need to be sure your testosterone dose is safe. Be sure and take only the hormones prescribed by your provider.


4. Cardiovascular Health

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


5. Cancer

It is very rare to develop cancer due to hormone treatment, but your provider will evaluate you for this possibility when he or she sees you for check-ups. Your provider will also check for possible cancer of your sex organs, if they have not been removed. Again this is very rare but it should be checked along with the rest of your physical examination.


6. Sexually Transmitted Diseases and Safe Sex

Transgender people, particularly young transgender people, may be engaging in sexual activity. Just like anyone else, transgender people may get a sexually transmitted disease. It is very important to practice safe sex, so you will not become infected with HIV or other sexually transmitted diseases. Ask your provider about safe sex practices.


7. Alcohol and Tobacco

Transgender persons who drink alcohol may drink too much and risk damage to the liver or other organs. Too much alcohol may also cause a person to treat themselves or other people badly, or to drive unsafely. Alcohol and hormones may be more dangerous when taken together. Many transgender people smoke cigarettes. This increases their risk of heart and lung disease, especially in persons taking hormones. Transgender persons who care about their health should not smoke, and they should drink only small amounts, if at all.


8. Depression

It is very easy for transgender persons to become sad and depressed. If our families or friends don’t want to see us anymore, it is a very depressing time. Even after transition, depression can still be a problem. When someone is depressed, they cannot be happy no matter what they are doing. Depressed persons may make bad choices and may harm themselves. Please talk with your provider or your therapist about your feelings and tell him or her if you feel sad or depressed. Many good treatments are available for depression.


9. Injectable Silicone

Some transgender women want to look feminine and beautiful without having to wait for the effects of estrogen. They expect injections of silicone to give them “instant curves.” The silicone, sold at “pumping parties” by non-medical persons, may move around in the tissues and cause ugly scars years later. It is usually not medical grade, may be contaminated and is often injected using a shared needle. You can get hepatitis or HIV through shared needles. Silicone is dangerous and should not be used.


10. Fitness (Diet & Exercise)

Many transgender people are overweight and do not exercise. It is hard to make time for exercise if you have to work long hours. A healthy diet and a frequent exercise routine are just as important for transgender persons as for anyone else. If you are planning to have surgery, your surgeon will want to be sure you are in good physical condition to do well during and after surgery. Try to eat a healthy diet and try to exercise for at least 20 minutes three times a week.



Author: Rebecca A. Allison, MD. Board of Directors, Gay and Lesbian Medical Association. Revised May 2012



10 things Lesbians Should Discuss with Their Healthcare Provider

10 Things Gay Men Should Discuss with their Healthcare Provider

10 Things Bisexuals Should Discuss with their Healthcare Provider

10 Things Transgender Persons Should Discuss with their Healthcare Provider





Human Rights Campaign (HRC) Healthcare Equality Index (HEI)


The 2012 Core Four Leader Criteria

1. Patient Non-Discrimination

  1. 1a Patient non-discrimination policy (or patients' bill of rights) includes the term "sexual orientation" and is communicated to patients and employees

  2. 1b Patient non-discrimination policy (or patients' bill of rights) includes the term “gender identity” and is communicated to patients and employees


2. Equal Visitation

  1. 2a Visitation policy explicitly grants same-sex couples the same access as different-sex couples

  2. 2b Visitation policy explicitly grants same-sex parents the same access as different-sex parents for their minor children


3. Employment Non-Discrimination

  1. 3a Employment non-discrimination policy (or equal employment opportunity policy) includes the term “sexual orientation”

  2. 3b Employment non-discrimination policy (or equal employment opportunity policy) includes the term “gender identity”


4. Training in LGBT Patient-Centered Care

  1. Staff receive training in LGBT patient-centered care


Download the HEI Report




Additional Resources


Providing Care for GLBTQ Patients - Nursing 2014


Practice Parameter on Gay, Lesbian, or Bisexual Sexual Orientation, Gender Nonconformity, and Gender Discordance in Children and Adolescents - Journal of the American Academy of Child & Adolescent Psychiatry


Women’s Health USA 2011 - DHHS Lesbian, Bisexual and Biological Women Health Information


Society for Adolescent Health and Medicine - General Health Info


American Academy of Pediatrics - Clinical Report on Sexual Orientation and Adolescents


U.S. Department of Health and Human Services (HHS.gov) - Recommended Actions to Improve the Health and Well-Being of LGBT Communities


Pub Med - U.S. National Library of Medicine and National Institutes of Health


BiAwareZone - Criteria for a Bi-Aware Healthcare Professional


National Gay and Lesbian Task Force - Bisexual health: an introduction and model practices for HIV/STI prevention programming


AGLP - Association Of Gay and Lesbian Psychiatrists



Prevention and Wellness:


Comments on the National Prevention Strategy


Community Prevention and the LGBT Community



LGBT Public Health:


Healthy People 2020


Leading Health Indicators for Healthy People 2020 (Institute of Medicine, 2011)


Publications on LGBT health from the Center for American Progress (most written in cooperation with the National Coalition for LGBT Health)


National Stakeholder Strategy for Achieving Health Equity (Office of Minority Health, 2011)



National Resources:


Lesbian Health Research Center - Lesbian, Bisexual Women and Transgender


Human Rights Campaign (HRC) - Healthcare Equality Index 2010


Lambda Legal’s Tools for Protecting Your Healthcare Wishes


HIPPA Privacy Act (Health Insurance Portability and Accountability Act) - US Health & Human Svs


Gay and Lesbian Medical Association (GLMA)


National Coalition for LGBT Health


GLMA Healthcare Equality Index


GLMA Lesbian Health Fund


Centers for Disease Control & Prevention


Gay Health


Impact Program


WHO Department of Gender, Women and Health

International Society for Men's Health and Gender


National Women's Resource Center - NWHRC


Partnership for Prevention - Disease Prevention


Physician Leadership on National Drug Policy - PLNDP



Traumatic Brain Injury (TBI), Sexuality, and Rehabilitation


Sexuality, Traumatic Brain Injury, and Rehabilitation

April 8, 2013 - Each year more than three million Americans are living with traumatic brain injury (TBI), a condition that is associated with physical, cognitive, and emotional problems that often affect their sexuality, and subsequently their marital stability, identity, and self-esteem. Taking an in-depth look at the impact of TBI on sexuality, an investigative team critically reviews fourteen studies representing a collective study sample of nearly 1,500 patients, partners, spouses, control individuals, and rehabilitation professionals to examine brain injury and sexuality. It is published in NeuroRehabilitation: An International Journal.



Cancer:


National LGBT Cancer Network - LGBT Cultural Competence Training

The National LGBT Cancer Network's mission is to improve the lives of LGBT people with cancer and those at risk. We educate the LGBT community, train healthcare providers and advocate for LGBT inclusion in national cancer organizations, research and the media.


National LGBT Cancer Project - Out With Cancer

The National LGBT Cancer Project – Out With Cancer is our country’s first and leading Lesbian, Gay, Bisexual and Transgender cancer survivor support and advocacy nonprofit organization. Out With Cancer is committed to improving the health of LGBT cancer survivors with peer to peer support, patient navigation, education and advocacy.


Mautner Project: The National Lesbian Health Organization (Cancer)

Out With Cancer/National LGBT Cancer Project

National LGBT Cancer Network


Nutrition:


U.S. Preventative Task Force - Counseling in Primary Care for a Healthy Diet


CDC - L.E.A.N. - Leading Employees to Activity and Nutrition Program



Additional National Resources - Lesbian, Gay, Bisexual, Transgender Listings

  1. Access Plus Spanning Identities. APSI. (Sydney, Australia)
    note: "a community based group focused on the needs of lesbians, gay men, bisexuals & trannies with disabilities (including people living with HIV/AIDS)"
    http;//www.apsi.org.au

  2. ACT UP. AIDS Coalition to Unleash Power (New York)
    note: AIDS advocacy; NY is the original ACT UP; site has links to other ACT UP sites
    http://www.actupny.org

  3. ACT UP Paris
    note: for English version, click on 'English page;' for Spanish version, click on 'pagina en espanol;' for full text reports and chronology of actions on line, click on 'Act-Up Paris: Archives en ligne'
    http://www.actupp.org/

  4. AEGIS. AIDS Education Global Information System
    note: news, information on all aspects of AIDS; links to AIDS organizations by subject: activism, education, clinical trials, conferences, faith resources, antiretroviral guidelines, journals, pediatric AIDS, pharmaceutical, African American Resources, PWS resources-US and nonUS; search tools, US government; not the same as the American Education Gender Information Service also known as AEGIS; for that organization see Gender.Org in this same section of the directory.
    http://www.aegis.com

  5. AIDS Action (U.S.)
    note: "fighting for effective HIV prevention, enhanced AIDS research; and fairness in national AIDS policy;" congressional voting records; full text press releases on AIDS issues; prevention & information links
    http://www.aidsaction.org

  6. The AIDS Memorial Quilt
    http://www.aidsquilt.org

  7. AIDS Service Provider Accountability Project (U.S.)
    note: provides financial data (IRS form 900) from AIDS and some other non-profit ogranizations; news reports/discussion; addresses accountability issues; hears complaints about AIDS service organizations
    http://www.accountabilityproject.com

  8. APOLLO (Netherlands)
    note: a support group for lesbian, bi, and gay youth; site in Dutch only (as of 5-28-98)
    http://huizen.dds.nl/~jdejong/apollo.html

  9. Association des Meres Lesbiennes/Lesbian Mothers Association (Montreal)
    note: "...providing support for lesbian mothers and their families...;" in French or in English
    http://pages.citenet/users/monicole/

  10. Avanti (Toronto)
    note: support group for Italian glbt's in Toronto; site searchable in Italian or English
    http://www.avantitoronto.ca

  11. bi.org
    note: "serving the world bisexual community," information, news, links and search engine
    http://bi.org/

  12. Bisexual Resource Center (Cambridge, Massachusetts)
    note: support, resources, education, programs on bisexuality
    http://www.biresource.org

  13. The Body. An AIDS and HIV Information Resource
    note: massive information site; AIDS basics and prevention; treatment; conferences; quality of life; government; comprehensive site maps; full text articles, information; links to AIDS organizations and hotlines; search engine
    http://www.thebody.com

  14. The Canadian AIDS Society
    http://www.cdnaids.ca

  15. Canadian HIV/AIDS Legal Network. Reseau Juridique Canadien VIH/SIDA
    note: available in English or French
    http://www.aidslaw.ca

  16. Center for AIDS Prevention Studies. CAPS. (University of California, San Francisco)
    note: multidisciplinary approaches to the prevention of HIV disease; programs, program evaluations; full text studies and comments; many links to other programs, by subject; much information in Spanish also- click on: Informacion en espanol
    http://www.epibiostat.ucsf.edu/capsweb

  17. Compassion in Dying Federation (U.S.)
    note: "...client services, legal advocacy and public education to improve pain and symptom management..."
    http://www.compassionindying.org

  18. Critical Path AIDS Project Philadelphia
    note: with extensive links to international, national & U.S. federal sites; support, treatment and research sites; search engine for its and other datafiles
    http://www.CritPath.Org/

  19. Deaf Queer Resources Center
    http://www.deafqueer.org

  20. The Estate Project for Artists with AIDS A Project of the Alliance for Arts (New York)
    note: to encourage artists with HIV/AIDS..."to continue their creative output;" advocacy, education, direct services to artists with AIDS
    http://www.artistswithaids.org

  21. European Database on AIDS and HIV Infection. EDOA.
    note: a bibliographic database on grey literature and educational material on AIDS and HIV Infection; medical and social literature; from AIDS INFO DOCU (Bern), CNLCS (Lisbon), CRIPS (Paris), NISSO (Utrecht), RESODOC (Brussels), SIDA-STUDI (Barcelona); boolean searches possible; thesaurus.
    http://www.edoa.org

  22. Ex.Ex. Examining and Exploring the Reality of the Ex-Gay Movement
    note: information, support, communication for ex-exgays
    http://members.aol.com/exexgay

  23. Explore (U.S.)
    note: Project Explore is a three year behavioral trial that looks at the efficacy of counseling that is available to people getting tested for HIV. The sex project sites are: Boston, Chicago, Denver, New York, San Francisco and Seattle. Searchable in Spanish also, click on Espanol.
    http://www.exploremen.com

  24. Families Like Mine
    note: for children of glbt parent(s); with advice, resources, newsletter
    http://www.familieslikemine.com

  25. Family Pride Coalition
    "provide advocacy, education, and support for glbt persons in child-nurturing roles and their families"
    note: formerly Gay & Lesbian Parents Coalition International; site available also in Spanish, click on 'Espanol'
    http://www.familypride.org

  26. La Federation Gemini Federation Francophone des Associations de Jeunes Gais, Lesbiennes et Bis
    note: national (France) support group for young gays, lesbians, and bis.
    http://www.gemini.asso.fr/

  27. FTM International
    note: ..."serving FTM [female to male] transgendered people and transsexual men..."
    http://www.ftm-intl.org

  28. Gay and Lesbian Medical Association. GLMA (U.S.)
    note: over 2,000 lgbt physicians, medical students and supporters; "combats homophobia in the medical profession and advocates for quality health care for the LGBT community," online table of contents and abtracts to its journal, Journal of the Gay and Lesbian Medical Association (JGLMA)
    http://www.glma.org

  29. Gay Asian Pacific Support Network (Los Angeles)
    http://www.gapsn.org

  30. Gay Men's Health Crisis (New York City)
    note: national model; oldest & largest community AIDS organization; support services for New York City; education & advocacy nationwide
    http://www.gmhc.org

  31. Gender.Org. Gender Education & Advocacy. GEA. (U.S.)
    note: "...focused on the needs, issues and concerns of gender variant people..."; non-political advocacy (news, information, resources, health care); has incorporated the American Educational Gender Information Service (AEGIS), not the same as: AEGIS. AIDS Education Global Information System which is also listed in this section of the directory.

  32. HIV/AIDS Resource Center
    note: provided by the Journal of the American Medical Association; full text articles; current news updates; case surveillance & reporting; treatment; guide/links to the best HIV/AIDS sites: U.S. government, technical and reference, academic, community, treatment, and international resources sites
    http://www.ama-assn.org/special/hiv/

  33. HIV/AIDS Treatment Information Service. ATIS (U.S.)
    note: "...your central resource for federally-approved treatment guidelines for HIV and AIDS..."
    http://www.hivatis.org

  34. HIV InfoWeb
    note: broadly-based information site to all aspects of AIDS; click on 'GLBT' for AIDS concerns of the GLBT community; search engines for HIV InfoWeb, its subsections, and other major AIDS websites
    http://www.infoweb.org

  35. HIV InSite
    note: major categories: medical information; prevention and education; social issues; statistics and epidemiology [trends, U.S. and global]; international; searchable; click on 'Spanish' for information available in Spanish
    http://hivinsite.ucsf.edu

  36. Humsafar Trust (India)
    note: health and AIDS information/counseling; support for gay men
    http://www.humsafar.org/1.html

  37. International AIDS Candlelight Memorial and Mobilization
    http://www.wenet.net/users/candle/frame2.html

  38. LAMBDA Gay and Lesbian Victims' Assistance (U.S.)
    note: assists all victims of anti-glbth (h=HIV positive) incidents
    http://www.lambda.org/glvah.htm

  39. LAMBDA GLBT Community Services (U.S.)
    note: dedicated to reducing homophobia and discrimination by encouraging self-acceptance, cooperation, and non-violence
    http://www.lambda.org/main.htm

  40. Lesbian and Gay Aging Issues Network
    note: "A constitutent unit of the American Society on Aging."
    http://www.asaging.org/lgain.html

  41. Mogenic. Gay and Lesbian Teens Connected
    note: online resource where gay and lesbian youth have the freedom to exchange ideas, share experiences, discuss coming out, make friends, find glbt youth oriented news & reviews
    http://www.mogenic.com

  42. The NAMES Project Foundation
    http://www.aidsquilt.org/

  43. National AIDS Treatment Advocacy Project
    note: latest full text information on drug development, research, new drug treatments, conferences
    http://www.natap.org

  44. National Association of People with AIDS (U.S.)
    note: "advocates on behalf of all people living with HIV and AIDS ... to end the pandemic ... to educate, inform, and empower...
    http://www.napwa.org

  45. National Coalition for LGBT Health (U.S.)
    note: "to collaborate on LGBT health advocacy efforts...federal advocacy...on research, policy, education and training"
    http://www.lgbthealth.net

  46. National Leather Association International
    note: The NLAI promotes communication, support, education, and rights for persons embracing a leather lifestyle; includes also bondage, SM, fetishism and other related sexual expression
    http://www.nla-i.com/

  47. National Organization of Lesbians of Size. NOLOSE.
    (support group for size acceptance)
    http://www.breakinc.com/nolose

  48. OASIS. Organizacion de Apoyo a una Sexualidad Integral frente al SIDA. (Guatemala)
    note: AIDS education, advocacy, support, and care in Guatemala
    http://www.maxpages.com/oasis

  49. OutProud! The National Coaltion for Gay, Lesbian, Bisexual and Transgender Youth (U.S.)
    note: support, information, resources as well as advocacy for youth
    http://www.outproud.org

  50. Parents, Families and Friends of Lesbians and Gays PFLAG (Canada)
    note: national support group for gay family members and friends
    http://www.pflag.ca

  51. Parents, Families and Friends of Lesbians and Gays PFLAG (U.S.)
    note: national support group for gay family members and friends
    http://www.pflag.org

  52. Passing Twice (U.S.)
    note: "a proud network of queer stutterers and their allies"
    http://www.geocities.com/WestHollywood/3323/

  53. Project Inform (San Francisco)
    (HIV/AIDS Information: publications, treatment hotline, advocacy/public policy, outreach/education; note: for information/documents in Spanish, click on Informacion en espanol
    http://www.projinf.org

  54. Rainbow Alliance of the Deaf. (U.S. and Canada)
    http://www.rad.org

  55. Rainbow Hope
    note: Online Support Group for Lesbian Survivors of Abuse and their Partners
    http://www.rainbowhope.org

  56. Samabhavana Society (India)
    note: for the health, care, and dignity of glbt persons and all HIV-affected persons throughout India
    http://www.smabhavana.org

  57. Senior Health Resources. SHR (Washington, D.C. metro area)
    note: to provide full quality health services for the aging GLBT community; to model and promote an inclusive supportive environment for aging GLBT's
    http://www.seniorhealthresources.org

  58. The Sisters of Perpetual Indulgence, Inc. (San Francisco)
    note: The Mother House; organization raises funds for AIDS and gay rights causes; links to member houses
    http://www.thesisters.org

  59. Straight Spouse Network
    "international support network of heterosexual women and men, formerly or currently partnered with glbt mates"
    note: allied with Family Pride Coalition and PFLAG
    http://www.familypride.org/~ssN/index.html

  60. Uncommon Legacy Foundation (U.S.)
    note: offers scholarships and grants; "...a nonprofit foundation dedicated to enhancing the visibility, strength and vitality of the lesbian community..."
    http://www.uncommonlegacy.org

  61. Youth Assistance Organization (U.S.)
    note: to help self-identifying gay, lesbian, bisexual and questioning youth with links to glbt youth organizations/publications
    http://www.youth.org/

  62. Youth Guardian Services (Manassas, Virginia)
    note: youth-run organization to provide internet services to glbt, questioning and straight supportive youth; general and special interest e-mail lists; college choice advice & healthcare directory planned
    http://www.youth-guard.org

 

The Gay and Lesbian Medical Association (GLMA)


GLMA's mission is to ensure equality in healthcare for lesbian, gay, bisexual and transgender (LGBT) individuals and healthcare providers.  The GLMA has a list of providers nationwide, and also provides top 10 topics that you should discuss when you visit your healthcare provider....(see below)...

The National Coalition for Lesbian, Gay, Bisexual, Transgender (LGBT) Health



The Coalition is committed to improving the health and well-being of lesbian, gay, bisexual, and transgender individuals through federal advocacy that is focused on research, policy, education, and training. The LGBT community includes individuals of every sexual orientation, gender, gender identity, race, ethnicity, and age; regardless of disability, income, education, and geography. Our members are dedicated to effecting change by uniting this rich diversity at the national level.....



HealthLabs.com offers Hormone and Testosterone testing services for consumers who may be thinking about undergoing hormone therapy, or who are currently participating in any type of hormone therapy.  They also offer a plethora of other lab testing services such as: Anti-Aging, Thyroid, and Arthritis blood testing just to name a few.
 
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