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Gay Health

Martha Duffy, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A recent national survey showed that 3.4% of all Americans identify themselves as lesbian, gay, bisexual, or transgender (LGBT). This may be an underestimation as men and women betwe...

DIAGNOSIS

  • Sexually transmitted infections (STIs)

    • STIs among MSM are increasing. Behaviors that increase risk of non-HIV STI also increase risk of HIV acquisition.

    • Risk factors include the following:

      • ...

ONGOING CARE

Obtaining a history 
  • Establish with patients that information related to sexual orientation is asked of all patients to assist in health care prevention decisions.

  • Providers should discuss ...

REFERENCES

1
1 Workowski KA, Bolan GA; for Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep.  2015;64(RR-03):1–137. {L-End} {...

ADDITIONAL READING

  • Ard KL, Makadon HJ. Addressing intimate partner violence in lesbian, gay, bisexual, and transgender patients. J Gen Intern Med.  2011;26(8):930–933. {L-End} {L-End} [View Ab...

CODES

ICD10

  • Z11.59 Encounter for screening for other viral diseases

  • Z11.4 Encounter for screening for human immunodeficiency virus

  • Z72.52 High risk homosexual behavior

  • Z20.2 Contact w and exposure to infe...

CLINICAL PEARLS

  • Sexually active gay men should be offered annual screening for HIV, syphilis, gonorrhea, and chlamydia.

  • Immunize gay men for hepatitis A and B as well as HPV for all young men through a...

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