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Medical Lesbian

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Lesbian, Gay, Bisexual, and Transgender Health
Learn what CDC is doing to protect the health of LGBT: Spotlight on Hepatitis and Gay/Bisexual Men
Learn what CDC is doing to protect the health of LGBT: Spotlight on Hepatitis and Gay/Bisexual Men
New HIV Diagnoses in the US and Dependent Areas for the Most- Affected Subpopulations, 2019
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019. HIV Surveillance Report 2021;32.

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People who are lesbian, gay, bisexual, or transgender (LGBT) are members of every community. They are diverse, come from all walks of life, and include people of all races and ethnicities, all ages, all socioeconomic statuses, and from all parts of the country. The perspectives and needs of LGBT people should be routinely considered in public health efforts to improve the overall health of every person and eliminate health disparities.
Learn about the risk of getting or transmitting HIV and lowering your risk
Find health services by state and city on CDC’s updated LGBT Health Resources page
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Learn about the risk of getting or transmitting HIV and lowering your risk
Find health services by state and city on CDC’s updated LGBT Health Resources page
Information for Health and Education Professionals
Learn about the risk of getting or transmitting HIV and lowering your risk
NOTE: Subpopulations representing 2% or less of all people who received an HIV diagnosis in 2019 are not represented in this chart.
* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
** Hispanic/Latino people can be of any race.

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Research has shown that the following are some of the most common health concerns faced by lesbian and bisexual women. While they may not all apply to everyone, they are important concerns for lesbian and bisexual women and their health care providers to be aware of.
Lesbian and bisexual women have a greater risk of developing breast cancer than heterosexual women, but they are less likely to obtain regular cancer screenings, like mammograms , which are used to diagnose the condition in its early stages. This is very problematic because early detection is key to the treatment of the disease and increases the woman’s chances of remission.
While people may not associate same-sex relationships with intimate partner violence , the statistics show that it is a major concern for lesbian and bisexual women. The National Coalition Against Domestic Violence reports that compared to 35 percent of heterosexual women, 43.8 percent of lesbian women and 61.1 percent of bisexual women have experienced rape, physical violence and/or stalking by an intimate partner. Compounding this problem are barriers accessing support services, lack of training on the part of the service providers and discrimination in shelters.
Looking for a health care provider is never easy, but for LGBT individuals,
the search is especially challenging. Paula M. Neira, a nurse educator,
lawyer and former naval officer, explains the importance of coming out and
offers advice for finding the right doctor.
On average, lesbian and bisexual women drink more than heterosexual women and have a higher occurrence of alcohol-related problems, like alcoholism and alcohol abuse . Research has also discovered higher rates of smoking, cocaine and marijuana use among lesbian and bisexual women than heterosexual women. The use and abuse of these substances is linked to multiple forms of cancer and conditions of the heart and lungs, which are the top three causes of death among women.
Like some of the other health concerns common among lesbian and bisexual women, rates of drug use may be tied to stress resulting from discrimination, homophobia and/or sexism.
Johns Hopkins Medicine values and embraces the diversity of its community —
neighbors, patients, families, faculty, staff, students and trainees. We
are committed to ensuring that patient care, service delivery and the
healing environment are designed in a way that respects the individuality
of all employees, patients and visitors.
Lesbian and bisexual women suffer from higher rates of obesity than heterosexual women. Obesity is linked to other conditions, like heart disease and cancer, which are among the leading causes of death for women.
Regular activity and a healthy diet can lower a person’s chances of obesity, but women should always talk with their health care providers before jumping into an exercise routine or making extreme changes to their diet.
Did you know that up to one-third of cancer deaths in women are attributed
to excess body weight? Director of Gynecologic Oncology Amanda Fader and
oncology dietitian Mary-Eve Brown discuss the correlation between the two.
Learn what you can do to reduce your risk.
Because of heteronormativity — the notion that heterosexuality is the norm — some health care providers may assume lesbian and bisexual women are heterosexual when discussing their sexual health. It may also be assumed that a woman in a current same-sex relationship has never or will never have sex with a man. Because of these and other stereotypes, it is important that providers not make assumptions about their patients’ identities and behaviors, and that lesbian and bisexual women be open and honest with their providers about their identity — whether their provider asks them or not — so they receive the adequate, comprehensive care they need. This is especially essential when discussing sexual behavior, practices and partners.
For health care providers not as knowledgeable about LGBT health, lesbian and bisexual women’s health concerns may go under the radar due to the perception that women in same-sex relationships have lower cases of sexually transmitted infections (STIs). But lesbian and bisexual women’s sexual health encompasses a number of issues, and these women deserve and need the same level of education and screenings around sexual health as heterosexual women.
When it comes to sexual and reproductive health, it can be hard to know
what’s “normal” and what may be a sign of a potential health problem. Even
if you feel embarrassed about certain issues, your gynecologist has seen
and heard it all and is there to help you, not to pass judgment.
Lesbian and bisexual women have an increased risk of developing certain gynecologic cancers, but at the same time, they are less likely to receive regular gynecological health care, including pelvic exams and Pap tests . It is important for lesbian and bisexual women to obtain these exams and procedures on a regular basis because they are used to diagnose cancers and other gynecological conditions early, when they have the highest treatment success rates.
HPV has the potential to develop into cervical, vulvar, vaginal, anal or oral cancer. And while HPV is more common among women who have sex with men, a majority of women who identify as lesbian have had previous sexual relationships with men and are still able to spread HPV by same-sex, skin-on-skin contact. As previously stated, the false idea that same-sex female relationships cannot spread STIs, linked with the fact that lesbian and bisexual women are less likely to receive regularly gynecological screenings, means HPV may go undiagnosed in lesbian and bisexual women and develop into a more life-threatening condition.
While this may be surprising to some, lesbian and bisexual women have higher rates of teen pregnancy than heterosexual women. Women who identify as lesbian or bisexual may also still have sex with men and should be aware of the types of contraception available to them.
Many lesbian and bisexual women in same-sex relationships aspire to have children. It’s important for them to find a provider or center that understands their specific needs and offers services in a caring and compassionate environment for their family. Today, there are many options available for women in same-sex couples to get pregnant, including:
Donor insemination through intrauterine insemination (donor sperm are introduced to the uterus using a small tube)
In vitro fertilization (an egg is fertilized outside of the body using donor sperm then implanted in the woman’s uterus)
Egg donation (one partner may donate her egg while the other partner carries the child)
Embryo donation (a fertilized embryo may be donated to the couple)
At Another Johns Hopkins Member Hospital:
Find Additional Treatment Centers at:
Gay and Bisexual Men's Health Issues
LGBTQ Health Care: Answers from Expert Paula Neira

© 2020 Mosaic Medical. All Rights Reserved.
The mission of Mosaic Medical Center for Lesbian, Gay, Bisexual, Transgender, and Queer+ Health and Wellness is to provide a welcoming, inclusive, and safe healthcare environment where people who identify as lesbian, gay, bisexual, transgender, and queer+ can access the highest quality and most affirming healthcare.
We believe, no matter who you are or how you identify, that everyone deserves access to comprehensive healthcare services. We use an integrated approach designed to empower and foster resilience, health, and wellness. We put an individual’s needs as the center of care, while also advocating for equitable care for all. Mosaic Medical Center is committed to addressing stigma, discrimination, poor access to care, and the impacts of poverty.
The mission of Mosaic Medical Center for Lesbian, Gay, Bisexual, Transgender, and Queer+ Health and Wellness is to provide a welcoming, inclusive, and safe healthcare environment where people who identify as lesbian, gay, bisexual, transgender, and queer+ can access the highest quality and most affirming healthcare.
We believe, no matter who you are or how you identify, that everyone deserves access to comprehensive healthcare services. We use an integrated approach designed to empower and foster resilience, health, and wellness. We put an individual’s needs as the center of care, while also advocating for equitable care for all. Mosaic Medical Center is committed to addressing stigma, discrimination, poor access to care, and the impacts of poverty.
Most insurance accepted. Call to schedule an appointment regardless of insurance status.
Primary Lesbian, Gay, Bi Specific Healthcare

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