LGBTQ+ Friendly OB/GYN: What to Look For

Gynecological care is needed by people of many gender identities - cisgender women, transgender men, non-binary people, and intersex individuals. Finding an OB/GYN who is comfortable and skilled in providing inclusive care can be challenging but is essential for preventive health.

Who Needs Gynecological Care?

Regular gynecological care - including Pap smears, STI testing, and reproductive health - is recommended for anyone with a cervix, regardless of gender identity. This includes many transgender men and non-binary people who are often undertreated due to provider discomfort or patient avoidance of an uncomfortable care experience.

What Makes an OB/GYN LGBTQ+ Affirming?

• Uses correct pronouns and names without prompting
• Frames care around anatomy rather than assumed gender (e.g., "patients with a cervix" rather than exclusively gendered language)
• Understands how testosterone therapy affects gynecological health for trans men
• Doesn't express surprise or discomfort when transgender patients present for care
• Is familiar with LGBTQ+ family planning options including sperm banking, egg freezing, and surrogacy for transgender patients

Specific Considerations for Transgender Men and Non-Binary Patients

Testosterone therapy causes significant changes to gynecological tissue. An affirming OB/GYN will understand:

• Vaginal atrophy from testosterone - topical estrogen options that don't affect masculinization
• Pap smear challenges in patients on testosterone - may require different technique
• Cervical cancer screening should continue regardless of testosterone use
• STI screening based on actual anatomy and behavior, not assumed gender

Lesbian and Bisexual Women: Unique Healthcare Considerations

• Incorrect assumption that STI risk is zero (can be transmitted between women)
• Lower rates of cervical cancer screening due to avoidance of uncomfortable care experiences
• Higher rates of certain cancers due to lower rates of pregnancy and hormonal contraceptive use

Find LGBTQ+ affirming OB/GYN providers near you