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LGBTQ+ Care - Coggle Diagram
LGBTQ+ Care
Transgender Health
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Healthcare needs
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- Medical or surgical transition
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General Health
- Lifestyle advice
Risk of complications
- Monitor BP, lipids, LFTs +U&E
- Monitor for post-surgical depression
- Education on use of binders in trans men
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Treatment
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Adolescents
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GnRH analogues - suppress oestrogen or testosterone production - puberty blockers
S/e : hot flushes etc
Oestrogen / Testosterone therapy
- Breast development
- Deepening voice
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Mental Health
Increased risk of depression , self harm, suicide
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4x level of severe or extremely severe stress, anxiety or depression
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Health Screening
Lesbains less likely to avail / be referred for cervical smear tests, mammography or examine own breast
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Practice points
- Offer all women age 25-60 cervical smear regardless of sexual orientation
- Offer information about safer sex practices to reduce risk of HPV regardless of sexual orientation
- Encourage lesbian / bisexual women to participate in national breast screening programme and perform regular breast self exam
Sexual Health
Sexual History
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- Use professional language
- STI screening not necessarily the first thing offered when a pt comes out
MSM
HIV
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Median age of new diagnosis declining - 33 in 2016, 37 in 2005
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WSW
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Higher risk of ovarian cancer
- Less pregnancies
- Less pills
Chemsex
Common drugs
Methamphetamin (Crystal, Crystal meth, Tina, Meth)
Mephedrone (Meph, drone, M-cat, Meow-meow
GHB / GBL ( G, Gina, Liquid E)
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Refer
- Gay men's health service - Chemsex detox and support
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- Rialto community Drug Team
Drug and Alcohol
Increased levels of smoking, alcohol, drug use
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