Clinical Care of Lesbian and Bisexual Women for the Obstetrician Gynecologist

Clin Obstet Gynecol. 2018 Dec;61(4):663-673. doi: 10.1097/GRF.0000000000000399.

Abstract

Sexual minority women are more likely to delay care, less likely to have a usual place of care, and more likely to exhibit higher risk behaviors such as smoking, obesity, heavy drinking resulting in a disproportionate number of chronic conditions. It is imperative for obstetrician-gynecologists to be at the forefront of providing comprehensive health care to all women, no matter their sexual orientation. This article seeks to discuss health care disparities as well as health behaviors and outcomes in this population. In addition, it will review the appropriate recommendations for clinical care of sexual minority women for the obstetrician/gynecologist.

Publication types

  • Review

MeSH terms

  • Bisexuality
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / epidemiology
  • Chronic Disease
  • Colorectal Neoplasms / diagnosis
  • Colorectal Neoplasms / epidemiology
  • Contraception / methods
  • Early Detection of Cancer
  • Endometrial Neoplasms / epidemiology
  • Female
  • Gynecology / methods*
  • Homosexuality, Female
  • Humans
  • Hypertension / epidemiology
  • Intimate Partner Violence
  • Obesity / epidemiology
  • Obstetrics / methods*
  • Ovarian Neoplasms / epidemiology
  • Parity
  • Practice Guidelines as Topic
  • Risk Factors
  • Sexual and Gender Minorities*
  • Sexually Transmitted Diseases / diagnosis
  • Sexually Transmitted Diseases / drug therapy
  • Smoking / epidemiology
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / epidemiology