Specifics of medical care for lesbians
Authors:
MUDr. Pavel Turčan
Authors place of work:
Ordinace sexuologie a andrologie, Centrum MEDIOL s. r. o., Olomouc
Published in the journal:
Ceska Gynekol 2015; 80(2): 104-114
Summary
Objective:
Health care for lesbian women, especial-ly care within the competence of the gynecologist, general practitioner and sexologist, at first glance no different from heterosexual women care about, and in many issues this is really true. But there are a few specifics that differentiate this minority group. If the doctor realizes these specifics, he can offer a better care about the health of their patients and possibly also focus on the prevention of various diseases targeted prevention. This article points out the various specifics and their importance in the care of minority lesbian and bisexual women.
Design:
Review article.
Setting:
Centrum Mediol s.r.o., Andrology and Sexology Clinic, Olomouc.
Methods:
Analysis of literature review and our own experience dealing with differences of health care for lesbian women.
Conclusion:
Although physiologically and anatomical-ly lesbian, bisexual and heterosexual women are the same, studies show that certain diseases or risk in the population of lesbians and bisexual women are more prevalent and hence the need to particularly focus on preventive care for certain specifics.
Keywords:
lesbian, health care, sexual dysfunction, homophobia, gynecological diseases, preventive care
Zdroje
1. Agaku, IT., King, BA., Husten, CG., et al. Tobacco produkt use among adults – United States, 2012–2013. Weekly, 2014, 63(25), p. 542–547.
2. Agrawal, R., Sharma, S., Bekot, J, et al. Prevalence of polycystic ovaries and polycystic ovary syndrome in lesbian women compared with heterosexual women. Fertil Steril, 2004, 82(5), p. 1352–1357.
3. American College of Obstetricians and Gynecologists. Health care for lesbians and bisexuál women. Commitee Opinion, No. 525. Obstets Gynecol, 2012, 119, p. 1077–1080.
4. Barnard, AG. Effects of sexuality on lesbians´ experiences of depression. J Psychosoc Nurs Ment Health Serv, 2005, 43(10), p. 36–43.
5. Bass, E., Kaufman, K. Láska je láska: knižka pre lesbickú, gejskú a bisexuálnu mládež a jej spojencov. Bratislava, Aspekt, 2003.
6. Beaber, TE., Werner, PD. The relationship between anxiety and sexual functioning in lesbians and heterosexual women. J Homosex, 2009, 56(5), p. 639–654.
7. Ben-Natan, M., Adir, O. Screening for cervical cancer among Israeli lesbian women. Int Nurs Rev, 2009, 56(4), p. 433–441.
8. Beňová, K., Goga, S., Gjuričová, J., et al. Analýza situace lesbické, gay, bisexuální a transgender menšiny v ČR. Praha, Úřad vlády ČR, 2007.
9. Boehmer, U., Glickman, M., Winter, M., Clark, MA. Longterm breast cancer survivors´ symptoms and morbidity: differences by sexual orientation? J Cancer Surviv, 2013, 7(2), p. 203–210.
10. Boehmer, U., Ozonoff, A., Miao, X. An ecological approach to examine lung cancer disparities due to sexual orientation. Public Health, 2012, 126(7), p. 605–612.
11. Brandenburg, DL., Matthews, AK., Johnson, TP.,Hughes, TL. Breast cancer risk and screening: a comparison of lesbian and heterosexual women. Women Health, 2007, 45(4), p. 109–130.
12. Breyer, BN., Smith, JF., Eisenberg, ML., et al. The impact of sexual orientation on sexuality and sexual practices in North American medical students. J Sex Med, 2010, 7(7), p. 2391–2400.
13. Bromberg, DS., O´Donohue, WT. Handbook of child and adolescent sexuality: developmental and forernsic psychology. Oxford, Academic Press, 2013.
14. Brown, JP., Tracy, JK. Lesbians and cancer: an overlooked health disparity. Cancer Causes Control, 2008, 19(10), p. 1009–1020,
15. Cabaj, RP., Stein, TS. Textbook of homosexuality and mental health. Washington, London, American Psychiatric Press, Inc., 1996.
16. Davies, D., Neal, C. Pink therapy: a guide for counsellors and therapists working with lesbian, gay and bisexual clients. Maidenhead, Philadelphia, Open Univestity Press, 2003.
17. Dibble, SL., Roberts, SA., Robertson, PA., Paul, SM. Risk factors for ovarian cancer: lesbian and heterosexual women. Oncol Nurs Forum, 2002, 29(1), p. E1–E7.
18. Edwards, A., Thin, RN. Sexually transmitted diseases in les-bians. Int J STD AIDS, 1990, 1(3), p. 178–181.
19. Fish, J., Anthony, D. UK national Lesbians and Health Care Survey. Women Health, 2005, 41(3), p. 27–45.
20. Flemmer, N., Doutrich, D., Dekker, L., Rondeau, D. Creating a safe and caring health care context for women who have sex with women. J Nurse Practitioners, 2012, 8(6), p. 464–469.
21. Fojtová, S. Czech lesbian activism: gay and lesbian parental rights as a challenge to patriarchal marriage. J Lesbian Stud, 2011, 15(3), p. 356–383.
22. Harcourt, J., Case, P., Austin, SB., et al. Current issues in lesbian, gay, bisexual and transgender health. Binghamton, Harrington Park Press, 2006.
23. Hašková, H., Křížková, A., Linková, M., et al. Mnohohlasem: Vyjednávání ženských prostorů po roce 1989. Praha, Sociologický ústav Akademie věd ČR, 2006.
24. Henderson, HJ. Why lesbians should be encouraged to have regular cervical screening. J Fam Plann Reprod Health Care, 2009, 35(1), p. 49–52.
25. Hyde, Z., Comfort, J., McManus, A., et al. Alkohol, tobacco and illicit drug use amongst same-sex attracted women: results from the Western Australian Lesbian and Bisexual Women´s Health and Well-Being Survey. BMC Public Health, 2009, 9, p. 317.
26. Janáčková, L., Weiss, P. Komunikace ve zdravotnické péči. Praha, Portál, 2008.
27. Janošová, P. Dívčí a chlapecká identita: vývoj a úskalí. Praha, Grada, 2008.
28. Janošová, P. Homosexualita v názorech současné společnosti. Praha, Karolinum, 2000.
29. Johnson, SR., Smith, EM., Guenther, SM. Comparison of gynecologic health care problems between lesbians and bisexual women. A survey of 2,345 women. J Reprod Med, 1987, 32(11), p. 805–811.
30. Kabir, Z., Keogan, S., Clarke, V., Clancy, L. Second-hand smoke exposure levels and tobacco consumption patterns among a lesbian, gay, bisexual ang transgender community in Ireland. Public Health, 2013, 127(5), p. 467–472.
31. Kimmel, D., Rose, T., David, S. Lesbian, gay, bisexual, and transgender aging. New York, Columbia University Press, 2006.
32. Kovář, P., Čírtková, L., Dvořáček, I., et al. Sexuální agrese. Praha, Maxdorf, 2008.
33. Lamont, J. Female sexual health consensus clinical guidelines. J Obstet Gynaecol Can, 2012, 34(8), p. 769–775.
34. Lev, AI. The complette lesbian and gay parenting guide. New York, Berkley Books, 2004.
35. Levine, SB., Risen, CB., Althof, SE., et al. Handbook of clinical sexuality for mental health professionals. New York, Rotledge, 2010.
36. Lippa, RA. Pohlaví: příroda a výchova. Praha, Academia, 2009.
37. Little, B., Terrance, C. Perceptions of domestic violence in lesbians relationships: stereotypes and gender role expectations. J Homosex, 2010, 57(3), p. 429–440.
38. Losiak, J. Obraz wlasnego ciala u osób o orientacji homoseksualnej. Psychiatr Pol, 2009, 43(1), p. 99–107.
39. Makadon, HJ., Mayer, KH., Potter, J., Goldhammer, H. Tle fenway guide to lesbian, gay, bisexual, and transgender health. Philadelphia, American College of Physicians, 2007.
40. Mathy, RM., Kerr, SK., Greene, B., et al. Lesbian and bisexual women´s mental health. Binghamton, The Haworth Press, Inc., 2003.
41. Marazzo, JM., Coffey, P., Bingham, A. Sexual practices, risk perception and konwledge of sexually transmitted disease risk amnog lesbian and bisexual women. Perspect Sex Reprod Health, 2005, 37(1), p. 6–12
42. McIntyre, L., Szewchuk, A., Munro, J. Inclusion and exclusion in mid-life lesbians´ experiences of the Pap test. Cult Health Sex. 2010, 12(8), p. 885–898.
43. McLemore, MR., Miaskowski, C., Aouizerat, BE., et al. Epidemiological and genetic factors assotiated with ovarian cancer. Cancer Nurs, 2009, 32(4), p. 281–288.
44. Meads, C., Moore, D. Breast cancer in lesbians and bisexual women: systematic review of incidence, prevalence and risk studies. BMC Public Health, 2013, 13, p. 1127.
45. Mravcak, SA., Johnson, RW. Primary care for lesbians and bisexual women. Am Fam Physician, 2006, 74, p. 279–288.
46. Pastor, Z. Sexualita ženy. Praha, Grada, 2007.
47. Patterson, C., D´Augelli, AR. Handbook of psychology and sexual orientation. Oxford, Oxford University Press, 2012.
48. Patton, CL., Millard, PS., Kessenich, CR., et al. Screening calcaneal ultrasound and risk factors for osteoporosis among lesbians and heterosexual women. J Womens Health, 1998, 7(7), p. 909–915.
49. Pechová, O. Diskriminace na základě sexuální orientace. E-psychologie [online] 2009, 3(3), p. 1–16. [cit. 2.6.2014]. Dostupný z www: http://e-psycholog.eu/pdf/pechova.pdf
50. Pelullo, CP., Di Giuseppe, G., Angelillo, IF. Human papillomavirus infection: knowledge, attitudes, and behaviors among lesbian, gay men, and bisexual in Italy. PLoS One, 2012, 7(8), p. e42856.
51. Peterkin, A., Risdon, C. Caring for lesbian and gay people: a clinical guide. Toronto, Bufalo, London, University of Toronto Press, 2003.
52. Peterson, KJ., Pierce, D., Gochros, HL., et al. Health care for lesbians and gay men: confronting homophobia and hetero-sexism. Binghamton, Harrington Park Press, 1996.
53. Polášková, E. Plánovaná lesbická rodina: Klíčové aspekty přechodu k rodičovství. Brno, Masarykova univerzita, Fakulta sociálních studií, Institut výzkumu dětí, mládeže a rodiny, 2009.
54. Pondělíčková-Mašlová, J., Raboch, J. O sexualitě a partnerských vztazích. Praha, Galén, 2005.
55. Ponticelli, CM., Hall, JM., Scherzer, T., et al. Gateways to improving lesbian health and health care: opening doors. Binghamton,Harrington Park Press, 1998.
56. Porst, H., Buvat, J. Standard practice in sexual medicine. Malden, Blackwell Publishing, 2006.
57. Power, J., McNair, R., Carr, S. Absent sexual scripts: lesbian and bisexual women´s konwledge, attitudes and action regarding safer sex and sexual health information. Cult Health Sex, 2009, 11(1), p. 67–81.
58. Procházka, I. Lesbické ženy a mateřství. Moderní Gynek Porod, 2005, 14(1), p. 63–67.
59. Procházka, I., Hromada, J. Společenská diskriminace lesbických žen, gay mužů a bisexuálů v ČR. Praha, Gay iniciativa v ČR, 2003.
60. Richters, J., Prestage, G., Schneider, K., Clayton, S. Do women use dental dams? Safer sex practices of lesbians and other women who have sex with women. Sex Health, 2010, 7(2), p. 165–169.
61. Röndhal, G., Bruhner, E., Lindhe, J. Heteronormatice communication with lesbian families in antenatal care, childbirth and postnatal care. J Adv Nurs, 2009, 65(11), p. 2337–2344.
62. Saffron, L. Can fertility service providers justify discriminatons against lesbians? Hum Fertil (Camb), 2002, 5(2), p. 42–46.
63. Shankle, MD., Arrowood, SH., Baernstein, A., et al. Tle handbook of lesbian, gay, bisexual, and transgender public health: a practitioner´s guide to service. Binghamton, Harrington Park Press, 2006.
64. Sokolová, V. Skládání duhové mozaiky: Česká sexuologie a „gay“ a „lesbická“ orální historie v komunistickém Československu. Gender, rovné příležitosti, výzkum 2012, 13(2), p. 28–39.
65. Stine, GJ. AIDS update 2007. New York, McGraw-Hill, 2008.
66. Struble, CB., Lindley, LL., Montgomery, K., et al. Overweight and obesity in lesbian and bisexual college women. J Am Coll Health, 2010, 59(1), p. 51–56.
67. Ševčík, D., Špatenková, N., Sobotková, I., et al. Domácí násilí: Kontext, dynamika a intervence. Praha, Portál, 2011.
68. Tao, G. Sexual orientation and related viral sexually transmitted disease rates among US women aged 15 to 44 years. Am J Public Health, 2008, 98(6), p. 1007–1009.
69. Tracy, JK., Junginger, J. Correlates of lesbian sexual functioning. J Womens Health (Larchmt), 2007, 16(4), p. 499–509.
70. Tracy, JK., Schluterman, NH., Greenberg, DR. Understanding cervical cancer screening among lesbians: a national survey. BMC Public Health, 2013, 13, p. 442.
71. Turčan, P., Pokorný, P., Fait, T. Sexuologie pro urology a gynekology. Praha, Maxdorf, 2012.
72. Weiss, P., Brichcín, S., Čepická, B., et al. Sexuologie. Praha, Grada, 2011.
73. Werner, C., Westerstähl, A. Donor insemination and parenting: concerns and strategies of lesbian couples. A review of international studies. Acta Obstet Gynecol Scand, 2008, 87(7), p. 697–701.
74. Weston, K. Families we choose. New York, Columbia University Press, 1991.
75. Zvěřina, J. Sexuologie (nejen) pro lékaře. Brno, CERM, 2003.
76. Zvěřina, J., Budinský, V. Vše o sexu: Sexuologie a sexuální praxe pro každého. Praha, Ikar, 2004.
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