Our community often finds itself avoiding some important health issues, especially for women. Too often, we assume that since we do not need contraceptive services we can ignore the importance of regular visits to the gynecologist. What should you know about your health? What issues do you need to discuss with your doctor or care provider? How is your overall health and how does your sexuality impact your health?

First, find a queer friendly gynecologist or health care provider. For many women, a family practitioner or even a nurse practitioner at your local Planned Parenthood office may be a better option than a traditional gynecologist. Whoever you choose to provide your health care should be queer friendly and understanding of the special concerns of the lesbian community. Do be prepared to advocate for yourself.

The tests you regularly need will vary depending upon your age, special health concerns and sexual behavior. You should keep in mind that while the risk of STD transmission for lesbians is lower than for heterosexual women, it is not nonexistent. Gay.com/health offers an easy breakdown of possible STD risks. Women in committed relationships or those who religiously practice safer sex with their partners may feel comfortable without STD testing. You should be comfortable discussing your sexual behavior with your health care provider so the two of you can best assess which tests should be a part of your regular care.

Breast and cervical cancer screenings should occur as recommended by your health care provider, ideally annually. Keep in mind that regular screenings are critical for early cancer detection and the best chance of successful treatment. The frequency of pap smears and breast cancer exams will depend on your personal health history, age and other factors. It can be easy to skip regular exams, especially without the need for contraception; however, establishing care with a trusted provider and having screenings as appropriate is critical to overall good health. Both health care providers and patients are guilty of assuming that the lack of male sexual partners eliminates the risk of cervical dysplasia and thus the need for routine pap testing. More information on cancer screening for lesbians and other queer women can be found at temenos.net.

Some information indicates that women who have primarily had female sexual partners may be at higher risk for breast, endometrial, and ovarian cancers. This is an individual issue, related not to sexual behavior but rather to pregnancy and the use of oral contraceptives. Certain behavioral issues in the lesbian community can contribute to health risks. These include higher rates of smoking, excessive alcohol consumption and obesity. Again, your personal risk factors for these issues may be low, but they should be considered when seeking out health care.