Advice for those Newly Diagnosed with HIV

The impact of an HIV diagnosis can feel overwhelming. Some feel as though their life is ending. Luckily, with advanced therapies, living with HIV isn’t a death sentence like it used to be. In fact, those living with HIV can live relatively normal lives for years and even decades after first becoming infected. In addition, there is a large community of those living with HIV and plenty of available resources to get information, proper care, and support.

Here is some advice for those newly diagnosed with HIV:

  1. First, take a deep breath. Now is the time to reach out for the support of friends, family, your partner, and those around you who care about you.
  2. It’s important to start forming a strong relationship with your primary care doctor. Get all the blood tests and run whatever other tests your physician suggests. Luckily there are anti-viral drugs, known as a cocktail, that can bring your viral load down to undetectable levels.
  3.  You may have to change your lifestyle, incorporating more healthful practices such as eating right, getting more sleep, and exercising. Make sure you stick with it. This is your health we are talking about. t give up.
  4. Get informed. There are lots of resources out there, including in your area. It can feel really scary, so get as much information and support as you need. If you are having trouble finding those who understand where you are coming from, find a support group in your area.
  5. Remember that HIV is only an aspect of who you are. Don’t let it define you. Remember to take part in all the other aspects of your life such as your job/career, passions, hobbies, love, life, friendships and more.
  6. HIV may get in the way some times and some people get overwhelmed by the fear and sadness. It’s important to allow yourself to grieve and work through all of the emotions. It really is a life changing event, but if you learn to manage it as just an aspect of your multi-faceted and fulfilling life than it becomes not such a big deal anymore.  This isn’t a terminal diagnosis. You don’t have to die of HIV anymore. It takes work and effort. So you have to realize that this is going to change your life in some pretty significant ways.
  7. If you have been rejected by your family, make your own new support group of friends. Support from those who understand and care about you is so important in this trying time. Developing and maintaining a positive attitude is really important.

Life doesn’t end at diagnosis. It’s just the beginning for some tremendous changes in your life. Don’t feel as though this is only an experience for you to learn from. Volunteer in organizations, donate to HIV/AIDS research, go to rallies and inform youth and peers of your struggles and how they can avoid contracting HIV. Remember that you aren’t dying of HIV. You are learning to live with it.

LGBTI Youth & Sexual Health

The CDC defines sexual health as “…a state of physical, emotional, mental and social well-being in relation to sexuality.”

Researchs show that people who identify as LGBTI tend to report lower satisfaction rates in regards to sexual health. In large part this is due to a lack of discussion about LGBTI relationships and sexuality. While many people get such information on dating, relationships, and sexuality during their developmental years from parents, teachers, and other community establishments, LGBTI youth generally get their information online. This can be a great resource, but it can also be full of misleading or inaccurate information.

It is important for LGBTI youth to have access to sexual health resources. A significant factor in establishing sexual health is for both partners to feel safe and satisfied in their relations. Exploring questions pertaining to sexuality and safe practices with adults will help develop self-confidence and eliminate some fears.

Unfortunately, research continues to show that Lesbian, Gay, and Bisexual youth are at an increased risk for being victims of violence, bullying, and suicidal thoughts. It is understandable then that youth who live under constant fear and harassment also encounter greater difficulty in maintaining sexual health within their personal relationships.

In addition to discussing such issues individually, communities can support youth by facilitating open discussions and youth organizations. Creating a safe place for youth to explore questions, raise concerns, and meet with people who share similar thoughts and feelings can go a long way in supporting LGBTI sexual health well into adulthood.

Needless to say, having open and honest conversations about sexuality within the LGBTI community is instrumental to achieving sexual health. The first step in achieving sexual health is to discuss concerns with a healthcare practitioner. Research also shows that people LGBTI youth and adults visit healthcare practitioners less frequently – reach out to a professional today and make an appointment.

Seasonal Affective Disorder & The LGBTI Community

For many, lack of light can result in Seasonal Affective Disorder known as SAD a type of depression that is associated with the changing seasons. SAD can make it difficult to weather the winter months, and for those in the LGBTI+ community, SAD can be an especially difficult, possibly compounding problem.

SAD is thought to result from a decrease in exposure to sunlight. This decrease may disrupt your internal clock (i.e., circadian rhythm) and can also lead to a drop in serotonin levels. SAD can manifest in a variety of ways. The most common symptoms include tiredness, lack of energy, irritability, changes in appetite, weight gain, and social withdrawal.

Why should LGBTI+ be concerned about SAD?

According to the American Psychological Association, when compared to their heterosexual counterparts, gay men have “higher rates of recurrent major depression,” and individuals between the ages of 15 to 54 with same-sex partners had “higher rates of anxiety, mood, and substance use disorders and suicidal thoughts.” Because they are susceptible to depression, it is important that those in the LGBT+ population be aware of the effects brought on by SAD because “symptoms of depression may worsen seasonally.”

To combat the effects of SAD, many physicians recommend light therapy, also called phototherapy. During light therapy, the patient sits near a special light therapy box that is designed to mimic natural sunlight exposure. Antidepressant medications and psychotherapy are also often recommended.

Being aware of SAD and not simply dismissing the symptoms as the “winter blues” is the first step toward coping. Those in the LGBTI+ community, as well as others who may be susceptible to or have a history of depression, should be aware of the symptoms and the recommended treatment options.

HPV Vaccine & Benefits for The LGBTI Community

HPV, Human Papilloma Virus, has been known as a silent killer.

Fortunately, there is now a vaccination for some of the most common strains of HPV. Still, many remain unaware that they have the virus until symptoms become severe. Most strains of the virus do not cause any visible symptoms in those who are infected, and the strains that do develop symptoms don’t necessarily do so in everyone. Symptoms include genital warts and cancer. For some time now research has linked cervical cancer to HPV. A more recent discovery is that anal cancer is also linked to HPV, as are many head and neck malignancies.

HPV is spread and contracted regardless of the use of condoms or other forms of protection. Thus the virus is easily spread through oral sex as well – causing cancers of the mouth, head, and neck. While there is no cure for HPV, the body usually fights off the virus within a few years. People with weakened immune systems, such as HIV positive individuals, aren’t usually able to fight off the virus. Many people who otherwise have strong immune systems may have the virus dormant only to have it flare up and change cells, causing dysplasia, during times of stress.

So why does HPV seem to disproportionately affect the LGBTI community?

It’s not that our bodies are any different. It’s that our habits are. Many people in the LGBTI community are less likely to go in for check-ups or follow-ups, increasing their chance of developing cancer. Cell changes can actually be treated if caught early enough. Men who have sex with men are also more frequently infected with HPV because it is more easily contracted through irritated skin, which is often the case with penetrative sex.

Speak to a professional today and go in for a check-up, even if you only have one sexual partner – it’s always better to be aware of what’s going on in your body.

What is commonly known is that HPV is the leading cause of cervical cancer in women. However HPV can also cause an genital (anal) cancer, for which gay, bisexual… men are at the greatest risk. Genital HPV is transmitted through skin to skin contact, the likelihood of transition is greater in the presence of irritated skin often present as a result of penetrative sex. Studies have consistently found that only 25% of men who have sex with men are familiar with HPV or the benefits of the HPV vaccination.

There are more than 60 forms of HPV, many of which are transferred by sex, and primarily infect the genitals frequently causing genital warts, and less frequently causing cervical, or anal cancers.

HPV is viewed as the most common sexually transmitted disease, at any time between 20 to 40 million persons are infected with the virus, and infections have been on a rise over the past decade. In adition, those infected with HIV are at a greater chance of complications from forms of HPV.

There exist two forms of vaccination against the forms of HPV which can lead to cancer—Cervarix and Gardasil. The United States approved Gardasil for use in men in 2010, and is particularly advised for gay, bisexual… men.

HIV And AIDS Among Youth And Young Adults

Youth and young adults between the ages of 13 and 24 in the United States are among the highest risk groups of being infected with HIV. The CDC reports that the greatest number of new HIV infections within this age group are among gay and bisexual males, with African-American and Latino males who have sex with other men being at even greater risk.

Why is this population increasingly at risk? There are a myriad of reasons, including a lack of sexual education and information promoting abstinence and delaying initial sexual encounters. These groups are also among the highest populations suffering from substance abuse, homelessness, and sexually transmitted infections.

Looking at global numbers, a young person becomes HIV-positive every 30 seconds. Studies have shown that the majority of youth and young adults in the U.S. are not afraid of contracting HIV, which equates to low testing rates and low rates of condom use. While there are an increasing number of HIV and AIDS awareness promotion programs, youth advocacy, and health counseling, the data translates to a dire need for greater outreach efforts.

The best way to prevent infection with HIV is abstinence. Secondly, reducing the number of sexual partners, avoiding unprotected sexual encounters, and being tested regularly are the most important steps you can take to prevent infection or spreading the virus. More than half of the percentage of youth infected with HIV/AIDS were not aware that they had the virus.

While many young adults are not concerned with contracting HIV, a large number are still in denial of the increasing risk of contracting and spreading the virus. Even if you think you are not at risk, it is recommended that you get tested regularly. Speak to a professional today, there are a number free test sites available as well as youth programs and counseling services .

Sexual Safety During Pregnancy Possible For Lesbians Too

Worrying about the safety of sexual activity is not something limited to heterosexual couples. Many lesbian couples worry, too.  Thankfully, there’s generally no reason to avoid intimacy when you’re expecting. However, there may be certain activities your doctor will advise you to avoid if you are considered a high-risk pregnancy.

Pregnant lesbians may find the topic of sex to be a touchy subject. During pregnancy some women experience heightened senses and an increased libido, while others lack sexual desire completely. Some have partners who are afraid of injuring the baby and, as a result, put any sexual feelings on the back burner.  It’s important to keep in mind, though, that most pregnant women want to be intimate and many want to participate in sexual activity.

Even if genital sex is not desired, there are other ways to go about creating intimacy such as massage, kissing, and touching.  The majority of types of lesbian sexual activity, including light penetration, is safe for most pregnant women. However, it’s important to stay away from certain activities such as rough S&M, deep thrusting, or fisting. Do not continue any sexual activity that triggers any discomfort. Avoiding sex toys such as vibrators, dildos and strap-ons are suggested since there’s difficulty in knowing where they’re touching exactly.

During pregnancy, it’s important to take time for yourselves.  Otherwise, you’ll find that you won’t naturally have that emotional energy. Take time to get together with friends and family. This is especially important if you’re a single pregnant woman, finding that you’re isolated from most of the lesbian community during this time. Perhaps you’ll even find it worth considering to give yourself a spa day.

And, if you are in a partnership, include your loved one for the spa day. You needn’t even visit a spa. Stay home, give each other massages, have a special dinner together, and even a gigantic dessert. Why not? At least once in awhile.

This is not an easy time for couples, in general, but it can still have more ups than downs. You can both keep your relationship fresh, especially when remembering that you’re going to have to take it more slowly than usual. You might have actual sex less, but find that you’ll become more intimate with your partner in ways that you never imagined.

Gay Men’s Health & Healthcare Providers

Have you ever had a healthcare provider who didn’t understand you?

Maybe you just didn’t feel comfortable with him, or maybe she was outright rude. Either way, having an open relationship with your physician is extremely important. Aside from the fact that you don’t want to work with someone looking down their nose at you, being able to raise concerns and discuss health issues openly and honestly is a major contributor to your long-term health.

As a gay man, there are a couple of issues that are particularly important to discuss with your healthcare provider.

#1 HIV/AIDS

Men who have sex with men are at disproportionately high risk for contracting HIV, in addition to other sexually transmitted infections. Many infections may not initially show symptoms so following up regularly for check-ups and discussing your sexual practices with your physician may end up making all the difference in the long run. Many healthcare providers are also able to provide you with other resources and referrals – when it comes to your doctor, it’s always good to talk!

#2 HPV

The serious effects of HPV have only recently hit the forefront of health news. HPV has many strains, but it is mostly known for being the virus that causes genital warts. Genital warts are generally easy to treat, your healthcare provider can prescribe a removal cream, or, if needed, laser treatment. The concern with HPV isn’t the genital warts as much as it is cancer. Unfortunately, there aren’t many other symptoms of HPV to warn you, but the virus is now being linked to increased levels of anal and oral cancer. Oral sex can transmit HPV to the mouth and throat, causing problems in the long run. The virus is also transmitted through anal sex, possibly causing anal cancer. While this is difficult to test in men, keep up to date with your check ups.

If you are a sexually active man, find a healthcare provider that you are comfortable with and check in regularly. Reach out to a professional today!

5 Ways Bisexual Women Can Pursue Better Healthcare

Many individuals in the LGBT+ community face significant issues with regard to health care. For example, bisexual women face a high risk of physical and mental health problems and have a higher likelihood of experiencing violence and addiction. Discrimination is often experienced within the healthcare system. The bisexual community is fighting this, to spread education and make quality healthcare more accessible.

There are some general guidelines that may be helpful for bisexual women who are looking for quality health care. Read on to learn the five ways bisexual women can take care of their health, even while facing exceptional challenges.

Be aware of risks
Bisexual women are more likely to experience addiction, smoke, have depression and have suicidal thoughts and/or attempts, compared to other groups. Bi woman are also at a higher risk for cancer than heterosexual women or lesbians and less likely to get screening. Amy André, a co-author of Bisexual Health: An Introduction said, “Research shows that bisexuals experience more discrimination, violence, and stigma than gays and lesbians.” She believes that the fact that bisexuals have the worst health is directly linked to the violence, stigma and discrimination.

Seek quality health care
Unfortunately, it’s not possible to assume that every doctor is able to cater to the unique needs of LGBT+ patients. It is easier in urban areas, but still more difficult to find a provider that doesn’t group bisexual patients with gay or straight women. There is a list of providers in the Gay and Lesbian Medical Association directory and the Bisexual-Aware Professionals Directory. Everyone deserves to be treated with respect and compassion.

Be your own advocate
You’ll need to be more assertive at times because some doctors will ask questions that are heteronormative. If you find that the doctor assumes you are a sexuality that you aren’t, you may need to answer broadly. You’ll want to make sure that you’re giving proper information about your past and current partners, and your sexuality. Some women will find it more difficult if they live in a small community with few doctors. Push yourself as far as you feel comfortable and remember that you can request certain types of screening for your physical and mental health.

Know your financial barriers
According to LGBT+ MAP’s Unfair Price study, bi women are more than twice as likely to live in poverty than the general population, and 29% of LGBT+ women have trouble finding affordable health care, compared to 19% of heterosexual women. Women in rural areas may experience even more difficulty. It’s of vital importance to have access to affordable health care. This could mean a visit to a free clinic, Planned Parenthood or a doctor’s office that takes your health insurance.

Get the word out
Form a support system and be supportive to others in a similar position. Doing this not only positively affects your chances of receiving affordable health care, it improves your health.

Lesbian and Bisexual Women’s Health

There is so much health information available online geared toward lesbian health. How does lesbian or bisexual health differ from that of heterosexual women? It doesn’t. Women who identify as lesbians and bisexuals are prone to the same sexually transmitted infections, urinary tract infections, and yeast infections as women who identify as heterosexual. That said, it is important to note that lesbian and bisexual women do face significantly different issues within health care, such as discrimination and uninformed medical practitioners.

As sexual orientation doesn’t affect a woman’s health, it is reasonable to then look into risk factors and common illnesses for women in general. The number one cause of death for women is heart disease. There are several risk factors that contribute to the likelihood of developing heart disease. While age, race, and genetics are not within your control, obesity and smoking are. Such lifestyle choices make a significant difference when it comes to long-term health, particularly in the prevention and treatment of heart disease.

The second most common cause of death amongst women is cancer of the breast, lung, colon, uterus, and ovaries. This is one case that research shows a significant increase in rates for lesbian or bisexual women. While research is still being conducted, it is believed that breast and ovarian cancers are related to hormone levels. It is thought that full-term pregnancies and breastfeeding release hormones that may protect women against such cancers. As lesbian and bisexual women are less likely to have a full-term pregnancy, they may be at greater risk of developing such cancers.

Of course, the greatest risk for all women is to delay check-ups and exams. It is most important to find a physician that you are comfortable meeting with regularly and speaking with openly. Women should go in for full examinations at least once a year – reach out to a medical provider and make an appointment today!

Common Anxieties New Intergenerational Gay Couples Experience

Intergenerational couples face anxieties related to their age differences and prejudices from the outside that can make it exceptionally difficult for their relationships to grow. By taking the obvious anxieties (sometimes they’re not apparent to either partner) and tackling them head on, differences can be deemed worthy of addressing or irreconcilable. Read on to learn of some of the top anxieties some gay intergenerational couples face.

Perception
When intergenerational couples are first beginning their relationship, they’re often concerned about the perception of others. A lot of anxieties for the couple dictate their approach to the relationship. Significant negative impacts may result from outside societal pressure.

Opportunism
Both partners in a relationship may suspect that they’re being taken advantage of in some way. For example, does the younger one in the relationship just use the older partner for their money? Or, is the older partner using the younger partner for sex, or as “arm candy”? It’s important to have this discussion with your partner before assuming opportunism is the case because it can be very hurtful if that assumption is incorrect. Of course, if it’s true, it’s a legitimate reason to call it quits.

Sexual performance
This is more often an anxiety experienced by the older partner.  As men age, their sexual function often decreases and they focus on those problems. They might have concerns with performance and how their younger partner will judge them. It’s also the case that the younger man might fear they’re not experienced enough for their older partner.

Autonomy
This is more of a problem for the younger partner in a relationship. The older partner is quite often more established financially and professionally. And, they have usually been out of the closet for a longer period of time; more secure with their sexuality. At the same time, the older partner may fear that they’re holding back their younger partner when it comes to to their development and sexual experiences.

Rejection
This happens in many relationships that are new– the fear of rejection. All of the anxieties we have feed into this fear. Is the younger man experienced or educated as much as the older man? On the other hand,  is the older man fit enough, with sufficient energy to keep up with his younger partner?  If there’s any concern, these are important questions to explore with your partner; they can be confronted and dealt with…and the relationship can flourish.

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