Lesbian teens who have had sex with males should have routine screening, including Pap smears. Psychosocial issues in primary care of lesbian, gay, bisexual, and transgender youth. This can be more complicated for gay, lesbian and bisexual teens, who often lack models of same-sex relationships. A model of gay identity acquisition. Possible reasons for increased risk may include self-medication for depression and low self-esteem, or increased tendency toward risk behaviours in response to rejection by family and peers. There are often clinical situations in which topics such as adolescent sexuality, gay and lesbian parenting, as well as counselling parents about sexual orientation are clinically relevant. Parents should be told that it is important that they let their teen know that they still love them while they are dealing with their feelings about orientation.
Homosexual adolescents with significant depression, anxiety or substance abuse issues should be referred, whenever possible, to mental health specialists with experience treating homosexual adolescents. Very few people 18 years of age or younger get married, and parental consent is required for those younger than 18 or 19 years of age depending on the province or territory. Providers should be aware of the risks to health and development in these youth, including those resulting from homophobia or from sexual behaviours. Many teens tell a sibling or cousin before they tell a parent, and often an adolescent chooses one parent to tell first. If a health care provider has personal barriers to providing nonjudgmental care and information, they should refer patients to another provider. Sexual intercourse, abuse, and pregnancy among adolescent women: Gay males should be assessed for their risk of STIs. Erroneously, some teens get the idea that they cannot really be gay unless they have anal intercourse. Gay youth are more likely to start using tobacco, alcohol and other substances at an earlier age Many physicians receive little training in talking to teens about sex and sexual orientation. J Gay Lesbian Med Assoc. Statistics are not available on the numbers of adolescents who have married same-sex partners. J Pediatr Health Care. Studies that try to define the percentage of teens who are not heterosexual are often limited by the questions that they ask. Ontario Cervical Screening Program. Ryan C, Futterman D. Gay or lesbian students may disclose their own sexual orientation to a preceptor or mentor after an open discussion of these issues. Sexual orientation and youth suicide. How to meet someone who may be interested, how to flirt, what to do on a date or how to introduce a sexual element to the relationship are all things that may mystify a young person. Studies of Suicide in Gay and Lesbian Teenagers. Because HPV can be transmitted by digital penetration and shared sex toys, routine screening should also be initiated for lesbian teens who have had penetrative sex with a shared sex toy or ungloved fingers, even though the risk is thought to be lower than with heterosexual intercourse. People whose gender identity does not match their anatomy are often referred to as transgendered, and need specialized consultation for a possible gender identity disorder. There are often clinical situations in which topics such as adolescent sexuality, gay and lesbian parenting, as well as counselling parents about sexual orientation are clinically relevant. Young people from ethnic or racial minorities may be at increased risk, with feelings of vulnerability and a perception of increased stress Psychosocial and medical implications. Ethnic and sexual-minority youth. Risk factors for attempted suicide in gay and bisexual youth.
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