Should doctors ask patients about sexual orientation?
Asking about patients’ sexual orientation is not routine, even among medical professionals who specialize in sexual health.
About half of the medical professionals surveyed by Johns Hopkins researchers in Baltimore said they asked patients directly about sexual orientation, according to a study published in July in the Journal of Sexual Medicine, and about 40 percent said sexual orientation is irrelevant to patients’ care.
The survey’s co-author, Dr. Amin Herati, a urology professor at the Johns Hopkins School of Medicine, said that men who mostly have sex with men are at higher risk of some sexually transmitted infections, so if doctors don’t know a man is gay, for example, his care might not include that consideration.
Asking about a patient’s sexual orientation has risks and benefits, said Naomi Goldberg, policy and research director at the Movement Advancement Project, a think tank that works toward equality for LGBT people.
Overall, she said, the benefits of tailoring care toward patients outweigh risks, but the way that someone’s orientation is sought is important.
“Any time you ask about sexual orientation or gender identity, that’s sensitive information that needs to be treated carefully,” she said.
And that information should be safeguarded, she said.
As far as how to ask, questions regarding sexual orientation could be included on intake forms, she suggested, along with other questions ascertaining age and ethnicity. Boxes could include whether patients think of themselves as lesbian, gay or trans, for example. They also could ask what gender they were assigned at birth and how they identify now.
Goldberg pointed out that with more information, for example, a doctor might bring up the possibility of using PrEP, the pill that can reduce the risk of HIV infection. Also, knowing that LGBT people might be more at risk for depression could help doctors better monitor mental health.
“Those are the kinds of things that might get left out because doctors may make assumptions about their patients,” Goldberg said.