十項跨性別應注意的健康議題

10 Things Transgerder Persons Should Discuss With Their Healthcare Provider

1. 醫療可近性 Access to Healthcare

找到理解跨性別人士的的醫療院所是困難的，甚至很難找到願意診治跨性別的醫療人員。

有些醫護人員可能會因為你的跨性別身份而認定你有問題。即使你找到願意提供醫療服務的院所，你的保險也可能不給付。問問你的醫療人員，你的保險是否會給付你的醫藥費用，如果沒有，問問看是否願意減免些許費用，讓你得以負擔。

It is not easy to find a healthcare provider who knows how to treat transgender people. Sometimes it is difficult to find someone who will agree to treat you. Some providers may feel that there is something wrong with you because you are a transgender person. They are not correct, of course. They may not understand that you have always been this way. Even if you do find someone who will treat you, your insurance may not pay for the treatment. Ask your provider if your costs will be covered by your insurance. If they will not, ask if they will reduce your bill so you can pay.

2. 健康史 Health History

信任你的醫療人員是很重要的事，告訴他們你曾服用的藥物與施行的手術。如果他們能知道你做過哪些醫療行為，他們可以給你比較適當的醫療服務。

Its important for you to be able to trust your healthcare provider. Tell them about the medicines you have taken and the surgeries you may have had. If your provider knows what has happened with you in the past, he or she will be better able to give you the best treatment today.

十項雙性戀應注意的健康議題

10 Things Bisexuals Should Discuss With Their Healthcare Provider

1. 對你的醫療人員出櫃 Come Out to your Healthcare Provider

為確保你得到最好的照護，你的醫生應該知情你是雙性戀，以便他提供較詳細而具體的問診與檢測。許多醫事人員不太熟悉雙性戀，可能會對你的生活方式有預設立場。記得每次都告知醫生你現在的伴侶是誰，這可能會改變醫生給你的篩檢項目。若你的醫生因你的性向讓你感到不舒服，請換一個醫生。

In order to provide you with the best care possible, your clinician should know you are bisexual. It should prompt him/her to ask specific questions about you and offer appropriate testing. Many providers are less familiar with bisexuality and may make assumptions about your behavior. Be honest and you will get better care. Remind your provider each time you see them about who your current partners are—it may change the screening tests they offer you. If your provider does not seem comfortable with your sexual orientation, find another provider.

2. 愛滋病，安全性行為 HIV/AIDS, Safe Sex

男男性行為會提高愛滋感染的風險，但同志社群所倡導的安全性行為可大為降低感染風險。如果你是愛滋病毒帶原者，請尋求良好的醫護照護。安全性行為已被證實可降低感染與傳播愛滋病毒的風險。若參加愛滋感染風險較高的活動時，也需與醫生討論暴露於風險後所能採取的保護措施。如果你或你的伴侶其中一方是愛滋帶原者，你應該立刻跟醫生討論預防措施。雖然女女性行為有較低的愛滋病感染率，但若妳跟男同志或雙性戀男性發生關係，知道他們的愛滋病狀態以及如何保護自己是非常重要的。

Many men who have sex with men are at an increased risk of HIV infection, but the effectiveness of safe sex in reducing the rate of HIV infection is one of the LGBT community’s great success stories. If you are HIV positive, you need to be in care with a good HIV provider. Safe sex is proven to reduce the risk of receiving or transmitting HIV. You should also discuss and be aware of what to do in the event that you are exposed to HIV (Post-Exposure-Prophylaxis)—contacting your provider IMMEDIATELY following an exposure to explore your options. If you are in a relationship where one of you is positive, you should discuss options for prevention with your provider as well. Although women who have sex with women have lower rates of HIV, if you have sex with a gay or bi man (who have increased rates) it is important to understand their HIV status and how to protect yourself.

十項男同志應注意的健康議題

10 Things Gay Men Should Discuss With Their Healthcare Provider

十項男同志應注意的健康議題：

1. 對醫療人員出櫃 Come Out to your Healthcare Provider

為確保醫療品質，最好讓醫生知道你是男同志，以便他提供適當的問診與檢測，若你的醫生因你的性向讓你感到不舒服，請換一個醫生。

In order to provide you with the best care possible, your clinician should know you are gay. It should prompt him/her to ask specific questions about you and offer appropriate testing. If your provider does not seem comfortable with you as a gay man, find another provider.

2. 愛滋病、安全性行為 HIV/AIDS, Safe Sex

男男性行為會提高愛滋感染的風險，但同志社群所倡導的安全性行為可大為降低感染風險。如果你是愛滋病毒帶原者，請尋求良好的醫護照護。安全性行為已被證實可降低感染與傳播愛滋病毒的風險。若參加愛滋感染風險較高的活動時，也需立刻與醫生討論暴露於風險後所能採取的保護措施。如果你處於一段交往關係，而其中有陽性反應者，你也應向醫生討論預防措施之選項。

Many men who have sex with men are at an increased risk of HIV infection, but the effectiveness of safe sex in reducing the rate of HIV infection is one of the gay community’s great success stories. If you are HIV positive, you need to be in care with a good HIV provider. Safe sex is proven to reduce the risk of receiving or transmitting HIV. You should also discuss and be aware of what to do in the event that you are exposed to HIV (Post-Exposure- Prophylaxis)—contacting your provider IMMEDIATELY following an exposure to explore your options. If you are in a relationship where one of you is positive, you should discuss options for prevention with your provider as well.