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Sexually Transmitted Infection Considerations for Transgender and Gender Expansive Persons
Lydia A Fein1, Staci Marbin1, Rebecca Barnett2
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Miami, Miller School of Medicine, Miami.
Clinical Obstetrics and Gynecology
|March 6, 2025
Summary
Transgender and gender expansive (TGE) individuals face higher risks for sexually transmitted infections (STIs). Gender-affirming care and inclusive practices are vital for effective STI screening and treatment in this population.
Area of Science:
- Public Health
- Sexual Health
- Gender Studies
Background:
- Transgender and gender expansive (TGE) persons experience disproportionately higher rates of sexually transmitted infections (STIs) compared to the general population.
- TGE individuals often encounter significant barriers to accessing healthcare, which can impede timely STI testing and treatment.
- Existing healthcare approaches may not adequately address the specific needs and risks associated with sexual health in the TGE community.
Purpose of the Study:
- To outline essential components of STI screening and treatment for TGE persons.
- To emphasize the integration of a gender-affirming care approach in sexual health services.
- To provide best practices for gender-inclusive care tailored to TGE individuals, including those who have undergone hormone therapy or surgery.
Main Methods:
- Review and synthesis of current literature on STI prevention and care for TGE populations.
- Identification of unique considerations for STI screening and treatment in TGE individuals.
- Development of recommendations for culturally competent and gender-inclusive healthcare practices.
Main Results:
- TGE persons require specific considerations for STI screening and treatment due to unique health risks and barriers.
- Gender-affirming care is crucial for improving engagement and outcomes in sexual health services for TGE individuals.
- Implementing gender-inclusive practices enhances the effectiveness of STI testing and treatment strategies.
Conclusions:
- Culturally competent and gender-inclusive STI testing and treatment are essential for improving sexual health outcomes in TGE persons.
- Addressing healthcare barriers and adopting a gender-affirming approach can mitigate STI risks within the TGE community.
- Further research and implementation of tailored sexual health interventions are needed to support TGE individuals.
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