LGBT+

Sexual Orientation: 

Sexual orientation refers to who someone is sexually, romantically or emotionally attracted to. Some people’s sexual orientation can be fluid and they can be attracted to different people at different times during their life. For some people, they may have the same sexual orientation for the whole of their life.

It is normal to explore and experiment with your sexual orientation, more often during puberty with the development of sex hormones. How you feel and identify is up to you.

Most common sexual orientations: 

Heterosexual – someone who is sexually, romantically and emotionally attracted to people of the opposite sex

Gay –  men who are sexually, romantically and emotionally attracted to other men

Lesbian – women  who are sexually, romantically and emotionally attracted to other women

Bisexual – someone who is sexually, romantically and emotionally attracted to more than one gender

Asexual – someone who doesn’t experience sexual feelings or desires or have any attraction to someone

Other recognised sexual identities: 

Pansexual – someone who is sexually, romantically and emotionally attracted to people regardless of sex or gender identity

Demisexual – someone who is only attracted to someone after they’ve formed a strong emotional bond with them

GBMSM – Gay, Bisexual, Men who have Sex with Men. This may include men married to women

GBWSW – Gay, Bisexual, Women who have sex with Women. This may include women married to men

Questioning – someone who is exploring their sexual orientation

Gender identity refers to a person’s understanding and experience of their own gender from a psychological and emotional perspective. Everyone has a gender identity which may, or may not, match the sex they were assigned at birth.

Gender can be placed onto a broad spectrum of different/alternative gender identities, other than just traditional male and female. These include identifying as Transgender, Non-Binary, Non-Gendered or Gender-Fluid (non-exhaustive list) and may involve some form of personal/medical/surgical transitioning.

If a person identifies as Transgender, this means that their gender identity does not match or is different from the sex they were assigned at birth.  Some people may describe this as feeling they were born into ‘the wrong’ biological body.

A person who identifies as Non-Binary experiences their gender in a variety of different ways. It may include: a combination of male and female elements; be neither male nor female; or mean identifying in an altogether different/original way. They may not want to use words associated with being male/masculine and female/feminine to describe their gender.

A person’s Gender Expression is the way an individual presents their gender. This can include the way the person dresses (which may not be permanent), mannerisms, their name and the pronouns they would like to be addressed by: he/him, she/her, or they/them.

Trans Umbrella by Fox Fisher

Coming out to people as LGBT+ even to close friends and family members, can be a difficult, stressful and anxious experience.

It is important that you tell others about your gender identity/sexual orientation, but only when you feel ready. This allows you to take control of the the situation and to tell people who you feel will be most supportive, non-judgemental and comforting.

On some occasions, you may find it difficult and want help from others to come out. We can help you to think about how you would like to do this and how to do this safely.

LSH Safety Plan – Andrew Trowbridge (LGBT+ Lead)

Discussions around having safer sex are really important, including discussions you may have with your sexual partners. Below are some considerations:

• Regular testing allows us to identify STI’s and allows quicker access to treatment and care.
• Ensure you use the right size condom and know how to use them correctly. Using plenty of lube (water based), will reduce the risk of the condom splitting. Condoms can also be used for oral sex and come in a variety of flavours and sizes
• If you are sharing any sex toys with sexual partners it is advisable to use condoms to reduce STI risks. It is also advisable to clean all sex toys after use
• If you are inserting your finger(s)/fist into someone’s anus, it is advisable to use plenty of lube (water based) and latex gloves to reduce injuring/causing pain to the person you’re having contact with.  Gloves will also protect you from any fluids in the partner’s anus (blood, secretions and faeces)
• If you use any drugs/alcohol before or during sex, be mindful of how these can impact on your sexual behaviours – ability to consent, getting/maintaining an erection and ability to negotiate safer sex. If you are engaging in Chem sex, measure your doses carefully and precisely, particularly GHB. If you would like support around this please contact our health advisors on 01582 718959 or our LGBT+ Lead on 07976 406 912.
• Access to PEP (post exposure) and PrEP  (pre exposure) to reduce HIV risk and discussions with partners about if  they  are using PrEP

Vaccinations:

Hepatitis B – vaccinations are available for people at high risk of the infection. This includes male/female sex workers, GBMSM, people who change their partner frequently and people who inject drugs

HPV (Human Papillomavirus) – vaccinations are able free at Luton Sexual Health for GBMSM/Trans women/non-binary people aged 15-45 who are sexually active or thinking about becoming sexually active who identify as GBMSM. The vaccine consists of 3 doses over a period of time.

Social Media Apps:

The increase in dating/hook up apps aimed at LGBT+ people has made it more important to stay informed of sexual health information. Remember to stay safe when meeting new sexual partners that you have only talked to online – let someone know where you are going, avoid eating or drinking anything given to you by casual sex partners, and leave any situation that is making you feel uncomfortable or anxious. If you turn up to meet someone and they do not look like the picture on the app, it’s ok to say no and leave.

There are lots of amazing local and national organisations that can support with sexual orientation and gender identity. If you feel that you need support or would like to talk to someone about how you are feeling, please have a look at the services below and make contact.

Local:

Luton Sexual Health LGBT+ Lead – Drew: 07976 406 912

Tokko – OK2B Group (Under 18) – OK2B – Tokko

Pride in Luton – Pride in Luton

Luton Trans+ Admin – Trans Admin group (prideinluton.org)

LGBT Bedfordshire – LGBT+ | LGBT Bedfordshire, England (lgbtbeds.org)

Rainbow Bedfordshire – Rainbow Bedfordshire Facebook

BLMK Better Days – BLMK Better Days Facebook

Q:alliance – Q:alliance | LGBTQ+ (qalliance.org.uk)

National:

Galop UK (LGBT+ Domestic Violence) – Galop – the LGBT+ anti-abuse charity

Mermaids UK (Gender Identity) – Homepage – Mermaids (mermaidsuk.org.uk)

Stonewall UK – Stonewall

Switchboard LGBT+ – Switchboard LGBT+ Helpline

Age Concern – LGBT+ Support

Childline (Under 18) – 0800 11 11

Breast screening in the UK is for anyone between the ages of 50 and 70 who has breasts, due to either naturally-occurring oestrogen or oestrogen hormone therapy.

• trans men and non-binary people assigned female at birth who have not had a mastectomy or ”top” surgery*
• trans women and non-binary people assigned male at birth and who have taken feminising hormones
• cisgender women

* If you have had surgery to remove the breasts it is likely that there will still be a small amount of breast tissue remaining. It is not possible to examine this by mammography. If you notice any changes to your nipples, chest or armpits then tell your doctor.

Source: Cancer Research 

Cervical screening is a way of preventing cervical cancer. It tests for the human papillomavirus (HPV), which causes almost all cases of cervical cancer. Cervical screening can spot any abnormal cell changes in the cervix so that they can be treated before they have chance to develop into cancer.

Cervical screening in the UK is for anyone with a cervix who is aged 25 to 64. This can include anyone who has not had any procedure to remove the womb or cervix, including :

• trans men
• non-binary people assigned female at birth
• cisgender women

Source: Cancer Research 

Everyone in the UK is invited to bowel cancer screening regardless of their gender. If you live in England and Wales, it is offered for people starting from the age of 50-60 up to 74 years. In Northern Ireland its 60-74, and in Scotland its 50-74.

You will receive a screening kit which can be done at home and will be sent every 2 years

If you are a trans woman who has had genital reconstruction surgery (vaginoplasty) using a loop of bowel, make your GP is aware of this when you are eligible for bowel screening.

Source: Cancer Research 

Prostate cancer screening is available to all cisgender men and trans women/non-binary people assigned male at birth if you are over 50 years old. Gender affirming surgery does not remove the prostate, so trans women can still develop prostate cancer.

Most experts suggest you should have a PSA test (blood test) before starting feminising hormones or testosterone blockers if you’re aged 50 or over, or over the age of 45 if you have a family history of prostate cancer or if you are black.

Source: Cancer Research 

It is recommended that anyone who has testicles should self examine for testicular cancer, especially between the ages of 20 – 44.  This includes –

• trans women
• anyone assigned male at birth
• cisgender males

Anyone has had an orchiectomy (removal of both testicles)  may not need any screening. Those with one testicle will still require screening.

AAA screening looks for bulges in the aorta, the main blood vessel that supplies blood to the body. The goal is to find AAA early so they can be monitored or treated. People who were assigned male at birth are more likely to suffer from an aneurysm in the Aorta. If you identify as a trans female then you will need to discuss AAA screening with your GP.

For further information about AAA screening, please click on this link – AAA screening

Source: Cancer Research