Going to a clinic can make people feel anxious, especially if they identify as LGBTQ+. However, there are many clinics that are LGBTQ+ and youth friendly, non-judgemental, youth-friendly and sex-positive. What is most important is that you feel safe, respected and comfortable enough to ask questions. You have the right to access clinical care and the right to privacy. If you have questions or concerns about keeping your medical care private, you can start your appointment by clarifying these rights with your clinician. There is some variation of rules across the country, but most provinces and territories allow young people to make medical decisions for themselves, and to keep those decisions private if they wish to.
LGBTQ+ Friendly Clinics
Some people might feel most comfortable and safe at a clinic that is openly LGBTQ+ friendly non-judgemental and sex-positive. Access to these clinics will vary based on different factors, such as your geographic location. To find a clinic in your area, you can always do research online, connect with a regional sexual health service or a public health service in your community, or use a clinic finder from a reputable source like Action Canada for Sexual Health & Rights. If possible, you can talk to your LGBTQ+ community to share information and resources.
Tests and Exams
When you go to a clinic or your family doctor, you can request or be offered some tests to maintain your sexual health. For example, you might do a breast exam or testicular exam, which are exams that your doctor can teach you to do on your own, and that involve checking for signs of cancer (breast cancer or testicular cancer). Other exams might be done for STI testing. If you have a vagina, you can also get a cervical screening which checks for cervical cancer. These tests are meant to help you stay healthy and have a fulfilling and safer sex life.
For more information, check out: Making the Most of Your Appointment(s)
Cervical Screening
A cervical screening, also called Pap smear or Pap test, is an exam where a doctor will collect cells from the cervix to make sure they are healthy. Although it may be a bit uncomfortable, a cervical screening should not be painful; if you are experiencing pain, talk to your doctor before continuing. In general, the test should only last a few minutes. Every province and territory has different guidelines about when you should begin cervical screening, and how often you should repeat the test. Check out the recommendations on your province or territory’s public health or cancer agency website.
For more information, check out:
Tests and Self-Exams
Getting Ready for Your Pap Test
Getting a Pap Test
Hormone Therapy
Some individuals who identify as transgender, or within the transgender umbrella, may choose to engage in hormone therapy or hormone replacement therapy at some point in their lives. Hormone therapy is the use of testosterone or estrogen to help change someone’s physical body to align with their gender identity. In order to begin hormone therapy, talk to your clinician or health care provider.
For an extensive guide on Trans Health Care, including both masculinizing and feminizing hormone therapy, check out: Trans Primary Care