Understanding Sexually Transmitted Infections in Lesbian Relationships

As the seasons change and days get darker earlier in the afternoon, many people begin to feel their mood shift. While it’s normal to feel down or anxious every now and then, it’s important to be able to recognize when these feelings are not normal. Knowing the signs and learning some easy ways to cope can help you or someone you care about manage these feelings better.

What is Anxiety?

Anxiety often shows up as intense worry that’s hard to control. It can make you feel nervous or even panicked, with signs like a fast heartbeat, trouble focusing, feeling restless, and sometimes a hard time falling asleep. Anxiety might also cause you to worry about things that aren’t likely to happen. Sometimes anxiety can also cause feelings of nausea, abdominal cramping, headache, and tense muscles.

What is Depression?

Depression, on the other hand, is more about feeling sad or hopeless for long stretches. It can make you lose interest in activities you usually enjoy, and you might feel overly tired, lack motivation to do activities, or have trouble sleeping or eating. Depression can also cause you to feel isolated from others or think negative thoughts often. With depression, this may cause you to be more irritable and easily overwhelmed.

 

Easy Coping Skills You Can Try

Dealing with anxiety and depression can take time, but here are some simple tips to help manage these feelings day by day:

1. Breathing Exercises: Take deep breaths to help calm your body and mind. Try “square breathing” by inhaling for four seconds, holding for four, exhaling for four, and holding again.
2. Challenge Negative Thoughts : When you start to think negatively, try asking yourself if there’s real evidence for these thoughts. This can help you see things more clearly and calm down a bit.
3. Set Small Goals : Even if it’s something simple, like taking a short walk or finishing a small task, reaching a goal can boost your mood and give you a feeling of accomplishment.
4. Stay Connected with Others : Spending time with friends or family, even for a little bit, can lift your spirits. Support groups can also help you meet others who understand what you’re going through.
5. Create a Daily Routine : Having a regular routine can bring stability. Try to wake up, eat, and go to bed around the same times every day to help balance your energy.
6. Practice Gratitude : Writing down things you’re thankful for—even small things—can help you focus on positive moments instead of stress or sadness.

  When to Get Help

Sometimes, anxiety and depression need more help than self-care can offer. Here are signs it may be time to talk to a counselor or therapist:

• Feeling sad or anxious for more than a few weeks
• Struggling with daily tasks, school, or relationships
• Feeling hopeless or thinking about self-harm

Counselors and therapists can help you learn new ways to manage these feelings. You can start by talking to a parent, teacher, or your provider, who can help you find a professional.

 Getting Support

If you or someone you know needs immediate help, call the 988 Suicide & Crisis Lifeline, which is available 24/7. Remember, recognizing that you need support is a strong first step, and there are people ready to help you feel better.

Learning about anxiety and depression and using some of these tips can help make day-to-day life easier and brighter. You don’t have to go through it alone—support is always available when you need it. If you feel like you are struggling with your emotions and moods don’t hesitate to reach out to your provider at Diversity Family Health.

Cancer is often detected at a late stage, limiting treatment options and impacting outcomes. However, when discovered early, there may be more treatment possibilities and improved prognoses. We are proud to now offer the Galleri® multi-cancer early detection test* to our patients.

 Galleri is a groundbreaking test that screens for a shared signal across dozens of different cancers, including many that currently lack recommended screening methods. In clinical studies, Galleri detected cancer signals from over 50 types of cancer through a simple blood draw.

 KeyPoint's to remember:

• Galleri is a screening tool, not a diagnostic test. A positive result requires follow-up diagnostic testing to confirm cancer.
• The test identifies active cancer but does not assess genetic risk for future cancer development.
• Not all cancers can be detected in the blood, and both false positive and false negative results can occur.

 To learn more about the Galleri test, visit galleri.com or watch this informational video.

 Empower your health decisions by contacting us for an appointment to see if Galleri is right for you.

 *The Galleri test is recommended for adults at increased risk of cancer, typically those aged 50 and older, and should be used alongside existing cancer screening methods, not as a replacement.

* The Galleri test is not commonly covered by insurance and current cost is $900 to perform.

The holiday season can be a time of joy, but it can also bring added stress, anxiety, and depression, especially for those in the LGBT+ community. These months can feel isolating for individuals who may not have supportive families or those struggling with mental health issues.

  How are You Feeling?

If you're feeling down, it's essential to reach out for help. Mental health screenings for depression and anxiety can be done quickly in your provider’s office. Symptoms such as persistent sadness, lack of interest in activities, fatigue, or anxiety may indicate that it’s time to talk to someone.

  Treatment Options:

There are various treatment options available:

• Counseling/Therapy: Cognitive Behavioral Therapy (CBT), talk therapy, and other forms of counseling can help manage symptoms of depression and anxiety.
• Medication: For some, medications such as antidepressants or anti-anxiety medications may be necessary. Work with your healthcare provider to find a treatment that’s right for you.

  Managing Seasonal Affective Disorder (SAD):

Seasonal Affective Disorder (SAD) is a form of depression that occurs during the winter months when there’s less sunlight. Symptoms include low energy, sleeping too much, and feeling hopeless. Treatment options include light therapy, vitamin D supplements, and regular physical activity.

 Remember, mental health is just as important as physical health. Reach out to your provider if you're struggling this holiday season.

October is Breast Cancer Awareness Month, a time to promote the importance of breast cancer screenings and early detection, especially within the LGBT+ community. While breast cancer predominantly affects cisgender women, it's essential for everyone, including transgender patients, to be vigilant about their breast health.

  Breast Cancer Screenings for Trans Patients:

• For Trans Women: Trans women who have undergone hormone therapy with estrogen for at least five years may be at an increased risk for breast cancer. Regular mammograms may be recommended starting at age 50 or sooner, depending on your healthcare provider’s advice.
• For Trans Men: Trans men who have not had top surgery, or who retain some breast tissue after surgery, should still consider regular breast cancer screenings. Mammograms may be necessary based on your remaining breast tissue and personal risk factors.

  Mammograms and Self-Exams:

• Mammograms: These are one of the most effective early detection tools. It’s recommended that people between the ages of 50 and 74 undergo a mammogram every two years, but your provider may recommend starting earlier depending on your risk.
• Self-Exams: Monthly self-exams are a great way to stay aware of any changes in breast tissue. Look for lumps, skin changes, or nipple discharge, and report any concerns to your healthcare provider right away.

  Support for Patients Undergoing Breast Cancer Treatment:

If you're diagnosed with breast cancer, remember that you're not alone. Support groups, counseling, and patient advocacy services are available to help you through treatment, whether it's surgery, chemotherapy, or radiation.

 Remember, early detection saves lives. Schedule your screening today!

Smoking disproportionately affects the LGBT+ community, and individuals living with HIV are at even higher risk for smoking-related illnesses. It’s time to take control of your health and quit smoking.

Smoking in the LGBT+ Community:

According to the CDC, approximately 20.6% of LGBT+ adults smoke , compared to 14.9% of heterosexual adults. This disparity may be due to stress, stigma, and targeted marketing by the tobacco industry toward the LGBT+ community.

  Take Control of Your Health:

During your next visit, talk to your healthcare provider about smoking cessation. Providers can screen for tobacco use and provide resources such as:

• Behavioral Counseling: Therapy or support groups to help you stay on track.
• Nicotine Replacement Therapy (NRT): Products like nicotine patches or gum.
• Prescription Medications: Medications such as varenicline (Chantix) and bupropion (Zyban) can help reduce cravings and ease withdrawal symptoms.

  Resources for Support:

There are numerous resources available to help you quit:

• Quitlines: Free phone-based services like 1-800-QUIT-NOW.
• Online Support: Websites like smokefree.gov offer tailored support for the LGBT+ community.
• Apps: There are many apps available to help track progress and provide motivation.

 

Quitting smoking is one of the best things you can do for your health, especially if you’re living with HIV. Reach out for support today—your future self will thank you!

As fall approaches, it's essential to stay updated on recommended vaccinations to protect yourself and your community. For those in the LGBT+ community and individuals living with HIV, certain immunizations are especially important.

Herpes simplex virus (HSV) is a common viral infection that affects millions of people worldwide. Often misunderstood and stigmatized, HSV comes in two main forms: HSV-1 and HSV-2. In this blog, we'll explore the differences between the two types, how they are transmitted, their symptoms, treatment options, and debunk some common misconceptions.

What is Herpes Simplex Virus?

Herpes simplex virus is a contagious virus that can infect various parts of the body, typically causing cold sores (HSV-1) or genital herpes (HSV-2). Both types of HSV can also cause sores or blisters in other areas, such as the mouth, lips, or genitals.

HSV-1: Oral Herpes

HSV-1 is primarily associated with oral herpes, characterized by cold sores or fever blisters around the mouth and lips. However, HSV-1 can also cause genital herpes through oral-genital contact. Transmission can occur through kissing, sharing utensils, or coming into contact with saliva of an infected person.

HSV-2: Genital Herpes

HSV-2 is primarily responsible for genital herpes, characterized by sores or blisters in the genital or anal area. Transmission usually occurs through sexual contact with an infected individual, including vaginal, anal, or oral sex. However, it's important to note that HSV-2 can also cause oral herpes through oral-genital contact.

Symptoms

Both HSV-1 and HSV-2 infections can be asymptomatic, meaning individuals may not experience any symptoms. However, when symptoms do occur, they typically include:

• Pain, itching, or tingling around the affected area
• Small red bumps or blisters that may break open and form painful sores
• Flu-like symptoms such as fever, headache, and swollen lymph nodes

Treatment and Management

While there is no cure for herpes, antiviral medications can help reduce the severity and frequency of outbreaks, as well as alleviate symptoms. These medications, such as acyclovir, famciclovir, and valacyclovir, are most effective when taken at the first sign of an outbreak or as suppressive therapy for individuals with recurrent infections.

In addition to medication, practicing safe sex, using condoms or dental dams during sexual activity, and avoiding sexual contact during outbreaks can help reduce the risk of transmitting HSV to sexual partners.

Debunking Myths

Despite its prevalence, herpes simplex virus is often shrouded in misconceptions and stigma. Here are some common myths debunked:

• Myth: Only promiscuous individuals get herpes. Fact: HSV can affect anyone who comes into contact with the virus, regardless of their sexual behavior.
• Myth: You can only get herpes from sexual contact. Fact: HSV can be transmitted through skin-to-skin contact, including kissing or sharing personal items.
• Myth: Herpes is always symptomatic. Fact: Many people with HSV may not experience any symptoms or have mild symptoms that go unnoticed.

Conclusion

Herpes simplex virus is a common viral infection that affects millions of people worldwide. While it can cause discomfort and inconvenience, it's essential to understand that herpes is manageable with proper treatment and precautions. By dispelling myths, promoting education, and fostering open conversations, we can reduce stigma and support individuals affected by HSV in leading healthy and fulfilling lives.

In recent years, the conversation around sexual health and the prevention of sexually transmitted infections (STIs) has gained significant attention. Among the various strategies available, Post-Exposure Prophylaxis (PEP) has emerged as a crucial tool in reducing the risk of STI transmission. In this blog, we'll delve into the use of Doxycycline PEP (Doxy PEP), exploring what it is, how it works, and its implications for sexual health.

What is Doxy PEP?
Doxycycline PEP, often referred to as "Doxy PEP," is a form of prophylactic treatment used to reduce the risk of acquiring certain STIs after potential exposure. Potential exposures would include condomless sex: meaning oral, anal or vaginal/front hole sex.
It is sort of like the “morning after pill” for STIs. It involves taking a course of antibiotics, specifically doxycycline, within 24 to 72 hours following unprotected sexual contact or other high-risk sexual activities. Taken as directed Doxy PEP can reduce the risk of getting syphilis and chlamydia by approximately two-thirds. Doxy PEP may not be effective against gonorrhea, as about 25% of gonorrhea in the United States has significant resistance to doxycycline. Safer sex practices remain the best way to reduce risk against STIs.

How Does Doxy PEP Work?
Doxycycline is a broad-spectrum antibiotic. When taken as PEP, doxycycline works by targeting and inhibiting the growth of bacteria that may have been transmitted during sexual contact, thereby reducing the likelihood of infection.

How is Doxy PEP Administered?
Doxy PEP is typically administered as a short-term course of oral antibiotics (200 mg), taken once within 24 to no later than 72 hours after a risky sexual contact. You can take another 200 mg dose if you have unprotected sex again within the next 24 hours. It's essential to follow the prescribed dosage and duration of treatment as instructed by a healthcare provider to maximize effectiveness and minimize the risk of antibiotic resistance.

Considerations and Side Effects
While Doxy PEP can be an effective tool in preventing STI transmission, it's not without its considerations and potential side effects. Some important points to keep in mind include:

Effectiveness: While Doxy PEP can reduce the risk of certain STIs, it may not provide complete protection and should not be viewed as a substitute for other preventive measures, such as condom use and regular STI testing. It does not protect against MPOX (monkey pox), HIV or other viral infections, such as genital herpes.

Side Effects: Common side effects of doxycycline may include gastrointestinal upset, nausea, and sensitivity to sunlight. Make sure to take doxycycline with plenty of water to reduce the risk of it getting stuck when you swallow and severely irritating the esophagus. Avoid taking doxycycline within 2 hours of foods or medications containing calcium (milk, calcium supplements, antacids or multivitamins). Avoid over-exposure of sun or wear sunscreen with use.

Antibiotic Resistance: Overuse or misuse of antibiotics, including Doxy PEP, can contribute to the development of antibiotic resistance, making it harder to treat bacterial infections in the future. It's crucial to use antibiotics judiciously and only when necessary. Doxy PEP may not be effective against gonorrhea, as about 25% of gonorrhea in the United States has significant resistance to doxycycline. Safer sex practices remain the best way to reduce risk against STIs.

Conclusion
Doxycycline PEP (Doxy PEP) is an important component of comprehensive STI prevention strategies, particularly in situations where there has been a high-risk exposure to certain bacterial STIs. By understanding how Doxy PEP works, its recommended use, and potential considerations, individuals can make informed decisions about their sexual health and well-being. As always, open communication with healthcare providers and adherence to recommended guidelines are key to maximizing the effectiveness of Doxy PEP and promoting overall sexual health.

Sexually transmitted infections (STIs) are a significant health concern for individuals worldwide, and certain populations, such as men who have sex with men (MSM), face specific challenges when it comes to sexual health. MSM are at a higher risk of contracting and transmitting STIs due to various factors. In this blog, we will explore the most common STIs among MSM, risk factors, preventive measures, and the importance of regular testing.

1.     Common STI’s among MSM:

• Human Immunodeficiency Virus (HIV) : HIV is a viral infection that attacks the immune system, leading to AIDS if left untreated. MSM account for a significant portion of new HIV diagnoses globally. Regular testing and the use of pre-exposure prophylaxis (PrEP) can reduce the risk of HIV transmission. HIV is very treatable and those that are on treatment and undetectable cannot transmit the virus. Besides knowing your status, being on PrEP or HIV treatment are the best ways to prevent the spread of HIV.
• Syphilis: Syphilis is a bacterial infection that can affect multiple organs. MSM have seen a surge in syphilis cases, particularly among those engaging in high-risk sexual behaviors. Timely diagnosis and treatment are crucial to prevent complications.
• Gonorrhea and Chlamydia: These bacterial infections can occur in various parts of the body, including the genitals, rectum, and throat. MSM are at an increased risk due to unprotected anal and oral sex. Regular testing, using condoms and silicone lubricants (when engaging in receptive anal sex) can help prevent the spread of these infections.
• Human Papillomavirus (HPV): Most sexually active people have acquired HPV by adulthood. It is contracted by skin-to-skin contact and most commonly detected in the genital, anal, and oral cavity. MSM have increased risk of anal cancer due to HPV related anal cancers. Those that are HIV positive have an even greater risk than those that are HIV negative. Vaccination and screening for high-risk types of HPV should be performed on all MSM after age 30 for those that are HIV positive and over 40 for those that are HIV negative.
• Monkey Pox (MPox): Most recently a variation of the small pox virus has plagued the MSM community. Mpox is transmitted through skin to skin contact and most commonly transmitted in large group events. MSM should be vaccinated to prevent contracting Mpox.

  2.     Risk Factors:

• Condomless Sexual Activity: Engaging in anal or oral sex without the use of barriers, such as condoms or dental dams, significantly increases the risk of STI transmission.
• Multiple Sexual Partners: Having multiple sexual partners can increase the likelihood of encountering STIs. It is crucial to discuss sexual health with partners and use barriers consistently.
• Substance Abuse: Substance use, especially drugs like methamphetamine, can lead to risky sexual behaviors and impair judgment, further increasing the risk of STI transmission. Alcohol should not be discounted as a substance that can reduce inhibitions leading to decisions that can raise the risk of contracting STI’s.

3.     Preventive Measures:

• Using Condoms: Consistently using condoms or dental dams during anal and oral sex can reduce the risk of STI transmission. Water-based lubricants can also help minimize the chance of condom breakage. Water-based or silicone-based lubricants  are safe to use with all types of condoms. Oil-based lubricants, such as petroleum jelly, lotion, or baby oil, can break down latex, polyurethane, or polyisoprene condoms, leading to failure during intercourse. Spermicide is also safe to use with condoms. It is important to never use two condoms at once.
• Regular Testing: Regular STI testing is essential for early detection and prompt treatment. MSM should consider getting tested every three to six months or as recommended by healthcare professionals. Diversity Family Health recommends getting tested before engaging with a new partner and 7 days after a sexual encounter with every new partner. Diversity Family Health walk-in STI clinic is a convenient way to get regular testing.
•   Vaccinations: Vaccines, such as the HPV vaccine (now available up to age of 45) and the hepatitis A and B vaccines, can provide protection against certain STIs. Consult with a healthcare provider to determine the appropriate vaccinations for your individual needs.
• Pre-Exposure Prophylaxis (PrEP): PrEP is available for the prevention of HIV. Oral PrEP is a pill, when taken daily can prevent HIV. Alternatively, injectable PrEP can be taken on the same day every two months to prevent HIV. Both oral and injectable PrEP when taken as directed have proven to reduce the risk of HIV transmission by 99%.
• Post-Exposure Prophylaxis (PEP): There are two forms of PEP, one for HIV and one for Chlamydia, Gonorrhea, and Syphilis. HIV P EP: When not on PrEP, medication can be taken to prevent getting HIV if the medication is started within 72 hours of exposure. This medication is taken for 28 days and is very effective at preventing HIV infection.  Doxy-PEP: Doxycycline has been proven to prevent chlamydia and syphilis up to 66% when taken, preferably, within 24 hours but no later than 72 hours after a condomless sexual encounter. It can also be effective against gonorrhea, however 25% of gonorrhea in the US is resistant to doxycycline.
• Treatment as Prevention: Those that are positive for HIV can also prevent the spread of HIV by taking their medication as prescribed. If a person’s viral load (the number of HIV virus detected in the blood) are less than 200 they are considered undetectable and they cannot transmit the virus to others. Rarely is HIV transmitted by someone who knows they are HIV positive.

4.     Importance of Communication, Education & Support:

• Open Communication: Honest and open communication with sexual partners is vital for preventing STI’s. Discussing sexual health, STI testing history, and potential risks can help make informed decisions.
• Education and Awareness: Promoting comprehensive sex education and raising awareness about STIs within the MSM community is crucial. Accessible information can empower individuals to make informed choices and seek appropriate healthcare.
• LGBTQ+ Healthcare Providers: Seeking healthcare from LGBTQ+-experienced providers who are knowledgeable about MSM sexual health can ensure better understanding and support. Book your sexual health appointment with Diversity Family Health.

Conclusion: Sexually transmitted infections remain a concern for men who have sex with men, but with knowledge, communication, and preventive measures, the risk can be significantly reduced. Regular testing (knowing your status), implementing prevention strategies, and open dialogue with healthcare providers and sexual partners are crucial steps in maintaining sexual health and well-being. Remember, taking care of your sexual health is an important aspect of leading a fulfilling and healthy life.