Sexual Identity and Gynaecologist Communication

Understanding Sexual Identity, Preferences, and Practices

How to Talk Openly with Your Gynaecologist

🌈What Do These Terms Mean?

Sexual Identity

  • How you see yourself in terms of your sexuality (e.g., lesbian, gay, bisexual, heterosexual, asexual, queer, pansexual).
  • It may align with or differ from your biological sex or gender identity.

Sexual Preferences (Orientation)

  • Who you are emotionally, romantically, or sexually attracted to (e.g., men, women, both, neither, or people regardless of gender).

Sexual Practices

The ways you engage in sexual activity, including:

  • Type of sexual activity (vaginal, oral, anal, mutual masturbation, etc.)
  • Use of protection or contraception
  • Number of partners
  • Use of toys, lubricants, or other aids

💬 Why Should I Talk About This With My Gynaecologist?

Your gynaecologist is here to help you maintain your sexual and reproductive health—this includes understanding your sexual lifestyle. Sharing accurate information helps:

  • Assess your risk for STIs (sexually transmitted infections).
  • Provide correct screening (e.g. pap smear, STI testing, contraception).
  • Address painful sex, bleeding, or other concerns.
  • Offer inclusive, non-judgmental care that respects your identity and choices.

🏳️‍⚧️🏳️‍🌈 Talking Openly: Tips for Your Appointment

1. Know that it’s OK to talk about it

Gynaecologists are trained to handle sexual health discussions sensitively and confidentially.

2. Use the language you are comfortable with

It’s fine to describe your relationships and experiences in your own words. You can say, “I identify as queer,” or “I have sex with both men and women.”

3. Clarify your concerns

Example: “I’m not sure if I need STI screening based on my current relationship.” Or: “Sex has been painful for me—can we talk about why?”

4. Mention your pronouns and gender identity, if relevant

You may say, “My pronouns are they/them,” or “I’m non-binary, but I was assigned female at birth.”

5. Don’t worry about being judged

Your doctor’s role is to support you. If you feel uncomfortable, it’s OK to seek a provider who is LGBTQ+ friendly.

❓Questions You Can Ask Your Gynaecologist

  • Do I need STI screening even if I don’t have penetrative sex?
  • Is it normal to feel pain during sex?
  • What are the best contraception options for someone like me?
  • Can hormone therapy affect my sexual health?
  • What kinds of lubricant or protection should I use?

🛑 Remember:

You never need to disclose anything you’re not ready to—but being open can help you get the best care possible.