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Male diverse sexuality – (Gay, Bisexual and other Men-who-have-sex-with-men – (GBMSM))

The widely used acronym GBMSM - Gay, bisexual and other men-who-have-sex-with-men, reflects the differences in cis-male sexuality (people assigned male at birth). However, this is not to forget non-cis transgender men who may also identify as gay or bisexual, or those assigned male at birth but who may identify as non-gender specific.

The key thing to remember here is not to make assumptions about the gender or sexuality of the patient or with whom they may be having sex. Clinical questions that are gender and sexuality-neutral are keys to forming better partnerships and focus on sexual behaviours rather than sexual identity. (link to http://www.sti.guidelines.org.au/resources/how-to-take-a-sexual-history#how-to-take-a-sexual-history)

Contact tracing may be challenging with a proportion of GBMSM, who have high numbers of recent anonymous partners (both for the person and also the contact tracer), where contact details are not always known and therefore contact is not possible. However, other people may have met anonymous partners online where profiles, email addresses and mobile telephone numbers are available, and contact is possible either by the person or by contact tracing services.

Some may find the email or SMS notification services that are available online helpful. See Ways of Notifying Contacts

 

Resources

 

McNair R, ‘A guide to sensitive care for lesbian, gay and bisexual people attending general practice’

RACGP: SG16 Sex, sexuality,gender diversity and health contextual unit

Victorian Government: LGBTIQ+ Inclusive Language Guide

Transhub Information for clinicians

 

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