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Breast Health Disparities in the LGBTQ+ Community: Navigating the screening challenges

Breast health is a vital aspect of overall well-being for everyone, regardless of sexual orientation or gender identity. However, members of the LGBTQ+ community face unique challenges and disparities when it comes to accessing breast cancer screenings and care.

Understanding Disparities:

Studies have shown that LGBTQ+ individuals are more likely to encounter barriers in accessing healthcare, including breast cancer screenings. Factors such as discrimination, lack of healthcare coverage, limited cultural competence among healthcare providers, and fear of disclosing sexual orientation or gender identity contribute to these disparities. It is crucial to recognize and address these challenges to ensure equitable access to breast cancer screenings and care.

Importance of Breast Health Awareness:

Breast health awareness is the first step towards early detection and improved outcomes. Regardless of sexual orientation or gender identity, it is essential for individuals to understand their breast anatomy, be aware of potential signs and symptoms, and know when to seek medical attention. Regular breast self-exams and being proactive about any changes or abnormalities in the breast can help in the early detection of potential issues.

Screening Recommendations:

While breast cancer screening guidelines generally apply to everyone, it is important to be aware of the specific challenges and considerations that LGBTQ+ individuals may face.

1. Discuss Your Sexual Orientation and Gender Identity:

Openly communicate with your healthcare provider about your sexual orientation and gender identity. Sharing this information can help ensure that you receive inclusive and culturally competent care. If you feel uncomfortable discussing these topics, consider seeking out LGBTQ+-friendly healthcare providers who are knowledgeable and sensitive to the unique needs of the community.

2. Regular Clinical Breast Exams:

Clinical breast exams performed by a healthcare professional are an important part of breast health. Ensure that your healthcare provider includes a thorough breast examination during your routine check-ups.

3. Mammograms:

Mammograms are the primary screening tool for breast cancer in individuals aged 40 and older. It is recommended that you discuss mammogram screening with your healthcare provider. If you have a higher risk due to family history or other factors, earlier or more frequent screenings may be necessary.

4. Self-Advocacy:

Empower yourself by being proactive in your healthcare. Educate yourself about your rights and demand respectful and inclusive care. If you encounter any challenges or discrimination, consider reaching out to LGBTQ+ advocacy organizations or support groups for guidance and assistance.

Breast health is a critical component of overall well-being, and it is crucial for individuals in the LGBTQ+ community to be aware of the specific disparities they may face. By understanding these challenges, advocating for inclusive care, and accessing available resources, individuals can take proactive steps towards better breast health. Remember, you deserve equitable and respectful healthcare, regardless of your sexual orientation or gender identity. Take charge of your breast health, stay informed, and encourage others in your community to do the same. Together, we can work towards eliminating disparities and promoting equal access to breast cancer screenings and care for all.


PBH provides screening and/or diagnostic mammograms, ultrasounds, and biopsies at no cost for medically uninsured women aged 40 and over whose income is no more than 400 percent of the federal poverty level. Other individuals may qualify with a physician’s referral. PBH partners with Haven Health Clinic for clinical breast exams and physician’s referrals. PBH contracts with BSA Harrington Breast Center for screening services. Ask them about their Mobile Mammography availability.

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