Guide: Coming Out to Your Doctor

What You Should Know

Lesbian, gay, bisexual and transgender patients and their healthcare providers have maintained an unofficial "Don't Ask, Don't Tell" policy. This policy, which is primarily based on fear on both sides, endangers our health. Providers mistakenly believe that if they ask their patients "do you have sex with men, women, or both", they will offend the 75-year-old, presumably heterosexual grandmother.

On the other side of the equation lesbian patients are afraid — sometimes rightly so — of being rejected by their provider, breaches in confidentiality, stigmatization, maltreatment, etc. Other times we just feel its no body's business. Unfortunately this silent conspiracy does a disservice to both sides of the healthcare partnership and sets the stage for sub-optimal healthcare.

Research has shown that lesbians often delay seeking healthcare until their conditions are advanced. This delay in care may be, in part, related to fear of having to come out to one's health care provider. Data from the Black Women 2 Women Spirit Study showed that only ___% of black lesbians and bisexual women were out to their healthcare provider. ___% who were not out believed that there would be a negative response if they came out – only ___ believed they would get a positive response.

Coming out as gay, lesbian, bisexual or transgender can be a frightening and liberating experience at the same time. The decision may require serious thought on your part. We've compiled some tips you can use in your coming out process as well as some some things to consider when deciding whether to to come out to your healthcare provider.