HPV Vaccine & Benefits for The LGBTI Community

HPV, Human Papilloma Virus, has been known as a silent killer.

Fortunately, there is now a vaccination for some of the most common strains of HPV. Still, many remain unaware that they have the virus until symptoms become severe. Most strains of the virus do not cause any visible symptoms in those who are infected, and the strains that do develop symptoms don’t necessarily do so in everyone. Symptoms include genital warts and cancer. For some time now research has linked cervical cancer to HPV. A more recent discovery is that anal cancer is also linked to HPV, as are many head and neck malignancies.

HPV is spread and contracted regardless of the use of condoms or other forms of protection. Thus the virus is easily spread through oral sex as well – causing cancers of the mouth, head, and neck. While there is no cure for HPV, the body usually fights off the virus within a few years. People with weakened immune systems, such as HIV positive individuals, aren’t usually able to fight off the virus. Many people who otherwise have strong immune systems may have the virus dormant only to have it flare up and change cells, causing dysplasia, during times of stress.

So why does HPV seem to disproportionately affect the LGBTI community?

It’s not that our bodies are any different. It’s that our habits are. Many people in the LGBTI community are less likely to go in for check-ups or follow-ups, increasing their chance of developing cancer. Cell changes can actually be treated if caught early enough. Men who have sex with men are also more frequently infected with HPV because it is more easily contracted through irritated skin, which is often the case with penetrative sex.

Speak to a professional today and go in for a check-up, even if you only have one sexual partner – it’s always better to be aware of what’s going on in your body.

What is commonly known is that HPV is the leading cause of cervical cancer in women. However HPV can also cause an genital (anal) cancer, for which gay, bisexual… men are at the greatest risk. Genital HPV is transmitted through skin to skin contact, the likelihood of transition is greater in the presence of irritated skin often present as a result of penetrative sex. Studies have consistently found that only 25% of men who have sex with men are familiar with HPV or the benefits of the HPV vaccination.

There are more than 60 forms of HPV, many of which are transferred by sex, and primarily infect the genitals frequently causing genital warts, and less frequently causing cervical, or anal cancers.

HPV is viewed as the most common sexually transmitted disease, at any time between 20 to 40 million persons are infected with the virus, and infections have been on a rise over the past decade. In adition, those infected with HIV are at a greater chance of complications from forms of HPV.

There exist two forms of vaccination against the forms of HPV which can lead to cancer—Cervarix and Gardasil. The United States approved Gardasil for use in men in 2010, and is particularly advised for gay, bisexual… men.

Popular Misconceptions About Bisexuals

There are many harmful misconceptions out there regarding bisexuality.

These common assumptions exist in and outside of the LGBTI+ community. Bisexuality is real and it’s here to stay. Some of your friends might be bisexual (or you might be, of course) and won’t come out for fear of being judged harshly and incorrectly. It’s time that everyone is able to put these myths to rest.

Bisexuals are attracted to men and women equally

Everyone is different. Some who identify as bisexual might be attracted to one gender in a different way than they are to another and possibly much more. Others do not believe that gender matters at all when it comes to their attractions. It’s best to refer to the Kinsey scale to understand this more thoroughly. The Kinsey scale has sexual orientation displayed on a scale from 0 to 6. Zero means that a person is completely heterosexual and 6 means exclusively homosexual. We can each fit anywhere on that scale…and we won’t necessarily stay in the exact spot.

Bisexuals are in a phase before coming out as homosexual

It is possible that some lesbian and gay people came out as bisexual first, but that’s not the rule. It’s also true that some who identify as lesbian or gay end up coming out as bisexual. Sexuality can be fluid for some, just like a lot of things in life.

We’re all bisexual or we’re all not bisexual

Bisexuality is real. There are actually individuals who will be attracted to and have sex with both men and women for their entire lives. This is not everyone, though.

Bisexuals can’t have a partner of just one gender

It’s a common misconception that bisexual people will need to be involved with both genders to be sexually and emotionally fulfilled. There are many who are perfectly content having the partner they’re with at any given time and who want to be monogamous.

Bisexuals are just very promiscuous people…more than any other group

Just as with any other sexual orientation, there will be some people who are promiscuous and some who are extremely monogamous. Sexual orientation is not the deciding factor here, the individual makes the decision.

Health Concerns Faced By Bisexuals

Bisexuality is often misunderstood or not taken seriously. Discrimination exists within the LGBT community and from heterosexuals. A bisexual person might be viewed as someone who can’t make up their mind about their true sexuality or as someone who is promiscuous, having little or no sexual boundaries. More than half of the 3.5 percent of adults in the U.S. who identify as lesbian, gay or bisexual are, in fact, bisexual. They face unique health concerns that deserve our attention.

Some health concerns faced by bisexuals:

Substance abuse – According to research, bisexual women have higher rates of drug use than heterosexual women and close to or possibly higher rates than lesbians. The differences between bisexual and gay men have not been clear in studies.
Alcohol use – Bisexual women have reported higher rates of alcohol use, abuse and alcohol related problems compared to lesbians and heterosexual women.
Sexual health – Bisexual women have reported riskier behavior with sex, compared to heterosexual and lesbian women. Part of this risk comes from the highest rate reported of combining substance/alcohol use and sexual activity. Bisexual men who have sex with men have an increased risk of HIV infection.
Tobacco use – Bisexual women smoke at higher rates than heterosexual women, but about the same as lesbians. Less is known about bisexual men’s smoking habits.
Cancer – Bisexual women have reported higher rates of cancer. Some risk factors are: not having given birth (also relevant to a higher rate of lesbians), or being more likely to give birth after age 30, and alcohol consumption. Also, bisexual women receive mammograms and pap tests at the lowest rates. Men or women who receive anal sex are at a higher risk for anal cancer because of an increased rate of HPV infection.
Nutrition/fitness/weight – Bisexual and lesbian women have higher rates of obesity than heterosexual women and more bisexual women are underweight than heterosexual women or lesbians, which would indicate they might be more likely to struggle with healthy eating. Attempts to achieve perfect bodies, due to pressure, have left some gay and bisexual men with adverse health consequences. They might compulsively exercise, use steroids or develop eating disorders due to a poor body image.
Heart disease – Higher rates of heart disease have been reported by bisexual women compared to heterosexual women.
Depression/anxiety – Bisexual men and women have reported higher levels of anxiety and depression than heterosexuals and sometimes higher than gay men and lesbians. The issues are likely to be more severe for those who lack social support and those who are unable or unwilling to disclose their sexuality.
Social support/emotional well-being – Bisexual women have reported the lowest levels of social support. Bisexual men and women have the lowest emotional well-being of any sexual orientation group.
Self-harm/suicide attempts – Bisexual women and men have reported higher levels of suicide attempts, self-harm and suicidal thoughts than heterosexuals and higher than gay men and lesbians in some studies.

Dr. M. Mirza, lgbt health wellness .com – 2015