I have been caring for patients with HIV/AIDS since 2005. To help more people at risk for HIV, our practice expanded its services to the transgender community. These services include primary care, hormone therapy, and preexposure prophylaxis (PrEP). The transgender community faces unique challenges, such as transphobia, which impacts various aspects of their lives including housing, employment, health, and safety.1 These challenges also put them at an increased risk for contracting HIV.1 Transwomen (male to female) are 49 times more at risk of living with HIV compared with the general population.1 Knowing that many in the transgender community are apprehensive about going to a healthcare provider, our office has ensured an open and welcoming atmosphere.
One of my first experiences in the office with a transgender patient was a Pap test on a transman (female to male). While preparing for the test, I chatted with the patient, who asked about the Pap test. I made the remark about us being women and how we must go through procedures like a Pap test-which was my usual remark to female patients who groan about their annual Pap tests. However, the minute it came out of my mouth, I regretted it.
Later, I became aware that the patient was upset about our interaction. I was encouraged by my manager and the medical director to call the patient personally, which I did. I apologized and explained that I did not mean to make such an insensitive remark. I was new to transgender care and have a learning curve. Our following conversation was lovely. This young transgender man was kind and understanding, and he talked to me about the importance of pronouns and personal names within the community. He shared his story and offered to answer any questions I had. It was a very positive experience.
Since that encounter, I have provided care to many more transgender patients and I make a point to be aware of proper pronouns and names. It has been a real privilege to care for this population and help them maintain their health and wellbeing.
- Suzanne Steppie, BS, LPN
Lancaster, Pa
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