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The Importance of Disclosure for Sexual and Gender Minorities in Oncofertility Cases

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Abstract

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) population is an understudied and underserved community often referred to as sexual and gender minorities (Fredriksen-Goldsen et al. Am J Public Health 103(10):1802–1809, 2013). The labels “lesbian, gay, and bisexual” refer to sexual orientation (Spectrum Center. LGBT terms and definitions [internet]. Ann Arbor: Spectrum Center; 2015. [cited 2015 Jul 20], Available from: ► http://internationalspectrum.umich.edu/life/definitions; Johnson. J Homosex 54(3):213–224, 2008). The term “transgender” refers to gender identities, where an individual does not identify with the sex assigned to him or her at birth (i.e., biological sex) (Spectrum Center. LGBT terms and definitions [internet]. Ann Arbor: Spectrum Center; 2015. [cited 2015 Jul 20], Available from: ► http://internationalspectrum.umich.edu/life/definitions; Johnson et al. J Homosex. 2008). The labels “queer” and “questioning” may be used to refer to either sexual orientation or gender identity (Institute of Medicine. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: National Academies Press; 2011; Institute of Medicine. Collecting sexual orientation and gender identity data in electronic health records. Washington, DC: National Academies Press; 2013). There are several other terms associated with this community (e.g., “gender fluid, genderqueer, two-spirit”) as well as nomenclature used within these groups that is typically not acceptable to be used by nonmembers (e.g., dyke) (UC Berkeley Gender Equity Resource Center. Definition of Terms [Internet]. Berkeley: UC Berkeley Gender Equity Resource Center; c2014 [updated 2013 Jul; cited 2015 Jul 21]. Available from: ► http://geneq.berkeley.edu/lgbt_resources_definiton_of_terms; Gender and Sexuality Center. LGBT Vocab 101 [Internet]. Northfield: Gender and Sexuality Center; [date unknown] [updated 2014 May 27; cited 2015 Jul 21]. Available from: https://apps.carleton.edu/campus/gsc/students/ally/lgbtvocab/). It is estimated that 3–12% of the US population identifies as gay, lesbian, or bisexual and 1–3% are transgender (Gates. How many people are lesbian, gay, bisexual, and transgender? Los Angeles: The Williams Institute, University of California, Los Angeles School of Law; 2011).

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, New York University, New York, NY, USA

    Gwendolyn P. Quinn

  2. Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA

    Amani Sampson

  3. University of Miami, Miller School of Medicine, Miami, FL, USA

    Christina Tamargo

  4. H. Lee Moffitt Cancer Center & Research Institute, Cancer Epidemiology, University of South Florida, Tampa, FL, USA

    Matthew B. Schabath

  5. H. Lee Moffitt Cancer Center & Research Institute, University of South Florida, Tampa, FL, USA

    Susan Thomas Vadaparampil

Authors
  1. Gwendolyn P. Quinn
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  2. Christina Tamargo
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  3. Matthew B. Schabath
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  4. Amani Sampson
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  5. Susan Thomas Vadaparampil
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Corresponding author

Correspondence to Gwendolyn P. Quinn .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Northwestern University , Chicago, IL, USA

    Teresa K. Woodruff

  2. Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA

    Divya K. Shah

  3. Department of Obstetrics and Gynecology, University of Rochester, Rochester, NY, USA

    Wendy S. Vitek

Review Questions and Answers

Review Questions and Answers

  1. Q1.

    Individuals in the LGBTQ community aren’t interested in having biological families. (True or False)

  2. A1.

    False.

  3. Q2.

    What are some of the health disparities faced by the LGBTQ community?

  4. A2.

    Higher rates of suicide attempts, higher prevalence of mental health issues, and increased risk for certain cancers.

  5. Q3.

    What do inclusive health forms do differently to assess sexual orientation and gender identity?

  6. A3.

    Allow patients to use their own language to describe themselves outside of binary categories.

  7. Q4.

    Patient disclosure of sexual orientation is associated with greater patient discomfort. (True or False)

  8. A4.

    False.

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Quinn, G.P., Tamargo, C., Schabath, M.B., Sampson, A., Vadaparampil, S.T. (2019). The Importance of Disclosure for Sexual and Gender Minorities in Oncofertility Cases. In: Woodruff, T., Shah, D., Vitek, W. (eds) Textbook of Oncofertility Research and Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-02868-8_31

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