Sexual Orientation Question - page 4
I have been thinking about this lately...and I am being serious when I ask this; but, with all the advancements in knowing about risk factors for various diseases (especially STIs), what does sexual orientation have to do with... Read More
- 3Apr 3, '13 by uRNmywayHere is what I am thinking:
If we do ask or talk about it, we come across as possibly judgmental. If we don't ask, it becomes a 'don't ask, don't tell' kind of thing.
I see absolutely nothing wrong with who you choose to sleep with, so long as they consent, and are of age. It won't make me treat you differently to know if you are heterosexual or homosexual.
Not asking, to me, makes it seem like a hush-hush topic, shameful maybe. And if there is to be no shame, if we want people to get over prejudices, then there needs to be MORE openness, not less.
- 5Apr 3, '13 by Esme12, BSN, RN Senior ModeratorQuote from SuzieVNNo, because there was no HIV.Were men asked if they were homosexual before HIV came on the scene..?
I have lived through the AIDS, ARC, HTLV3 as HIV development/discovery as a fatal disease. My first encounter with someone who was actually "diagnosed" was a hetero female that was having an affair with a bisexual male.....I learned a lot on that "case"
It was prevalent in the gay community not because they were gay but because unsafe sexual practices with multiple partners was common place in this community at the time. Education has offered multiple populations including IV drug users some knowledge to avoid this disease but to pretend that it isn't still necessary to keep asking those hard questions to try to futher control the spread of this disease is naive.
Teenagers need educating that oral sex is still sex.....and condoms should be made available for pretending that teaching abstinence amongst hormone ridden teen is sufficient on this day and age to keep these teens free of disease it just not thinking at all.
I don't think the way to promoting healthy life styles and screening for diseased is avoiding the hard questions. Asking the thought provoking questions about habits.....smoking, drinking etc screens for health risks to focus your treatment/care of patients is the prudent thing to do.Last edit by Esme12 on Apr 3, '13
- 3Apr 3, '13 by logank622, LPNA few posters have touched on this, but here's my thoughts. "Heterosexual" and "homosexual" no longer matter. There are plenty of men who identify themselves as straight, but have experimented with other men - maybe once, maybe regularly, maybe ongoing - and vaginal sex isn't his only potentially risky behavior. If you only focus on the label "straight", you're not getting the full picture. Along those same lines, gay people aren't the only group at risk of disease transmission via anal intercourse. Sexual health is fluid (no pun intended) - people push sexual boundaries all the time. It's most important to identify the actual behaviors instead of focusing on the gender of their partner, or assuming that their partners are always of one gender or the other.
In my opinion, both men and women should be taught how and when to use a condom - even telling "gay" men that condoms can prevent pregnancy. Some gay men may laugh, but others may be having sex with women, trusting her to take birth control, and may be unpleasantly surprised to find out his one-night-stand is pregnant with an unplanned child. All women should be educated on pap smears (and men as well, if only so they can encourage their female partner(s) to maintain their health). Both genders should be educated on all STIs - let's face it, sometimes a man may see a lesion or discharge from his female partner that she hasn't noticed or can't see herself, and he needs to recognize it and feel comfortable bringing it to her attention so they can both be tested/treated.
My short answer to the OP's question is that no, sexual orientation shouldn't matter anymore. The only gender-specific teaching should happen during puberty when bodies are changing - after that, both men and women need to be equally informed and prepared for whatever sexual health issue they may be faced with.
- 1Apr 3, '13 by justashooterstudies have shown that sexual preference affects risk analysis directly. the questions are valid.
and yes, you can get HIV through normal vaginal intercourse, but this is not anywhere near as likely as through receptive anal intercourse. the only circumstance in which the vaginal intercourse risk is clinically significant is in populations that have an endemic exposure to a modifying factor. the classic modifier is malarial exposure, hence the widespread AIDS in Sub Saharan Central Africa.
in short, despite the whitewashing to the contrary, in the USA HIV is very much a male homosexual or IV drug user disease.
- 3Apr 3, '13 by charli_appleRNIn school we're taught that there are risk factors for everything. Anyone can develop DM but that doesnt mean certain individuals arent at higher risk than others. Same thing with HIV. Yes, anybody can contract it but some are at higher risk than others. As nurses, we collect evidence to help identify high risk factors. I'm sorry but sexual lifestyle is a part of that evidence.
- 2Apr 3, '13 by BostonFNP, MSN, DNP, NP GuideQuote from logank622What about menopause? What about prostate or breast or cervical or penile or ovarian cancer? What about UTI prevention? What about RA or lupus? What about gallstones or migraines? Or osteoporosis?The only gender-specific teaching should happen during puberty when bodies are changing - after that, both men and women need to be equally informed and prepared for whatever sexual health issue they may be faced with.
- 0Apr 3, '13 by SuzieVN[QUOTE=logank622;
My short answer to the OP's question is that no, sexual orientation shouldn't matter anymore. The only gender-specific teaching should happen during puberty when bodies are changing - after that, both men and women need to be equally informed and prepared for whatever sexual health issue they may be faced with.[/QUOTE]
I agree, and as I might have mentioned, I know tons of closeted gays, they'd never admit to being gay to anyone, anyway. Some won't admit it to themselves, even.
- 0Apr 3, '13 by logank622, LPNQuote from BostonFNPI understand what you're saying, but I'm speaking in terms of sexual health. And regardless, if I were married, I would want to know about my wife's health issues as well as my own. What if I cook all the meals and my wife needs to increase her calcium intake due to osteoporosis? Why is she always getting UTIs? What can I do to help my wife through menopause? As nurses, we need to ask the right questions to determine what education to provide - it may cross gender lines and we should be comfortable with that.What about menopause? What about prostate or breast or cervical or penile or ovarian cancer? What about UTI prevention? What about RA or lupus? What about gallstones or migraines? Or osteoporosis?