Screening and immunizations for sexual minority and transgender individuals
| Screening service or immunization | Men who have sex with men | Women who have sex with women | Transgender men a | Transgender women a |
|---|---|---|---|---|
| Annual screening for gonorrhea, Chlamydia, syphilis (every 6 months if high risk) | Yes | Chlamydia screening for all women age < 25 Consider based on exposure and risk | Consider based on exposure and risk | Consider based on exposure and risk |
| Annual screening for HIV (every 6 months if high risk) | Yes | Consider based on exposure and risk | Consider based on exposure and risk | Consider based on exposure and risk |
| Offer HPV vaccination (up to age 26) | Yes | Yes | Yes | Yes |
| Give meningococcal vaccine (if additional risk factor is present) | Yes | Consider based on exposure and risk | Consider based on exposure and risk | Consider based on exposure and risk |
| Assess for immunity to hepatitis A and B, immunize if not immune | Yes | Consider based on exposure and risk | Consider based on exposure and risk | Consider based on exposure and risk |
| Screen for anxiety, depression, and other mental health disorders | Yes | Yes | Yes | Yes |
| Assess for substance use disorders (tobacco, alcohol, drug use) | Yes | Yes | Yes | Yes |
| Assess risk factors for breast cancer, offer mammography | Not applicable | Yes | Perform chest wall examination after chest surgery; other- wise mammography as recommended for cisgender women | Consider if previously or currently treated with hormone therapy and having additional risk factors (family his- tory, obesity, estrogen and progestin use greater than 5 years) |
| Screen for cervical cancer at appropriate intervals (if no hysterectomy) | Not applicable | Yes | Yes | Not applicable |
| Assess risk factors for osteoporosis | Not applicable | Bone density testing starting at age 65 or earlier based on risk factors | Bone density at age 60 or earlier based on risk factors Consider in those not compliant with hormone therapy | Bone density at age 60 or earlier based on risk factors Consider in those not compliant with hormone therapy |
↵a Transgender men are people with the XX genotype who identify as male; transgender women are people with the XY genotype who identify as female.