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Ask the Doctor
Do Ask, Do Tell the Doctor

Dear Dr. Wolfe,

I’m a 23-year-old gay man. This morning on my way to work, I overheard two men talking on the bus about getting either an HIV or HPV vaccine. It was too loud to hear, so I’m not sure which.

Is this true? Is there really an HIV vaccine? And the HPV vaccine? Is that anything I should be concerned about, given that I’m a gay man? That only affects women, right?

Curious

Great questions, Curious!

While no effective HIV vaccines exist at this time, discussion of two hopeful HIV research trials looking into vaccine safety were released recently.

The first clinical trial studied the safety of a new HIV vaccine in 24 people in Barcelona, Spain. HIV genes were used to adapt the already-successful smallpox vaccine.  The study participants ages 18-55, who did not have HIV and were low-risk for infection, received three injections of the new HIV vaccine and were followed for four years.

The study looked at serious side effects and how well the body developed an immune response. The vaccine appeared to be well-tolerated and there were no serious side effects. Approximately three-quarters of the volunteers had a detectable immune response to the vaccine, though it is not known if the response is sufficient to protect against HIV infection or to lower HIV levels in people who are already HIV-positive. This study warrants further investigation into this vaccine.

A similar trial will begin early this year in Ontario, Canada. Forty HIV-positive participants will be followed for a year looking at the safety of a whole, genetically-modified HIV virus that was killed similar to the process that makes the influenza vaccination.  It will likely take 5 to 10 years of many research phases studying thousands of participants to understand the vaccine’s effectiveness.

As for the HPV vaccine, I have better news to share with you, Curious. And yes, this is something you should be concerned about. HPV affects men too, even men who don’t have sex with women.

Human papillomavirus (HPV) infection is the most common sexually transmitted disease in the U.S.  Four types of HPV are responsible for a majority of disease related to HPV—two causing 70% of cervical cancers and two causing 90% of genital and anal warts.

The HPV vaccine, Gardasil, prevents these four types. The Food and Drug Administration (FDA) approved Gardasil in June 2006 for women ages 9-26.

After further study, the FDA approved Gardasil in October 2009 for men ages 9 to 26 to prevent genital warts. The Advisory Committee on Immunization Practices (ACIP), a group of experts in the Department of Health and Human Services that advise the Center of Disease Control, reviewed additional data showing efficacy in preventing anal cancer, then further updated their recommendation to routinely vaccinate men ages 11 to 12  with Gardasil, with the three-dose vaccination series.  In addition, ACIP suggests catch-up vaccination for unvaccinated men ages 13 to 26 (e.g., YOU…Curious). The most adverse effects related to vaccination involved mild or moderate pain or tenderness at the injection site.

Early administration maximizes the chance that children will mount a strong immune response prior to exposure through sexual activity.  Younger adolescents have a significantly stronger immune response than old recipients, one of the major reasons why we advocate for early vaccination with HPV.  Gardasil is likely effective in preventing penile and oral cancers, though long-term studies need to be completed.

The vaccine is ineffective if one is infected already, so early administration is important.  It can be especially beneficial to men who have sex with men and HIV-infected men who are at increased risk for HPV-associated genital cancers.  Even if you have been infected with one strain of HPV, the vaccine protects against three other strains in which you may benefit.  The vaccine will likely prevent transmission to your partner (man or woman) which can be of great benefit too.

Since the HPV vaccination has not been tested in adults aged 27 or older, it has not been recommended to them.  It could be argued that if someone was minimally sexual until their late 20s, they could potentially benefit from the vaccination.

For more information about the HPV vaccine and other recommended vaccines, consider visiting some of the websites listed below:

http://www.cdc.gov/vaccines/recs/acip/

http://www.cdc.gov/vaccines/pubs/vis/default.htm

http://www.cdc.gov/vaccines/pubs/parents-guide/default.htm

Dr. Wolfe



 
Health Directory

For additional resources visit the Gay and Lesbian Medical Association listings for Pittsburgh

Categories:

Counseling, Therapy or Social Work

Dental

HIV Testing, Medical Care or Support

Physical Fitness & Therapies

Primary Care

Speciality or Surgical Care

Counseling, Therapy or Social Work

Anna  Leadem, MSW, LCSW

Anna Leadem Counseling & Consultation

234 W. Pine Street

Grove City, PA 16127-1519

724-458-1274

724-355-1113

Confidential, affordable counseling and psychotherapy for individuals, couples and families of all configurations. Holistic perspective honors your strengths and dignity. Hour north of downtown Pittsburgh.

Counseling, Therapy or Social Work

Ann  Schelbe, LCSW

Chrysalis Mental Health and Wellness, Inc.

875 Greentree Road

7 Parkway Center, Suite 240

Pittsburgh, PA 15220

412-916-1288

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www.rtpgh.com/  or annschelbe.com/AnnSchelbe.com/Home.html


Counseling, Therapy or Social Work

Rich Cummings, MSW, LSW

Cummings MSW, LSW, Rich

401 Shady Avenue

Suite D105

Pittsburgh, PA 15206-4460

412-537-1127

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Counseling, Therapy or Social Work

Patty Delaney

Delaney, LCSW, Patty

801 N. Negley Avenue

Pittsburgh, PA 15206

773-865-3354

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Frequently work with clients dealing with anxiety, depression, gender identity and sexual orientation issues. Work with children, adolescents and adults, individuals, couples and families.  Accept Highmark and UPMC health insurances.

Counseling, Therapy or Social Work

Rita  Drapkin, PhD

Drapkin, PhD, Rita

31 S. Carpenter Ave.

Frick Bldg, Suite 1

Indiana, PA 15701-2794

724-349-7580

Works in private practice one day a week seeing adolescents and adults as out-of-network provider. Sees students at IUP Counseling Center 4 days a week.

Counseling, Therapy or Social Work

Julie Frischkorn, MSW, LCSW

Frischkorn, MSW, LCSW, Julie

773 Washington Road, Suite 301

Pittsburgh, PA 15228

412-915-6516

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Counseling, Therapy or Social Work

Julie Frischkorn, MSW, LCSW

Frischorn, MSW, LCSW, Julie

552 N. Neville Street, Suite A

Pittsburgh, PA 15213

412-915-6516

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Counseling, Therapy or Social Work

Judy  Gettle

Gettle, Judy

4716 Ellsworth Avenue, Suite 105

Pittsburgh, PA 15213

412-242-8707

www.judygettlephd.com


Counseling, Therapy or Social Work

Diana Hardy

Good Grief Center for Bereavement Support

2717 Murray Avenue

Pittsburgh, PA 15217

412-224-4700

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www.goodgriefcenter.com


Counseling, Therapy or Social Work

Cynthia Oliver

Good Grief Center for Bereavement Support

2717 Murray Avenue

Pittsburgh, PA 15217

412-224-4700

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www.ggconline.org


Counseling, Therapy or Social Work

James Huggins

Huggins, PhD, James

401 Shady Avenue, Suite A106

Pittsburgh, PA 15206-4457

412-362-9388

412-362-8328

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Experienced Licensed Psychologist in Shadyside area specializing in psychotherapeutic services for GLBT individuals.  Treatment available for anxiety disorders, panic attacks, depression, sexual dysfunctions, GLB issues and transgender concerns.

Counseling, Therapy or Social Work

Laura Langer, LCSW

Langer, LCSW, Lori

414-416 Allegheny River Blvd

Suite 201

Oakmont, PA 15139

412-828-0765

Mental health services for adults.

Counseling, Therapy or Social Work

Laura Langer, LCSW

Langer, LCSW, Lori

901 Western Avenue

Suite 201

Pittsburgh, PA 15233

412-251-0264

Mental health services for adults.

Counseling, Therapy or Social Work


PERSAD

5150 Penn Ave

Pittsburgh, PA 15224-1688

412-441-9786

412-363-2375

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www.persadcenter.org


Counseling, Therapy or Social Work

Andi Pilecki, LPC, NCC

Pilecki, LPC, NCC, Andi

134 S. Highland Ave

Suite 17

Pittsburgh, PA 15206

412-216-7507

412-216-7507

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www.andipilecki.vpweb.com


Counseling, Therapy or Social Work

David Prybock

Prybock PhD, David

134 S. Highland Ave

Suite 17

Pittsburgh, PA 15206

412-952-5348

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www.davidprybock.com

Licensed psychologist.

Counseling, Therapy or Social Work

Lorrie Rabin

Rabin, PhD, Lorrie E.

4716 Ellsworth Avenue, Suite 101

Pittsburgh, PA 15213-2842

412-682-0433

412-687-4868


Counseling, Therapy or Social Work

Maxine Kane

Vista Behavioral Services

Oakland plus other offices

230 N. Craig St, Suite B

Pittsburgh, PA 15213

412-641-7016

www.vistabehavioral.com


Counseling, Therapy or Social Work

Zeina Saliba, MD

Western Psychiatric Institute and Clinic (WPIC)

3811 O'Hara Street

Pittsburgh, PA 15213

412-586-9131


Dental

Larry Leahy, DMD

Shadyside Dentistry

5888 1/2 Ellsworth Avenue

Pittsburgh, PA 15232-1738

412-362-0900

412-362-3065

shadydentistry.com


HIV Testing, Medical Care or Support

Nancy Osterhus, RN

Allegheny County Health Department STD Program and Clinic

3441 Forbes Avenue

Pittsburgh, PA 15213-3258

412-578-8081

412-578-8332

www.achd.net

Confidential STD and HIV testing, diagnosis and treatment. Walk-in clinic hours of operation: Mon, Tue, Thu, Fri, 9am – 4pm, Wed 1pm-8pm.

HIV Testing, Medical Care or Support


Northwest Pennsylvania Rural AIDS Alliance

15870 Route 322

Suite 2

Clarion, PA 16214

800-359-2437

814-764-6066

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

www.clarion.edu/57941/

HIV/AIDS/HCV medical care and case management.  The Northwest Pennsylvania Rural AIDS Alliance provides case management, prevention, education, consumer assistance and specialty medical care in 13 counties of Northwestern PA

HIV Testing, Medical Care or Support

Emanuel Vergis, MD

Pittsburgh AIDS Center for Treatment (PACT)

Falk Medical Building, 3601 Fifth Avenue, 7th floor

Pittsburgh, PA 15213

412-647-7228

www.dept-med.pitt.edu/id/pact.html


HIV Testing, Medical Care or Support


Pittsburgh AIDS Task Force (PATF)

5913 Penn Avenue

Floor 2

Pittsburgh, PA 15206

412-345-7456

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www.patf.org

Free services to those living with HIV/AIDS and those at risk of infection. Free HIV Testing.

HIV Testing, Medical Care or Support

Stuart  Fisk, CRNP

Positive Health Clinic - AGH

1307 Federal Street

Suite B110

Pittsburgh, PA 15212

412-359-3360

Specialized HIV Medical care, medical case management, prevention and HIV testing.

Physical Fitness & Therapies

Nancy Foley, PT, DPT, OCS

Allegheny Chesapeake Physical Therapy

Edgewood Towne Centre, 1789 S. Braddock Ave.

Pittsburgh, PA 15218

412-244-7750

www.alleghenychesapeake.com/locations/edgewood-towne-centre


Physical Fitness & Therapies

Tom  Bajorek

Bajorek, CMT, Tom

5404 Penn Avenue

Pittsburgh, PA 15206-3424

412-952-5770

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www.tombajorekcmt.com/

Holistic Swedish/deep-tissue massage with Reiki energy work. Ethical and professional in a safe, nurturing environment. Massage studio with off-street parking in Friendship/Garfield area. By appointment only.

Physical Fitness & Therapies

Marsha Smith

Body Harmony Massage Therapy

1139 Jackson Street

Wilkinsburg, PA 15221

412-871-5388

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

www.pittsburgh-massage.com

Specializes in neuromuscular therapy for pain relief and stress reduction. Also Swedish, Reiki, Geriatric, Pregnancy and Chair massage.

Physical Fitness & Therapies

Jeffrey  Grinnel

Bodyworks of Shadyside

235 Shady Avenue, Sublevel

Pittsburgh, PA 15206

412-404-2038

412447-1659

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bodyworkspgh.com


Physical Fitness & Therapies

Cathleen Fink

Creative Fitness

5406 Penn Avenue

Pittsburgh, PA 15206

412-361-6000

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www.creativefitnesspgh.com


Physical Fitness & Therapies

Julie Caryl, DC

Julie Ann Caryl, D.C. and Pamela D. Huston, D.C.

2020 Ardmore Boulevard, Suite 202

Pittsburgh, PA 15221-4637

412-273-3600

412-273-3600

Utilizes diagnostic muscle testing, acupressure, meridian therapy, herbal & nutritional supplementation and traditional chiropractic techniques to correct health problems.  Certified in N.A.E.T. and Applied Kinesiology.

Physical Fitness & Therapies

Pamela  Huston, DC

Julie Ann Caryl, D.C. and Pamela D. Huston, D.C.

2020 Ardmore Boulevard, Suite 202

Pittsburgh, PA 15221-4637

412-273-3600

412-273-3600


Physical Fitness & Therapies

David Lesondak, BCSI

Lesondak, BCSI, David

Shadyside Place, Suite 310

580 S. Aiken Avenue

Pittsburgh, PA 15232

412-708-2751

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Specializing in  lasting relief from chronic pain via Structural Integration, a systematic method of applied myofascial release with active movement participation over a series of 4 - 12 treatments.

Physical Fitness & Therapies

David Lesondak, BCSI

Lesondak, BCSI, David

501 A, Blackburn Avenue

Sewickley, PA 15143

412-708-2751

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Specializing in  lasting relief from chronic pain via Structural Integration, a systematic method of applied myofascial release with active movement participation over a series of 4 - 12 treatments.

Primary Care

Mark Biedrzycki, MD

Biedrzycki, MD, Mark

100 Medical Arts Bldg

100 Delafield Avenue, Suite 313

Pittsburgh, PA 15215

412-781-0400


Primary Care


Bloomfield-Garfield Family Health Center (UPMC St. Margaret)

5475 Penn Avenue

Pittsburgh, PA 15206

412-361-7562

www.upmc.com/HospitalsFacilities/Hospitals/stmargaret/family-health/Pages/Bloomfield-Garfield.aspx


Primary Care

Gwen Breuer, DO

Breuer, DO, Gwen

313 Ford Street

Suite 2A

Ford City, PA 16226

724-763-7144

www.gelacek.com


Primary Care

Marvin McGowan, DO

Centerville Clinics, Inc., California Office

1152 Wood Street

California , PA 15419

724-938-2122


Primary Care

Steven Wolfe, DO, MPH

Forbes Family Medicine

2566 Haymaker Road

Monroeville, PA 15146

412-858-2760

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Encompasses all aspects of LGBT care of all ages.

Primary Care

Michele Organist, MD

Health Center Associates - UPMC

120 Lytton Avenue

University Center, Suite M059

Pittsburgh, PA 15213

412-623-8905


Primary Care


Latterman Family Health Center (UPMC McKeesport)

2347 Fifth Avenue

McKeesport, PA 15132

412-673-5504

mckeesport.familymedicine.pitt.edu/content.asp?id=1431&subid=1928


Primary Care

Zeina Saliba, MD

Lawrenceville Family Health Center (UPMC St. Margaret)

3937 Butler Street

Pittsburgh, PA 15201

412-622-7343

www.upmc.com/HospitalsFacilities/Hospitals/stmargaret/family-health/Pages/Lawrenceville.aspx


Primary Care

Debbie Lewis, DMD

Lewis DMD, Debbie

224 Penn Avenue

Suite A1

Pittsburgh, PA 15221

412-247-0191


Primary Care


Matilda Theiss Health Center (UPMC Presby-Shadyside)

373 Burrows Street

Pittsburgh, PA 15213

412-383-1550


Primary Care

Marty  Seltman, MD

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

www.metrofamilypractice.org

Family care - Geriatrics - Women's health - OB/GYN - HIV care - Low cost prescription drugs/pharmacy service on-site; Sliding fee scale for those without insurance.

Primary Care

Kate Neely, MD

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310


Primary Care

Kathy Homrok, MD

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310


Primary Care

Dave  Freeman, MD

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310


Primary Care

Allison Aiken, MD

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310


Primary Care

Janelle Johns, CRNP

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310


Primary Care

Marie Engberg, CRNP

Metro Family Practice, Inc.

901-B West Street

Pittsburgh, PA 15221-2833

412-247-2310


Primary Care


New Kensington Family Health Center (UPMC St. Margaret)

301 11th Street

New Kensington, PA 15608

724-334-3640

www.upmc.com/HospitalsFacilities/Hospitals/stmargaret/family-health/Pages/NewKensington.aspx


Primary Care

Jerry Rubinowitz, MD

Rubinowitz and Ciesielka

5173 Liberty Avenue

Pittsburgh, PA 15224

412-682-3411

PRACTICE CLOSED TO NEW PATIENTS

Primary Care

Ben Skinker, MD

Shadyside Family Health Center (UPMC Shadyside)

5215 Centre Avenue

Pittsburgh, PA 15232-1303

412-623-2287

www.upmc.com/HospitalsFacilities/Hospitals/Shadyside/FamilyHealthCenter/Pages/FamilyHealthCenter.aspx

Comprehensive health care for all ages in a convenient location and comfortable environment.

Primary Care

Alan Finkelstein, MD

Shadyside Family Health Center (UPMC Shadyside)

5215 Centre Avenue

Pittsburgh, PA 15232-1303

412-623-2287

www.upmc.com/HospitalsFacilities/Hospitals/Shadyside/FamilyHealthCenter/Pages/FamilyHealthCenter.aspx


Primary Care

Melanie Gold, DO

University of Pittsburgh Student Health Services

Medical Arts Building, Suite 500

Pittsburgh, PA 15213

412-383-1800

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

www.studentaffairs.pitt.edu/shsmedicalservices

NOTE: Dr. Gold can only see undergrad and graduate students at University of Pittsburgh that have paid Student Health Fees

Speciality or Surgical Care

Noe Copley-Woods, MD

Copley-Woods, MD, Noe

300 Halket Street

McGee Women's Hospital

Pittsburgh, PA 15213

412-641-8889

OB/Gyn care.

Speciality or Surgical Care

Sharon  Goldstein, MD

Goldstein, MD, Sharon

UPMC St. Margaret Medical Arts Building

100 Delafield Avenue, Suite 113

Pittsburgh, PA 15215

412-782-2400

General and breast surgeon.

Speciality or Surgical Care

Paul  Lebovitz, MD

Lebovitz, MD, Paul

AGH, 1307 Federal Street, Suite 301

Pittsburgh, PA 15212

412-359-8900

Gastroenterology services including speciality clinic at the Positive Health Clinic at AGH

Speciality or Surgical Care

Ernie  Manders, MD

Manders, MD, Ernie

Falk Medical Building, 3601 Fifth Avenue

Suite 6B

Pittsburgh, PA 15213

412-648-9670

Plastic surgeon.

Speciality or Surgical Care

Joseph Pusateri, MD

Pusateri, MD, Joseph

UPMC St. Margaret Medical Arts Building

Suite 307

Pittsburgh, PA 15215

412-784-1110

General gastroenterology and general hepatology.

Speciality or Surgical Care

Michael  White, MD

White, MD, Michael

AGH, 320 East North Ave.

South Tower, Suite 401

Pittsburgh, PA 15212

412-359-4352



 
Do Ask, Do Tell the Doctor

Dr. Wolfe,

I appreciate the GLCC’s effort to increase the well-being and health of the LGBT community in Pittsburgh.  Unfortunately, I usually surf the web or see my family physician when I have questions pertaining to my health as a gay man.  Is there any benefit to having this column that is published quarterly?


Questioning Upcoming Eager Editorial Resource

Great question, but no comment on the acronym, QUEER.  As with the numerous personalities out there, different people prefer communication many different ways including via a newsletter.  With that said, we did think of your concern when we started this column and therefore put a “Do Ask, Do Tell the Doctor” button our main website to facilitate questions and answers related to the LGBT community faster, if needed.

In addition, there are other techno savy websites and projects occurring in the community that facilitate quicker responses.  I recently sat down with Ray Yeo who directs a web-based intervention through the Pennsylvania Prevention Project and the Pitt Men’s Study at the University of Pittsburgh.  The online program incorporates a website m4mhealthysex.org, a chat room “sexual health educator”, an online e-card messaging and an interactive HIV/AIDS education tool.

m4mhealthysex.org is sexually transmitted infections (STI) prevention and information-based website that contains blog-based themes, an interactive STI and HIV question and answer page, links to testing resources, and other helpful information that can connect gay and bi men with helpful sexual information.

The online sexual health educator “surfs” around in internet-based hook up sites like Gay.com, Adam4adam and Craigslist.  The purpose of the sexual health educator is to inform gay and bi men in Pennsylvania about sexual health risks and to provide access to STI-related resources.  “We get a lot of questions about oral sex,” Yeo went on to say.  “Most guys think it’s totally safe and are surprised to find out it isn’t.  There are ways to reduce your risk but using a condom is still the safest bet.”

The PA Prevention Project launched an online education tool known as RAPP.  ”The RAPP application was created by Dr. Ann Bowen at the University of Wyoming.  It was designed specifically to target rural gay and bi men with information regarding STI,” Yeo pointed out.  “Research was conducted using RAPP and it showed that it’s a good method for teaching guys about HIV/AIDs and other STI.  And, as we all know, the more our community learns about their risks, the better we can get control epidemics like HIV and AIDS under control.”

Finally, if there are men out there that would like to get involved with studies like the ones mentioned above, Yeo suggested going to www.GuyStudies.com. This website is a project of the PMRC (Pittsburgh Men Who Have Sex With Men Research Collaborative).  The PMRC is made up of local research organizations who are focused on the advancement of research for gay and bisexual men, and other men who have sex with men (MSM) in the greater Pittsburgh area.

I hope that helps!  If you or your friends have further questions, please visit the Gay and Lesbian Community Center (GLCC) at www.glccpgh.org and submit your questions.



 

Do Ask and Do Tell the Doctor…and more!

The GLCC has several exciting health care initiates.  First, we are beginning a new column about LGTB health care.  It is one program of an even larger local initiative to elevate the health and wellness of our community in Pittsburgh.  We would like to find out what common questions and concerns you have about yourself or others in the LGTB community.  What are the questions you would ask your primary care physician, but have not?  Or what questions are out there that some people may find difficult to discuss, but really many of you have similar concerns.  Remember, certain portions of our LGTB folks are more at risk than heterosexuals for numerous issues such as access to care, low physical activity, poor nutrition, tobacco and alcohol use, recreational drug use, depression, anxiety, eating disorders, suicide, HIV, STDs, anal cancer and others.

Second, the GLCC will reopen its medical clinic in the coming months to provide some basic services like HIV testing, prevention counseling and initial primary care services (diet, exercise, high blood pressure, cancer prevention discussions, etc.).  This is important because our medical community has been on the forefront of medicine and surgery for decades, though LGTB health care has only reached the focus of a few organizations in counseling and treating the stigmata surrounding mental health issues and HIV and other STDs.  The GLCC, along with several other LGTB community partners, would like to reach out to its community even further to provide more complete health care to you.

We will continue to work closely with focus groups and a physician subcommittee led by the Community Advisory Board of the Pitt Men’s Study that have initiated steps toward more comprehensive LGTB health care.  GLCC would like to contribute its role in this process with these two new initiatives.

So…”Do Ask and Do Tell the Doctor” questions that you’re curious about or that concern you in relation to being lesbian, gay, bisexual or transgender.  Send your questions to the GLCC at ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it ).  We will print the questions and our best answers to the most common and most intriguing questions.

Dr. Steve