Consultation de gynécologie à destination des personnes lesbiennes ou trans : retour d’expérience

Abstract

Introduction: Access to gynaecological care for lesbians and trans people is a public health issue. A free consultation has been experimented for this population in a community approach.

Methods: Feedback from the midwife responsible for this consultation through analysis of data from medical records and administrative reports.

Results: 100 consultations were conducted over the 30 months of the experiment. These consultations were for the benefit of lesbian cisgenre women in 76 cases and trans men in 17 cases. These consultations offered a time for attentive listening, anamnesis, clinical examination, screening tests, preventive treatment and orientation. Their duration varied from 50 minutes to 1.5 hours. The reasons for consulting are often multiple and thirty-eight percent of the people received said they had been victims of violence.

Conclusions: Adjusting the consultation process could facilitate access to gynaecological care for lesbians and trans men. An institutional period of training, reflection and networking with the professionals and communities concerned seems essential to the success of this type of care.