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RCOG World Congress 2025

June 23 - 25, 2025 | ExCeL London, UK

EP.1497

Experiences of disclosing lesbian identity to healthcare professionals in Yorkshire and Lincolnshire.

Part of Topic

LGBTQ+

Audio

Experiences of disclosing lesbian identity to healthcare professionals in Yorkshire and Lincolnshire
Joseph Frost and Dr Paul Whybrow

What is known about LGBTQ+ health?

•LGBTQ+ people have poorer life satisfaction (Government Equalities Office, 2018).
•Health outcomes are poorer for LGBTQ+ (Frost, Lehavot & Meyer, 2015).
•Link between poor health and discrimination (Frost, Lehavot & Meyer, 2015).
•More likely to engage in health risk behaviours (Kneale et al, 2019).
•Heteronormativity is a barrier to healthcare (Hudson-Sharp & Metcalf, 2016).
 

Aims:

•Further understanding of experiences of LGBTQ+ individuals in this region.
•Secondary aims of understanding how LGBTQ+ experience ‘coming out’ and how LGBTQ+ couples experience healthcare 
 

Methods:

•Voluntary response sampling of LGBTQ+ people in region.
•Three participants recruited, all identify as female and lesbian/gay.
•Pilot interview helped develop interview schedule
•Audio-recorded semi-structured interviews.
•Transcripts were anonymised, coded and analysed following the principles of thematic analysis.  
 

Results

Negative experiences in Women’s health

“When you mention that you're a lesbian with a baby, that kind of it throws people. (…) People don't like that.”

“I have to come out on the daily […] Like if you go see doctors and say anything to do with like reproductive health […] it's just difficult navigating and having to tell everybody like all the time.”

“(I said) I didn’t need the pill because I do not have heterosexual sex. […] And then after that, the conversation, the whole atmosphere of the room changed.”

Disclosing sexual identity causes discomfort 

“Not only do I have to tell this woman I am not straight, I have to figure out how she feels about it and make sure it’s safe enough to tell her…”

“I typically don’t mention it in healthcare settings, because I don’t want the quality of my care to change.”

“It's just uncomfortable and kind of threatening […] because you’re not sure what to say next because you don’t know what they are thinking”

Assumptions on partner’s gender and lack of acknowledgment

“They do look at [my partner] sometimes like who the hell are you, is this your sister? Erm no that’s my wife!”

“They just leave her in the background […] they won’t even look or glance at [her].”

“You just kind of feel quite small […] like a bit of an inconvenience in the room.”

“It’s people assuming all the time that… just because I don’t look like the lesbian stereotype that people automatically assume I’ve got a husband.” 

 

Discussion

•Heteronormative assumptions from healthcare professionals were a significant issue for participants.
•Participants described tactical non-disclosure of lesbian identity to maintain a positive healthcare experience.
•Women’s health was found to be a common subject in which participants were made to feel uncomfortable.
•This study addresses a research gap: lesbian experiences are under-represented within the LGBTQ+ health literature (Hudson-Sharp & Metcalf, 2016).
•The study also provides a unique insight into experiences in the Yorkshire and Lincolnshire region.
•Limitations and recommendations: Small study, which lacks diversity of the LGBTQ+ community. More research is needed into the experiences of LGBTQ+ individuals in the region.  

References:

•  Frost DM, Lehavot K & Meyer IH, (2015)  Minority stress and physical health among sexual minority Individuals, Journal of behavioural medicine. 38:1-8

•  Government Equalities office (2018), National LGBT survey: Summary report, Government Equalities Office.

•  Hudson-Sharp N and  Metcalf H (2016)  Inequality among lesbian, gay bisexual and transgender groups in the UK: a review of evidence,  National Institute of Economic and Social Research

•Kneale D, Henley J, Thomas J, French R (2019). Inequalities in older LGBT people’s health and care needs in the united kingdom: a systematic scoping review, Ageing & Society, 41: 493–515. doi:10.1017/S0144686X19001326
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