I know that this sounds weird, but I have some concerns about coming out to my doctor, and had a physical today. I want the vaccines that I need, but somehow I just can't ask for them from her. So how do I get these things? I want Hep A, Hep B, HPV if they'll give it to me at my age, and meningitis. The meningitis is the biggie here in NYC, it's actually downright scary. Suggestions on where to go? I have insurance.....
If you don't feel comfortable honestly discussing your health needs with your doctor you might need to find a new one. A doctor should be a partner that works with you with honesty and understanding, anything less is a risk to your safety.
The only vaccine you want to get that might say "Hey, I'm gay" is the HPV, all the other ones are routine for everyone to have. I always think of my doctor as a service provider and you just tell them what you want done and they do it. She can't say anything to anyone thanks to HIPPA. I agree with the others though, if you are uncomfortable talking to your doctor about anything, you are going to be really uncomfortable when she starts checking you for other things as you start getting up there in age. :icon_bigg I'd consider seeing someone else.
When I got the Hep A and B vaccines, the doctor noted that I traveled a lot and was amenable to giving me the series. The insurance was kind of weird about paying for it. It sort of dangled on the bill, and then they wrote it off or something, because I don't remember having to pay a balance related to the shots. I have not had the HPV vaccine. They say a large percentage of American adults carry HPV in a dormant state on their skin. As for meningitis, I don't know, and didn't know that it was a problem in NYC. You should be able to tell the doctor that you're a single man who doesn't know when you might be sexually active and that you want the typical vaccines. For HPV, they might test you before giving it to you, since you're not a school age kid. I think that there's probably an antibody test for that at this point.
I know of no doctor who will ask you why you want an immunization. In fact, in some states you can go to any pharmacy and request an immunization from the pharmacist. We want everyone to get immunized because it not only protects you, it protects other people that you might have infected. I've mentioned this before in other threads: Being gay, lesbian or bisexual does not matter to your healthcare provider. We do not care who you sleep with. What we do care about is what you do when you sleep with them. A straight person having unprotected anal sex is as much at risk as a gay person doing the same thing. In fact, the CDC guidelines don't mention orientation- they say only that certain immunizations are recommended for "men who have sex with men" (MSM).
Worth mentioning- the current CDC recommendations are that all pre-teens- male and female- be immunized for HPV. No, because being gay doesn't transmit STDs. Sex does. Back in the 1980s, public health publications did use the terms "gay", "homosexual", IV drug abuser, etc. Several of the advocacy groups pointed out that not all men who had sex with men were "gay". Two of the populations that we were having trouble reaching were inmates in correctional facilities (who considered themselves straight) and married men who were having sex with men on the side. So, the terminology was changed to reflect the behavior- ergo "men who have sex with men", "IV drug user", etc.
I don't think you asking your doctor for a few vaccines is going to ring the alarms of disturbia within her office... She's a Doctor... With that being said, she's experienced just about every bizarre, mind-altering, and maybe even traumatizing scenario imaginable in her career. She has no time or room for prejudice in her profession, and you asking for these vaccinations would, if anything, have her more inclined to respect you as a person for taking precautionary steps to better your health.
BTW, I've found a way to do this, and wasn't really looking! I'm sick right now (sore throat) so went to the urgent care clinic to get checked out. As I was registering, two guys came in and asked if they had the meningitis vaccine (which is recommended for MSM in NYC) and they said that they indeed do. The guy didn't get it because of the cost ($185) but my insurance would cover it (he had Medicare - an older gentlemen) I think I remember somewhere that you shouldn't get vaccinated unless you're healthy, so I'll wait to run out of the antibiotics they gave me for the sore throat and then go back and get shots