On the occasion of International Day of Women, the Gay and Lesbian Action - Loiret decided to meet on February 28 last, Dr. Laurence Wittke, a doctor of family planning Orleans la Source, s to 'maintain everything you ever wanted to know and have never dared to ask about lesbian health, so little discussed in the media.
Here is a summary of the meeting:
Gagli: We want to talk about lesbian health because we have the impression that, by lack of information few of them are followed by a gynecologist, have you noticed you talking sexual orientation with your patients ?
Dr. LW: No, I do not fit the question.
Gagli: Monitoring is the same as for heterosexual women?
Dr. LW: Yes, monitoring is the same.
Gagli: Risks for lack of monitoring are they the same?
Dr. LW: Women in general have breast and uterus, so monitoring is recommended for all. The ideal is a gynecological consultation per year, but better check every three years than ever! We do not really know from how often prevention is effective or below which it no longer.
Gagli: What are the major infectious risks for a woman? When do you most?
Dr. LW: The most common are chlamydia, often without obvious symptoms, which can lead to infertility, "the treatment-minute, four tablets ingested simultaneously, is 
very effective. Then the fungal infections and vaginosis, which are not classified IST *, and from the imbalance in vaginal flora, their treatment is also very simple and effective. It was the papillomavirus, from which can develop the condyloma and cancer of the cervix.
Screening for chlamydia is by sampling during the examination of the cervix or urinalysis, papillomavirus tracks are also in consideration of the neck by a smear. It takes place from 25 years. Fortunately, the cure rate is over 99% when the papillomavirus is detected in time.
The most serious infections are hepatitis B and HIV, but compared to others, they are much more rare and it is exceptional that it is we who make the diagnosis even if these tests are part of systematic assessments of STIs that we prescribe.
Gagli: The lesbians are concerned by the papillomavirus, the cause of cancer of the cervix. The effectiveness of the vaccine Gardasil, which is advertising on TV, guaranteed?
Dr. LW: It does not protect against all forms of the virus and therefore against all cancers. In cases where it works, we have not yet back to see if it is valid more than five years. We did not back either about the side effects and a real reduction in mortality. What is certain is that it reduces the number of cancer of the cervix.
Gagli: We said it was effective before this age, before or within one year after the first reports, publicity is rather directed hetero, arising they have sex?
Dr. LW: Actually it is hetero-oriented, I do not know.
Gagli: Speaking of prevention is to follow a preventive role in relation to breast cancer, what are the checks, how often?
Dr. LW: The ideal is reviewed annually, consult as soon as there is a doubt! Good to know: There is an explosion in the number of cancers from fifty years, but it also diagnosed among young women.
Gagli: Autopalpation: Could you give us some advice?
Dr. LW: This practice is no longer in fashion: some breasts are harder to review than others, it has mainly generated fears unjustified ...
We will leave here this time but we will soon for new adventures, with other topics, which also include boys, as AHR and homosexual.
Interview with the kind participation of Emilie, Lucile and Christmas.
* STI sexually transmitted infection
Useful information:
The Family Planning Association is a feminist who aims to provide assistance to women in their sexuality.
The planning of the Source Orleans welcomes women who like women without a priori, for a small intelligence, a conversation with a doctor, a gynecological consultation ... You can even follow them regularly.
The services it offers, its details and other practical information on its website:
website: http://www.planning45.org
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The Board has developed with the French Movement for Family Planning (MFPF) of Loiret, an agreement that aims to offer women of activities around sexual health, desire, torque, procreation, etc. 
Indeed, several findings have emerged from studies made about lesbians and bisexual women. It has been demonstrated excess mortality for cancers of the breast and cervix due to a screening too late. We know that some sexually transmitted infections (STIs) can go unnoticed among women, including chlamydia, which can lead to infertility. 
The agreement will be signed Thursday, 30 October 2008 at 17.30. It will structure the project of women's health and seek common funding. Indeed, the Regional Public Health (GRSP) did not see fit to fund us this project this year, arguing that there are already mechanisms for the prevention of cancer for women. It is ignoring the gender lesbians. We have to continue to convince for 2009. 
