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Every doctor I’ve had as an adult, except my university health center doctor and planned parenthood doctor, has been hesitant towards my “gay” care. Things like saying I have multiple sexual partners make them wince when I say I want to be tested for STDs on a regular basis. Only my gay friendly providers offered me an anal exam when I said I was generally the receptive partner (to check for warts, hemorrhoids, sores, etc).
I genuinely don’t think PR would be a safe D seat by any stretch though