Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge CenterHealth Concerns for Lesbian and Bisexual Women

Health Concerns for Lesbians and Bisexual Women

Top 10 things lesbians and bisexual women should discuss with their health care providers.

Written by Tonia Poteat, MMSc, PA-C, MPH, PhD.

Did you know that lesbians have some special health risk factors? You and your health care provider can work together to lower your risks. Start by asking about these top ten health concerns.

Breast Cancer

Lesbians are more likely to have risk factors for breast cancer, but they’re less likely to be screened. This means they’re less likely to be diagnosed early, when the disease is most curable. Check with your health care provider to make sure you’re on track with breast cancer screenings.

Depression and Anxiety

Dealing with discrimination can cause chronic stress. This can be made worse if you need to hide your orientation, or if you’ve lost emotional support because of it. This constant stress can lead to depression and anxiety. Talk to your health care provider about your feelings - help is available.

Heart Health

Heart disease is the number one leading killer of women. And smoking and obesity are the biggest heart disease risk factors for lesbians. Talk to your health provider about getting yearly screenings for high blood pressure, high cholesterol, and diabetes. Your health care provider can also offer tips on quitting smoking, getting more exercise, and controlling your weight.

Gynecological Cancer

Lesbians are at greater risk for certain types of gynecological cancers. Regular pelvic exams and Pap tests can find cancers early and give you the best chance of being cured. Ask your health care provider if you’re due for cancer screening.


Lesbians are more likely to be overweight or obese than straight women. Being overweight or obese puts you at risk of heart disease, cancers, and premature death. Talk to your health care provider about healthy living, including eating right and getting regular exercise.


Lesbians use tobacco at higher rates than straight women. Tobacco use puts you at risk of cancers, heart disease, and emphysema. These are three major causes of death among women. Talk to your health care provider about ways to cut back or quit.


Heavy drinking and binge drinking are common among lesbians. More than one drink per day can raise your risk of cancer, liver disease, and other health problems. Ask your health care provider for help if you’re concerned about your drinking.

Substance Use

Lesbians may use drugs more often than straight women. This may be a way of coping with stress from homophobia, sexism, or discrimination. If you’re using drugs, talk to your health care provider. You can get help with quitting and learn healthy ways to cope and reduce stress.

Intimate Partner Violence

Violence is not just a straight couple problem. Some lesbians deal with relationship violence. If you’re experiencing violence, your health care provider can help. Counselors and shelters are there for you, too.

Sexual Health

Lesbians can get the same sexually transmitted infections (STIs) as straight women. Lesbian partners can transmit STIs by skin-to-skin contact, mucous membrane contact, vaginal fluids, and menstrual blood. Ask your health care provider about whether you need STI screening, and how often.


Women's Health Cancer Screening Alcohol Use


LGBTQ+ Health Disparities Cancer Facts for Lesbian and Bisexual Women

Back to Knowledge Center


Top 10 Things Lesbians Should discuss with Their Healthcare Provider, GLMA, accessed July 15, 2021, used by permission

The content provided on this web site is not medical advice and is not intended to be a substitute for medical care provided by a physician.

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna


Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap


Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details