Consulting transgender patient on Long-Acting Injectable PrEP

by | May 11, 2023

Patient Name

D’vine Culverson

Reason for Visit

D’Vine has presented to her Primary Care Provider today to request a prescription for the new long-acting form of HIV-1 pre-exposure prophylaxis (PrEP).

Upon opening statement, learner will discover D’vine is engaging in an extramarital affair and wants something discrete while protecting themselves and their partner.


This is a Telehealth visit, and this patient’s first time seeing this provider.

Sexual Orientation, Gender Identity and Expression (SOGIE)

  • Gender Pronouns: She/Her
  • Sex Assigned at Birth: Male
  • Gender Identity: Woman
  • Sexual Orientation: Bisexual


Participants have up to 20 minutes to conduct this visit.


  • Collect pertinent data, including a comprehensive sexual health history
  • Answer patient’s questions, and review the process of starting the medication, as well as needed monitoring


There will be verbal feedback with the SP following the visit.

Learning Objectives

  • Understand long-acting injectable PrEP prescribing information: indication, dosage, schedule, administration, monitoring etc – and be able to relay it in a patient friendly way.
  • Practice the CDC’s 5 P’s method of collecting sexual health information in a LGBTQ+ friendly way.
  • Provide effective sexual health counseling and care to a transgender patient in a trauma informed, culturally sensitive way.

Who Should Participate?

This scenario is a fit for all Advanced Practice Primary Care Providers (NP, PA, MD, or DOs)



GLMA: Health Professionals Advancing LGBTQ+ Equality is a national organization committed to ensuring health equity for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities and equality for LGBTQ+ health professionals in their work and learning environments. To achieve this mission, GLMA utilizes the scientific expertise of its diverse multidisciplinary membership to inform and drive advocacy, education, and research. The GLMA Education Committee is charged with ensuring the highest quality of educational content offered through GLMA’s educational programming. Additionally, the committee works to improve curriculum, climate, community engagement, and research for faculty at health professional schools.

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