LGBTQ HEALTH

LGBTQ health services

San Francisco City Clinic has a long history of working with diverse populations. We offer specialized care to the LGBTQ communities of San Francisco with pride, respect, and confidence.

Our staff and providers work tirelessly to create a patient experience that allows everyone who comes through our doors to feel safe and secure.

We offer a wide range of sexual health services at San Francisco City Clinic, including:

For sexually active gay and bisexual men, trans women who have sex with men and trans men who have sex with men, we recommend that you get tested for HIV and STDs every three months.

Trans individuals are welcome to come into the clinic without an appointment during regular hours or by appointment Thursdays, 8 a.m. – 11 a.m. To make an appointment, please call 415-487-5525 or email cityclinictransservices@sfdph.org.

Note: SF City Clinic does not prescribe hormonal therapy or do medical evaluation and clearance for gender affirming surgery. However, if you are interested in these services, we can assist with linking you to health benefits and primary care.

Lesbians and bisexual women may want to explore our women’s health services to see the testing and health options offered at SF City Clinic or visit our About You page for more detailed information and recommendations.

“City Clinic gives you hope that good health care can happen. They take privacy quite seriously, and your health even more seriously.”

~ Marz

STD testing guidelines

These guidelines will help you determine what tests you need if you don’t have any STD symptoms. Depending on your situation, we may recommend that you get tested for other infections or that you get tested more frequently. Our experienced staff can help you determine what tests you need.

Gay, bisexual, and other men who have sex with men

Your blood should be tested for syphilis and HIV every three months. You should also get urine, oral, and rectal swab tests for chlamydia and gonorrhea every three months.

Trans women and trans men who have sex with men 

Your blood should be tested for syphilis and HIV every three months. You should also get urine or vaginal swab tests, as well as oral and rectal swab tests for chlamydia and gonorrhea every three months.

Lesbians, bisexual women and other women who have sex with women

If you are 25 years or younger, you should be tested for chlamydia and gonorrhea once each year and for HIV at least once in your life.

If you are older than 25 years, you should be tested for HIV at least once in your life.

If you are pregnant, you should be tested for chlamydia, gonorrhea, syphilis and HIV in the first trimester and again in the third trimester if you are at risk of STDs.

If you are HIV positive, you should also be tested for trichomoniasis (trich) once every year.

Getting regular, ongoing health care

SF City Clinic offers comprehensive sexual health services, but we are not a primary care clinic. We encourage you to enroll in health insurance and identify a doctor or other healthcare provider who can help you with any other health matters.

Finding the right healthcare provider

Finding a healthcare provider whom you can talk to about your sexuality and sex practices is important because open discussion will help your provider best support you.

  • If you are looking for a provider who is culturally aware of the needs of gay and bisexual men and women, the Gay and Lesbian Medical Association has a list of gay providers and can be reached at 415-255-4547 or at www.glma.org.
  • If you are looking for information about trans health, visit Gender Health SF.
  • If you are HIV negative and interested in starting PrEP, visit PrEPLocator.org.

If you need an HIV care provider, call our medical social worker at 415-487-5511 or view these resources to find a provider who takes your insurance:

HIV care options in San Francisco include HIV clinics and private HIV providers along with information about the insurance coverage they accept and how to get an appointment.

HIV navigation programs in San Francisco that can help get people into care.

What Our Patients Say...

"You all are so extremely lovely, best clinic I've ever been to - Thank you for all the important work you do."

~ James

Your donation makes a difference