Clinical recommendation	Evidence rating	References
A sexual history should be taken using the “five Ps”: partners, practices, prevention of STDs, past history of STDs, and prevention of pregnancy.	C	8
Physicians should provide lesbians and bisexual women with education about STDs and should offer STD testing.	C	12,16
Physicians should advise patients to use barrier protection when engaging in oral–genital contact or vaginal penetration with the fingers or a latex sex toy.	C	10,12–15
Screening for cervical cancer in lesbians and bisexual women should be carried out according to the recommendations for women in general.	C	23,25–27
Physicians can reassure parents that children who grow up with one or two gay or lesbian parents do not differ in emotional, cognitive, social, or sexual functioning compared with children whose parents are heterosexual.	B	30,31
Physicians should screen lesbians and bisexual women for intimate partner violence.	C	35
Physicians should identify life stressors in lesbians and bisexual women and screen for depression and suicidal ideation.	C	39,40