Intersex persons may have experienced confusing and substandard medical care and many care providers are not well educated on their medical needs. The use of hormone therapies and other treatments for gender identity disorder are now being mandated by the courts in many jurisdictions. Men who engage in sex with other men account for a higher proportion of HIV/AIDS cases than any other demographic group in the United States, according to the Centers for Disease Control and Prevention. Groups such as lesbian and bisexual women, generally receive less routine care than other women, according to the U.S. The medical and mental health care of the adult in-custody lesbian, gay, bisexual, transgender, and intersex (LGBTI) population is a complicated topic requiring an understanding of a broad set of issues.
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