The clinical approach to the male homosexual patient.

A history of sexual orientation, practices, and life styles, a complete review of organ systems, and a thorough physical examination are unique but essential elements of the examination of homosexual men. Laboratory screening should take into account the incubation period for infections, the risk for infection based on sexual practices, and cost. Physicians should counsel homosexual men about all aspects of a healthy life style; for this advice to be accepted, however, physicians must develop a relation with their homosexual patients that is based on awareness, expertise, and mutual understanding.