LGBTQ Healthcare

Preterm is proud to provide world-class sexual healthcare to the LGBTQ community—with respect and without judgment. We will provide you with the information and resources you need to protect your health and make informed decisions. We will always respect your sexual health decisions, privacy, and confidentiality. We are committed to providing a safe space and an affirming environment for our LGBTQ patients.


We accept most major insurance, including Medicaid. 


Services Available

Birth Control Across the Gender Spectrum

Whether you're cisgender, transgender, gender nonconforming, or somewhere else on the gender spectrum, contraception can be an important way to control fertility, affirm identity, and regulate hormones.


If you have a uterus and ovaries, you can get pregnant. This is true even if you take testosterone. Although it may stop your monthly bleeding, testosterone does not keep you from getting pregnant. If you have a penis and testes, you can get someone pregnant. This is true even if you take estrogen. Estrogen may lower your sperm count, but it does not keep you from getting someone pregnant. Click here to learn more about birth control options across the gender spectrum.


STD Testing and Treatment

There are many kinds of sexually transmitted diseases (STDs) and sexually transmitted infections (STIs). They are very common—more than half of Americans will get one. And they are nothing to be ashamed of. We treat men, women, and people of all sexualities and gender identities for STDs, with respect, and without judgment.


We test for and treat: chlamydia, gonorrhea, syphilis, herpes, trichomoniasis, bacterial vaginosis, pubic lice, crabs, HPV, and yeast infections. We also test for HIV and offer PrEP.


We know it can be hard to talk about sex with a healthcare provider. Our staff is always respectful and nonjudgmental—we think you’ll love how you’re treated here. We will always respect your privacy and confidentiality. We will help you get the STD testing and treatment you need. 

FREE Rapid HIV Testing

We offer free, confidential rapid HIV testing by appointment on Thursdays during Preterm’s sexual health clinic, by appointment only. The test is either a quick finger prick or a swab on the inside of your cheek. It takes about 20 minutes to get your results. If you have a negative test result and you are a candidate for PrEP (pre-exposure prophylaxis), we will work with you to connect you to PrEP services. If the test is positive, we will do a second rapid test. If the second test is positive, we will immediately connect you to early intervention services in the Cleveland area. They can start providing services for you within 24-48 hours.


PrEP, which stands for Pre-exposure prophylaxis, is a daily pill that prevents HIV. If you think you may be at risk for HIV, taking PrEP every day can help keep you HIV negative. PrEP is for people of all sexual orientations and gender identities. You may be at increased risk based on who you have sex with and if you use certain drugs. Our providers can let you know if you would benefit from taking PrEP.

Gynecologic Wellness Care

Regardless of who you have sex with or your gender identity, gynecological care is important for anyone with a uterus and ovaries. A gynecologic wellness check-up can help you stay healthy and prevent illness later. Our healthcare providers will listen to your concerns, answer your questions, and provide health information you can use for the rest of your life.


A wellness appointment includes a consultation with one of our healthcare providers, physical exam, pelvic exam, Pap test, breast or chest exam, pregnancy test, birth control options, and evaluation for any other screenings and tests you may need.


Abortion Care

At Preterm, we know that not only cis women and women who have sex with men need access to abortion care. We are here to provide abortion care for anyone who seeks it. 


If you are pregnant, you have options. Only you can decide what’s best for you, but we can help. We trust you to make the choice that is best for you and your unique situation. 


There are two types of abortion—surgical abortion and medication (nonsurgical) abortion. Preterm offers both types. Both types are safe and effective. Our staff will help you decide which method is right for you. Every appointment also includes a private discussion with a patient advocate. Here you can ask questions and explore your decision in a confidential, nonjudgmental atmosphere. We also discuss your other pregnancy options, the abortion procedure, and birth control methods.


Ohio law requires that you receive certain information and sign a consent form at least 24 hours before your procedure. This means that the law requires at least 2 visits—sometimes more—to get an abortion in this state. The law is meant to make abortion as expensive and difficult to access as possible. The fee for your first visit is $230 and is due at time of check-in. This fee will be applied to your total cost.


Many of our patients receive financial assistance to help cover some part of the cost of their abortion services at Preterm. If you are worried about your ability to pay for your abortion, please talk to us.


Have questions? Check out our abortion FAQ page.