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Cleveland Clinic Children’s provides a full array of healthcare services for LGBT youth and their families. Condoms for sex toys and dental dam for oral-vaginal contact should be emphasized. 47 The CDC recommends routine immunization of males and females 11 or 12 years of age with HPV-4; catch-up immunization is recommended for WSW and MSM through 26 years of age. 47, 49, 50 HPV-2 has been approved for females 8 through 25 years of age. 51 Because many teenagers who self-identify as LGBTQ may have sexual encounters that may not be predicted by their orientation, conversation about highly effective birth control methods and emergency contraception is important. 11, 12 See the technical report for additional details on the medical and surgical transition of transgender youth.

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