LGBTQ-Inclusive Urology: Myths vs. Facts

There are so many sources of information out there that it is sometimes difficult to separate fact from fiction, especially when it comes to topics that are not typically discussed, such as issues that may affect your urinary tract and sexual function. Dr. Unwanaobong Nseyo, a urologist specializing in urogynecology and an Assistant Professor in the Department of Urology at Weill Cornell Medicine, and her colleagues in the department have compiled a list of myths and the corresponding facts with information of particular relevance to the LGBTQ+ community.

Below, find a handful of popular examples of misinformation, paired with the medical truths that will give you a better handle on your urologic health:


If my urine looks darker than usual, it means there’s blood in it.


The most important factor affecting your urine color is your hydration status. Although dark, concentrated urine can look reddish, it isn’t always blood that makes it look that way. When you’re well hydrated, your urine should be clear and light yellow. Stay hydrated, and don’t wait until you feel thirsty to drink fluids.


As a post-op transgender woman, I no longer need to worry about my prostate, as it was removed with my bottom surgery.


While many parts are changed and removed during gender-affirming surgery, the prostate remains in place. That means you should still be aware of signs and symptoms that can be attributed to the prostate and seek routine screening for prostate cancer.


Anal receptive partners have a higher risk of developing prostate cancer.


While there is no association between anal sex and the risk of prostate cancer, there is an increased risk of anal cancer, and you should undergo recommended screening for both.


I’m a transgender man on testosterone. Therefore, I can’t get pregnant.


Hormones like testosterone can affect your physical appearance and your fertility to a certain degree. But even on hormones, you may still ovulate, which means you still could get pregnant.


Foul-smelling urine means I have a urinary tract infection (UTI).


While the smell of your urine may be a sign of infection when it is accompanied by other symptoms, by itself, a change in smell usually relates to your hydration status or to specific foods you’ve eaten. Once again, stay hydrated with water!


Everyone who tests positive for an STI experiences symptoms.


Routine screening is necessary, as many times STIs have mild to no symptoms.

Bring any other questions and concerns to Weill Cornell Medicine’s urologists by scheduling an appointment today.