your body at all, she might not be your best choice as a
If you feel comfortable with your practitioner's
answers to these four questions, and if she is a good fit
for you in terms of her specialty, her reputation, and her
ability to work with your finances (insurance, HMOs,
governmental support, or private payment), you may
have found yourself a health care practitioner.
What if you can't find a sex-positive practitioner?
Let's suppose that after a reasonable search you cannot
find a physician who is a good fit for you. All is not lost.
First, let's hope that this is an unusual situation.
Smoking is a much more medically damaging behavior
than most sexual activities. Most physicians are aware of
the medical problems with smoking, are not happy to
have smokers in their practice (they have more visits and
use more resources, a no-no under managed care) but
smokers still do find good, competent medical care.
Second, it's worth taking a second look at your
criteria. Did you pass up someone who wasn't perfect but
who would and could give you reasonable care?
If you're still stuck, there are other avenues to explore.
Try asking your insurance company. You don't have to
give the details "I'm a female-to-male transsexual trying
to get pregnant and nobody will help me." You could
say, "I have a unique appearance and I am looking for a
physician who will not prejudge me on that appearance."
Insurance companies want to make you happy and tend
to know who is in their network. They may be able to
refer you to someone.