1 From the Department of Medicine, Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine (C.G.S., S.L.K.), and the GenderCare Center (C.G.S.) and the Immigrant and Refugee Health Center (S.L.K.), Boston Medical Center - both in Boston; and the LGBT Rights Program and Global Health Initiative, Human Rights Watch, San Francisco (K.K.).