The text below was extracted from the new LGBTQIA Safe Sex Guide published by Healthline.com and also endorsed by the National Institutes of Health, Human Rights Campaign, BMC Pregnancy and Childbirth journal, and Fenway Health in collaboration with Harvard Medical School, the National LGBT Health Education Center, and the Massachusetts League of Community Health Centers. It seems that referring to the genitals of a trans man as a vagina is binary biased and not inclusive. The acceptable terminology is "front hole." I have no further comment to make. Frankly, I'm speechless.

Traditional safe sex guides are often structured in a way that presumes everyone’s gender (male/female/nonbinary/trans) is the same as the sex they were assigned at birth (male/female/intersex or differences in sexual development).

Sex education resources often use videos, pictures, and diagrams as a way to convey important information, though these images and videos have historically failed to reflect or provide information about same-sex and queer relationships. In fact, the GLSEN 2015 National School Climate Survey shows that only about 5 percent of LGBTQ students saw LGBTQ representation in health class.

These guides also often unnecessarily gender body parts as being “male parts” and “female parts” and refer to “sex with women” or “sex with men,” excluding those who identify as nonbinary. Many individuals don’t see body parts as having a gender — people have a gender.

And as a result, the notion that a penis is exclusively a male body part and a vulva is exclusively a female body part is inaccurate. By using the word “parts” to talk about genitals and using medical terms for anatomy without attaching a gender to it, we become much more able to effectively discuss safe sex in a way that’s clear and inclusive.

For the purposes of this guide, we’ve chosen to include alternative words for readers to use for their genitals. For example, some trans men choose to use the words “front hole” or “internal genital” instead of “vagina.” Alternatively, some trans women may say “strapless” or “girl dick” for penis. This usage is meant for one-on-one communication with trusted persons, such as your doctor or partner, not for broad discussion.

In this guide, whenever we use the medical term “vagina,” we’ll also include “front hole” as clinically recommended by researchers in the BMC Pregnancy and Childbirth journal.