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Effective communication is vital to any relationship, and sexual communication is no different. Given its importance, sexual communication and its relation to a variety of topics has been studied in recent years. Included among these are its relation to safer sex behaviors, sexual and relationship satisfaction, and fertility and family planning among heterosexual partners. Yet, for queer partners, the data reflect interest in sexual communication as it relates to safe sex behaviors such as condom use and HIV status. Further, the current base of published literature on sexual communication among queer partners focuses almost exclusively on men who have sex with men and leaves out other types of queer partnerships. To be truly inclusive, it is imperative that sexual communication research broaden its focus to include topics that do not medicalize queer couples, such as sexual pleasure, satisfaction, and relationship well-being.

Researchers have examined the relational, social, and communicative aspects of legally recognized marriage for LGBTQ+ people. Legally recognized marriage has been found to affect the experiences of and communication within the relational lives of LGBTQ+ people in a variety of ways. First, LGBTQ+ marriage has been found to have psychological effects for LGBTQ+ individuals and has been found to impact aspects of LGBTQ+ identity. Legal marriage has also been found to impact LGBTQ+ romantic relationships by influencing relationship-related perceptions, marriage-related deliberations for couples, and changes to couples as a result of marrying. LGBTQ+ people also report changes in their family relationships related to legal marriage that marriage has influenced relationships with family-of-origin members and family building for LGBTQ+ people. The current research is limited because of a reliance on samples that are predominantly cisgender and White and identify as gay or lesbian, therefore underrepresenting the experiences of marginalized members of the LGBTQ+ community.

Same-sex couple relationship maintenance involves the exchange of communication and relational behaviors to sustain these romantic relationships. In communication studies, same-sex couple relationship maintenance began in the late 1990s, and while it remains understudied, research in this area continues to grow and illuminate understanding of how communication plays a central role in the maintenance of same-sex couple relationships. Social exchange, along with minority stress, have been the predominant theoretical frameworks in studies of same-sex couple relationship maintenance. Overall, evidence suggests that relational maintenance behaviors (assurances, shared tasks, openness, positivity, conflict management, advice, and shared networks) are associated with positive relational functioning and quality in same-sex couple relationships. Lesbian, gay, bisexual, transgender, and queer+ (LGBTQ+)-specific relational behaviors, such as being “out” as a couple and seeking out LGBTQ+-supportive environments, also have been highlighted. Research also points to the positive impact of partner social support and same-sex marriage on same-sex couple commitment and satisfaction, and a negative relational impact from concealing LGBTQ+ identity and same-sex relationship status. Future research is needed to continue to illuminate the evolving impact of increasing social legitimacy (e.g., same-sex marriage) on same-sex couple relationship maintenance.

For individuals who identify as LGBTQ+, disclosing sexual orientation and/or gender identity can be a complex and risky conversation. However, in the medical context this conversation frequently becomes a central part of communication between patient and provider. Unfortunately, this conversation can also become a barrier that prevents patients from receiving or even accessing necessary medical care. LGBTQ+ individuals have reported experiencing significant discrimination in day-to-day life, and more specifically in patient–provider interactions. This discrimination leads LGBTQ+ individuals to avoid seeking necessary medical care and also frequently results in unsatisfactory care and poor health outcomes. This is of concern as LGBTQ+ individuals present with significantly higher rates of health issues and overall higher risks of cancer, chronic illnesses, and mental health concerns. Unfortunately, many medical providers are unequipped to properly care for LGBTQ+ patients and lack opportunities for education and training. This lack of experience leads many providers to operate medical offices that are unwelcoming or even inhospitable to LGBTQ+ patients, making it difficult for those patients to access inclusive care. This can be of particular concern when the patient’s sexual orientation or gender identity becomes relevant to their medical care, as they may feel uncomfortable sharing that information with a provider. Patient self-disclosure of sexual orientation or gender identity to a medical provider not only can contribute to a more positive relationship and improved quality of care but also can improve the psychological outlook of an LGBTQ+ individual. However, potential stigmatization can lead to the concealment of sexual orientation or gender identity information. These acts of concealment serve as intentional mechanisms of impression management within the patient–provider interaction. When LGBTQ+ patients do discuss their sexual orientation or gender identity with a provider, it is most often because the information is directly relevant to their health and disclosure, and therefore becomes essential and often forced. There are instances where LGBTQ+ patients are motivated to disclose to a provider who they believe will respond positively to information about their sexual orientation or gender identity. Disclosure of sexual orientation or gender identity may be direct in that it is clear and concrete. It may also be indirect in that individuals may use particular topics, such as talking about their partner, to broach the subject. Participants may also use specific entry points in the conversation, such as during taking a medical history about medications, to disclose. Some individuals plan and rehearse their disclosure conversations, whereas others disclose when they feel they have no other choice in the interaction. Increasing inclusivity on the part of providers and medical facilities is one way to promote comfortable disclosure of sexual orientation or gender identity. Additionally, updating the office environment and policies, as well as paperwork and confidentiality procedures, can also promote safe disclosure. Finally, improvements to training and education for healthcare professionals and office staff can dramatically improve interactions with LGBTQ+ patients. All of these efforts need to make integration of knowledge about how LGTBQ+ individuals can disclose comfortably and safely a central part of program design.

LGBTQ+ people face unique organizational communication dilemmas at work. In the United States, LGBTQ+ workers communicate their gender, sexuality, and other intersecting identities and experiences through complex interactions with coworkers, supervisors, customers, publics, organizations, and institutions. They also utilize specific communication strategies to navigate exclusionary policies and practices and organize for intersectional justice. Five central research themes for LGBTQ+ workers in the current literature include (a) workplace discrimination, (b) disclosure at work, (c) navigating interpersonal relationships at work, (d) inclusive and exclusive policies, and (e) intersectional work experiences and organizing. First, the lived experiences of discrimination, exclusion, and violence in organizations, including from coworkers, managers, and customers, present a plethora of challenges from organizational entry to exit. LGBTQ+ workers face high levels of unemployment and underemployment and experience frequent microaggressions. Queer, trans, and intersex workers also experience prevalent workplace discrimination, uncertainty, and systemic barriers when attempting to use fluctuating national and state laws for workplace protections. Second, such discrimination creates unique risks that LGBTQ+ workers must navigate when it comes to disclosing their identities at work. The complexities of workplace disclosure of LGBTQ+ identities and experiences become apparent through closeting, passing, and outing communication. These three communication strategies for queer, trans, and intersex survival are often read as secretive or deceptive by heterosexual or cisgender coworkers and managers. Closeting communication may also involve concealing information about personal and family relationships at work and other identity intersections. Third, LGBTQ+ people must navigate workplace relationships, particularly with heterosexual and/or cisgender coworkers and managers and in organizations that assume cisheteronormativity. Fourth, policies structure LGBTQ+ workers’ lives, including both the positive impacts of inclusive policies and discrimination and violence via exclusionary policies. Fifth and finally, intersectionality is crucial to theorize when examining LGBTQ+ workers’ communication. It is not enough to just investigate sexuality or gender identity, as they are interwoven with race, class, disability, religion, nationality, age, and more. Important exemplars also showcase how intersectional organizing can create transformative and empowering experiences for LGBTQ+ people. By centering LGBTQ+ workers, this article examines their unique and complex organizational communication needs and proposes future research.