Dr. Paul Benson is the founder, owner, and Medical Director of Be Well Medical Center in Berkley, Michigan, a family medicine practice established 45 years ago. He is proud to share he was the first LGBTQ physician to open a medical practice in Metro Detroit, creating a safe, affirming space for patients of all backgrounds, especially those too often overlooked or mistreated in healthcare. While he did not set out to become an HIV specialist, the timing of opening his practice in 1980 placed him at the very beginning of the AIDS epidemic, when fear and stigma kept many providers from treating gay men. What began with caring for friends quickly grew into a trusted medical home for LGBTQ patients and a lifelong commitment to HIV medicine and advocacy. In this candid conversation, Dr. Benson and Dr. Joe Kort reflect on the early years of the epidemic, the loneliness many patients endured, and the enormous changes that arrived as treatments evolved and prevention became possible. Dr. Benson explains why HIV care is an intellectual challenge, not just medically, but emotionally and psychologically, because great care requires seeing the whole person, including mental health. They also discuss today’s realities. PrEP is highly effective, but many people who could benefit from it still are not using it consistently. Dr. Benson shares optimism about long acting injectable prevention options and the future of cure research, and he gives a clear, reassuring answer to a question Joe hears often. If someone is not having intercourse, do they need PrEP or other HIV prevention medications? His answer is no. The episode also dives into gender affirming care and what responsible, ethical transgender healthcare actually looks like in a primary care setting. Dr. Benson talks about his decades of experience providing hormone therapy, why careful lab monitoring matters, the risks of using higher than recommended dosing, and his measured approach to puberty blockers and surgical interventions for adolescents. He closes with a message he wants every listener to hear. Mental health is a vital part of total healthcare, and patients deserve a strong support team, including providers who collaborate and patients who advocate for themselves, and who cancel appointments when they cannot make them. Listen to this Smart Sex, Smart Love episode as Dr. Joe Kort talks with Dr. Paul Benson about LGBTQ affirming primary care, the evolution of HIV treatment and prevention, the reality behind transgender medicine, and why mental health support belongs in every healthcare plan. Support the show
