This session will center on the lived experiences of people in New York State in seeking and/or receiving sexual health care.  In this session, we will explore the social and structural factors and inequities individuals face as they navigate not only their individualized needs, but also a clinical system that may not be ready for a syndemic approach.  Combatting both internalized and externalized stigma, we will learn how to better listen to ourselves, our loved ones, and the communities we serve.