Asexuality Disclosure in Healthcare: Attachment and Patient‐Reported Experiences in a Cross‐Sectional Pilot Survey

ABSTRACT Background and Aims Asexual adults often report misunderstandings during clinical encounters. We described romantic attachment (ECR‐R anxiety/avoidance) in an asexual sample and tested whether disclosure in medical settings was associated with feelings of misunderstanding, stigma, and a (dis) comfort‐discussing orientation. Methods This was a cross‐sectional online pilot survey (N = 47, aged 18–67 years). Variables: Disclosure (no/never, depends/sometimes, yes/always), Likert outcomes (1–5), ECR‐R (1–7), and age. Analyses: ordinary least squares (OLS) with HC3 robust SEs; ordered logit sensitivity analyses (odds ratios, 95% CI) in Supplement S1; multiplicity controlled via Benjamini–Hochberg FDR. Results Mean ECR‐R scores: anxiety 3.28 (SD 1.30), avoidance 3.47 (SD 1.41). Avoidance was higher in sex‐averse than in sex‐favourable participants (Hedges' g = 1.285; 95% CI 0.449–2.769). Relative to never disclosing, “depends/sometimes” was associated with greater misunderstanding (OR 5.69; 95% CI 1.45–22.32) and stigma (OR 5.32; 1.30–21.80), whereas “yes/always” was associated with less discomfort (OR 0.05; 0.00–0.68). Estimates for “always” disclosure reflect a small subgroup (n = 4). Key contrasts were robust to FDR adjustment, and ordinal models were directionally consistent. Conclusion Disclosure patterns are related to reported healthcare experiences of asexual patients. Non‐presumptive sexual history taking, patient‐led disclosure options (e.g., an “asexual” field), and asexuality‐competent communication training may improve care. Larger multi‐site studies are warranted.