Sexual Dysfunction in Men Who Have Sex With Men
Autor: | Philip J. Cheng |
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Rok vydání: | 2022 |
Předmět: |
Male
Sexual Behavior Urology Endocrinology Diabetes and Metabolism Population 030232 urology & nephrology Human sexuality Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Endocrinology immune system diseases Sexual medicine medicine Humans Homosexuality Male Heterosexuality education reproductive and urinary physiology Reproductive health education.field_of_study 030219 obstetrics & reproductive medicine business.industry virus diseases Obstetrics and Gynecology medicine.disease Minority stress Sexual Dysfunction Physiological Psychiatry and Mental health Erectile dysfunction Sexual dysfunction Reproductive Medicine Female medicine.symptom business Clinical psychology |
Zdroj: | Sexual Medicine Reviews. 10:130-141 |
ISSN: | 2050-0521 |
DOI: | 10.1016/j.sxmr.2021.01.002 |
Popis: | Introduction Historically, sexual health research has focused on men who have sex with women (MSW) and most research examining the sexual health of men who have sex with men (MSM) has focused on HIV transmission. Despite a high prevalence of sexual health disorders among MSM, there is limited research that has evaluated the diversity of sexual issues in these patients. Objectives The purpose of this review is to describe the unique sexual behaviors, concerns, and dysfunctions of MSM by evaluating the literature on sexual health in this specific patient population. Methods A PubMed literature search was conducted through December 2020 to identify all relevant publications related to the sexual health, sexual practices, and sexual dysfunction of MSM. Original research, review articles, and meta-analyses were reviewed, including comparisons of sexual behavior and dysfunction between MSM and non-MSM populations and between gay/bisexual men and heterosexual men. Approximately 150 relevant articles were reviewed and 100 were included in the manuscript. Results Minority stress can lead to an increase in high-risk sexual behavior, sexual dysfunction, and mental health disorders in MSM. MSM engage in a variety of sexual behaviors, which can lead to differences in sexual dysfunction, such as anodyspareunia during receptive anal intercourse. MSM have higher rates of erectile dysfunction than non-MSM counterparts. MSM have unique activators of sexual pathologies, such as insertive anal intercourse for Peyronie's disease. Prostate cancer treatment may cause MSM to change sexual roles and practices following treatment due to ED, anodyspareunia, or decrease in pleasure from receptive anal intercourse after prostatectomy. Conclusion MSM have been neglected from sexual medicine research, which translates to disparities in health care. Further research that focuses on the MSM population is necessary to better educate healthcare practitioners so that MSM patients can receive adequate care that is tailored to their specific needs. PJ Cheng, Sexual Dysfunction in Men Who Have Sex With Men. Sex Med Rev 2021;XX:XXX–XXX. |
Databáze: | OpenAIRE |
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