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2x"],"width":100,"aspectRat":1,"type":"square1x1"}"/><source media="(m-width: 768px)" width="100" height="100" srcSet="width_100%2C$height_100/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c, width_200%2C$height_200/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c 2x" data-pb-im-nfig="{"urls":["width_100%2C$height_100/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c"," width_200%2C$height_200/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c 2x"],"width":100,"aspectRat":1,"type":"square1x1"}"/><img alt="Jill Margo" class="_1srKI" data-ttid="Image-image" src="width_140%2C$height_140/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c" srcSet="width_100%2C$height_100/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c, width_200%2C$height_200/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c 2x" siz="(max-width: 767px) 100px" data-id="cf1a9a9c6b649667188b9fcbfbd58af2cf1c" data-pb-im-nfig="{"urls":["width_100%2C$height_100/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c"," width_200%2C$height_200/t_crop_fill%2Cq_to:bt%2Cfl_any_format/cf1a9a9c6b649667188b9fcbfbd58af2cf1c 2x"],"width":100,"aspectRat":1,"type":"square1x1"}" width="100" height="100"/></picture></figure><div class="_3ohH5"><span class="qIIE_ _3BRJF"><span class="_1GUY1" data-ttid="AuthorNam"><strong><a class="sLxGg" data-ttid="AuthorURL" href="/by/jill-margo-j7gd4">Jill Margo</a></strong></span></span><span class="zwqgD">Health edor</span></div></div><sectn class="_2dzEx"><div class="_2cdD4" data-ttid="ArticleTimtamp"><span>Updated </span><time data-ttid="ArticleTimtamp-time"><span>Mar 1, 2016 – 6.28pm<!-- -->,<!-- --> <span class="_2UK0V" data-ttid="ArticleTimtamp-updated">first published at <!-- -->9.00am</span></span></time></div><div class="_31gDS" data-ttid="ArticleTools"><div class="_26BHG"><button 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class="tl7wu"><p>After beg visible the prostate ncer muny for 20 years, gay and bisexual men are fally beg seen.</p><p>Late 2015, a set of four booklets was produced Atralia specifilly for gay and bisexual men.</p><p>This is thought to be a world first and the iative was fund by the feral ernment via a Cancer Atralia grant.</p><figure class="gzJMC unfed NvmVw" data-pb-type="im"><picture><source media="(m-width: 1180px)" width="620" height="349" srcSet="zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_620%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e, zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_1240%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x" data-pb-im-nfig="{"aspectRat":1.777778,"type":"landspe16x9","width":620,"urls":["zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_620%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e"," zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_1240%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x"]}"/><source media="(m-width: 1020px)" width="620" height="349" srcSet="zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_620%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e, zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_1240%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x" data-pb-im-nfig="{"aspectRat":1.777778,"type":"landspe16x9","width":620,"urls":["zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_620%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e"," zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_1240%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x"]}"/><source media="(m-width: 768px)" width="696" height="392" srcSet="zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_696%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e, zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_1392%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x" data-pb-im-nfig="{"aspectRat":1.777778,"type":"landspe16x9","width":696,"urls":["zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_696%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e"," zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_1392%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x"]}"/><img alt="" class="_1srKI" data-ttid="Image-image" src="zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_620%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e" srcSet="zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_382%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e, zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_764%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x" siz="(max-width: 767px) 382px" data-id="c1624ae2b7575d711eb2db15d43960944bf2664e" data-pb-im-nfig="{"aspectRat":1.777778,"type":"landspe16x9","width":382,"urls":["zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_382%2Cq_88%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e"," zoom_1%2C$multiply_1%2C$rat_1.777778%2C$width_1784%2C$x_216%2C$y_8/t_crop_ctom/c_sle%2Cw_764%2Cq_52%2Cf_to/c1624ae2b7575d711eb2db15d43960944bf2664e 2x"]}" width="382" height="215"/></picture><figptn class="LuHig"><p>Where the imagery and language of rmatn about prostate ncer has tradnally been heterosexual, the new rourc e the language of the gay muny and don't hold back.<!-- --> <ce class="_23SOU">Anna Bryhanova</ce></p></figptn></figure><p>The booklets take a ank look at the role of the prostate gay sex.</p><p>Anthony Lowe, chief executive of the Prostate Cancer Foundatn of Atralia, which produced the booklets, says they are beg ed as a base for rourc Bra and Canada.</p></div></div><asi class="_3JfHJ"></asi><div class="ZAfSI"><div class="adWrapper _3XglG Hqxcp" data-ttid="ad-wrapper"><div class="" id="adspot-320x360_320x50_300x250_300x50-pos2-mobile"></div><div class="" id="adspot-728x90-pos2-tablet"></div><div class="" id="adspot-970x250_728x90-pos2-sktop"></div><small class="_3azTn">Advertisement</small></div></div><div class="_2J452"><div class="_33oUB"><div class="tl7wu" id="endOfArticle"><p>Gay men are more likely to enunter this ncer than heterosexual men, not bee they are at a higher risk but bee they and their partners uld both velop .</p><p>While they share many of the same challeng as their heterosexual peers, there are signifint differenc, Dr Gary Morrison, a Sydney-based health nsultant, says.</p><h2>Allayed fears </h2><p>Four years ago he was diagnosed wh prostate ncer and says had the rourc been available then they would have allayed many of his fears and eased his journey.</p><p>The diagnosis threw him and while the rmatn pack his surgeon gave him was prehensive and eful, the choic were overwhelmg.</p><p>Morrison says the new rourc follow through and provi the implitns of each choice for gay and bisexual men.</p><div class="ZAfSI"><div class="adWrapper _3XglG _35ekj Hqxcp _3_nxH" data-ttid="ad-wrapper"><div class="" id="adspot-320x360_320x50_300x250_300x50-pos3-mobile"></div><div class="" id="adspot-728x90-pos3-tablet"></div><small class="_3azTn">Advertisement</small></div></div><p>They regnise that the social environment for gay men is different, that their sexual practic are more versatile and that prostate ncer might have a broar effect.</p><p>"Sexually, they are more 'out there' and are probably more sexually active than straight men. This ncer has the potential to change their whole life as gay men," Morrison says.</p><p>It n change their self-image and their sense of masculy, to the extent that pursug a sexual life n be more plited and challengg.</p><p>Where the imagery and language of rmatn about prostate ncer has tradnally been heterosexual, Morrison says the new rourc e the language of the gay muny and don't hold back.</p><h2>Calm and rmative</h2><p>They are lm and rmative and although the gay muny is diverse, everyone om bankers to bikers n unrstand them.</p><div class="ZAfSI"><div class="adWrapper _3XglG _35ekj Hqxcp _3_nxH" data-ttid="ad-wrapper"><div class="" id="adspot-320x360_320x50_300x250_300x50-pos4-mobile"></div><div class="" id="adspot-728x90-pos4-tablet"></div><small class="_3azTn">Advertisement</small></div></div><p>Dpe good tentns, discrimatn and homophobia still exist the health system and when to prostate ncer assumptns are often ma.</p><p>An olr unmarried man is assumed to be sexually active, jt as 's assumed that after treatment a wife will llect the man and take re of him at home.</p><p>To talk about gay sexualy such an environment n be dntg and the booklets suggt men seek health profsnals they feel fortable wh.</p><p>One booklet quot a man sayg that others "jt don't get what means to be a gay man and the importance of the prostate a gay man's sex life".</p><p>Radil surgery to remove a ncero prostate has the most obv effects.</p><h2>Important role </h2><div class="ZAfSI"><div class="adWrapper _3XglG _35ekj Hqxcp _3_nxH" data-ttid="ad-wrapper"><div class="" id="adspot-320x360_320x50_300x250_300x50-pos5-mobile"></div><div class="" id="adspot-728x90-pos5-tablet"></div><small class="_3azTn">Advertisement</small></div></div><p>Whout a prostate there is no ejaculatn and no semen exchange, which has an important role the sexual play between men who have sex wh men.</p><p>Whout a prostate, the receptive partner anal sex don't get the benef of havg his prostate massaged, a procs that gments asm.</p><p>Whout a prostate, the active partner might not have an erectn rigid enough for perative anal sex. While men might rever some erectile functn after surgery, vagal peratn is generally easier.</p><p>Surgery n e problems wh urary ntence, which n rce a man's sense of beg sexually sirable. It n also lead to the leakg of ure on asm.</p><p>For some men asm be paful, although this generally don't last.</p><p>Apart om creatg a sr, surgery n rce length and width of the penis, further affectg body image.</p><div class="ZAfSI"><div class="adWrapper _3XglG _35ekj Hqxcp _3_nxH" data-ttid="ad-wrapper"><div class="" id="adspot-320x360_320x50_300x250_300x50-pos6-mobile"></div><div class="" id="adspot-728x90-pos6-tablet"></div><small class="_3azTn">Advertisement</small></div></div><p>Radiatn has a range of issu too, such as a slow cle potency, rctn ejaculate and bowel plitns.</p><h2>Mak pa worse</h2><p>Followg radiatn, the receptive partner might fd anal sex mak the pa worse and damag the lite lg of the an and rectum.</p><p>The booklets ver the entire prostate ncer experience, om qutns of ttg to tryg to start a new relatnship when treatment is over.</p><p>The nature of relatnships and emotnal support stctur gay muni is often different to heterosexual muni and gay men often talk about a greater sense of isolatn. There is value, the booklets say, participatg gay support groups, which n provi a sense of unrstandg, belongg and muny.</p><p>If a man has a partner, prervg timacy is important and the booklets suggt he be up ont. Not disclosg his issu n e tratn and misunrstandg, leavg them to send gus each other.</p><div class="ZAfSI"><div class="adWrapper _3XglG _35ekj Hqxcp _3_nxH" data-ttid="ad-wrapper"><div class="" id="adspot-320x360_320x50_300x250_300x50-pos7-mobile"></div><div class="" id="adspot-728x90-pos7-tablet"></div><small class="_3azTn">Advertisement</small></div></div><p>"One unfortable moment may be nothg pared to what you n ga by takg the risk to open the nversatn."</p><p>Intimacy n be improved by talkg bee 's about beg physilly and emotnally close, about beg alone together, showg affectn, offerg and receivg fort and reassurance.</p><p>When to future partners, many men are ncerned whether they will still be attractive. Will other men still want to have sex wh them or will they be dismissed? </p><p>The booklets say while a man might want to disclose ls to a sual sexual partner, he shouldn't assume the reactn will always be negative.</p><p>The rourc are available om the PCFA onle, on USB stick and booklets.</p></div><div class="_3E2eQ"><div class="_2wCJp"><div class="_1fSQD"><span class="_13Ymr" data-ttid="AuthorCard"><span><strong><a class="_35mP2" data-ttid="AuthorURL" href="/by/jill-margo-j7gd4">Jill Margo</a></strong> is the health edor, based the Sydney office. 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cancer prostate gay

Prostate ncer is the send most mon ncer gay, bisexual, and other men who have sex wh men (GBM). Few studi have asssed the effects of treatment on GBM's sexual behavr. For an onle survey, 193 gay and bisexual men wh prostate ncer were reced om the North Amerin's larg …

Contents:

IN CHIGO, A NEW APPROACH TO GAY AND BISEXUAL MEN WH PROSTATE CANCER

Rat of prostate ncer are largely the same among gays and others, but sexual functng issu and qualy of life brg different ncerns. * cancer prostate gay *

Curt, 66, diagnosis and surgery were only the begng of a “clil and psychologil and emotnal adventure” — one he felt that many urologists were not equipped to handle, bee he was gay and the majory of doctors and their patients were symptoms are siar for all prostate ncer patients, cludg urary ntence, erectile dysfunctn, dimished libido and loss of ejaculate. But rearchers are fdg that those chang may echo through the liv of gay and bisexual men unexpected, and sometim more difficult, obstacl n be physil and emotnal, and may be reflected patients’ relatnships wh their partners. Amarasekera, who has foced his reer on urologic re for gay and bisexual men and other sexual mori, is the program’s first is an emergg field of study driven part by the creasg number of prostate ncer patients who intify as gay or bisexual.

”The gay and bisexual men their 50s and 60s who are now enterg the prime mographic for prostate ncer also lived through the worst of the AIDS epimic.

WHEN GAY MEN GET PROSTATE CANCER

Once laser-foced on HIV/AIDS, the gay muny is now addrsg one of the perils of gettg olr. * cancer prostate gay *

Amarasekera problem, experts the field say, is that the rearch about gay and bisexual men and prostate ncer is still woefully aquate. V., and young gay men, bee that was the biggt killer, ” said Simon Rosser, a profsor of epimlogy and muny health at the Universy of Mnota, who led a study 2017 of gay and bisexual men wh prostate ncer. “It’s only now that as the AIDS generatn grew olr, and aged to health problems like prostate ncer, that specialists are startg to see gay patients.

PROSTATE CANCER GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN: A REVIEW

Rearch suggts that some gay and bisexual men may face a number of barriers to gettg the health re and ncer screeng tts they need. Learn what you need to know about ncer risk and preventn. * cancer prostate gay *

Amarasekera studied urologists’ trag and found that many reported receivg ls than five hours of stctn on the treatment of gay and bisexual patients. He also surveyed gay patients, who overall said their sexual satisfactn was not aquately taken unr nsiratn durg treatment for prostate ncer. “It’s important to llect data on how treatment affects sexual functn differently for gay and bisexual men, who have different sexual repertoir than straight men, ” he said.

“If you lack the tools to measure aspects of sexual functn that are specific to gay and bisexual men, you lose an opportuny to track their progrs. Amarasekera se at the program’s two clics — one downtown Chigo and the other the historilly gay Northalsted neighborhood — are unprepared to face yet another health crisis. ”The health re system, he said, “margaliz gay men, particularly when to sexual health, and the prostate is so lked to sexual health gay men.

WHEN TO PROSTATE NCER, 'GAY MEN ARE ERASED,' PATIENTS SAY

* cancer prostate gay *

It’s jt that many urologists don’t realize that the prostate is “kd of a male ‘G spot, ’” and gay men more often are aware of . ”Jane Ussher, a profsor at the Wtern Sydney Universy School of Medice Atralia, has been studyg the effects of ncer gay men for 20 years. “Partial erectile dysfunctn has a particular impact” on gay patients, she said, and they “report signifintly greater ncern about loss of ejaculate than heterosexual men.

Amarasekera “nsired my whole person, and my whole personhood enpassed my beg gay, ” he ia also spired Perry McKay, a Chigo philanthropist whose donatn helped get the Northwtern program off the ground.

UNRSTANDG PROSTATE CANCER GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN: A REVIEW OF THE LERATURE

“This is an opportuny to munite, tra and te urologists on how to provi better re tailored to the specific needs of gay and bisexual men, ” he Rosser agreed. ”Gene Otto, who is the -host of a support group Palm Sprgs, Calif., for gay and bisexual men wh prostate ncer, se a growg need as well. Amarasekera said his experience wh the program “go a long way to addrs the mistst that many gay men feel toward medil stutns.

’”A versn of this article appears prt on, Sectn D, Page 1 of the New York edn wh the headle: Prostate Cancer and New Care for Gay Men.

Though the ter landspe has changed sce his diagnosis 2003, Rose's experience is still reprentative of the lack of awarens and rearch surroundg how prostate ncer may affect gay men differently than straight men. Much of the fundg for rearchg diseas that may affect gay men has been funneled toward HIV; and some of the gay men who may have gotten prostate ncer – which is more mon wh age – died of AIDS and therefore are theoretilly missg om the data, says Simon Rosser, a profsor and director of the HIV/STI Interventn and Preventn Studi at the Universy of Mnota School of Public Health. Sce more gay and bisexual men are htg high-risk ag for prostate ncer the days, he says, "'s gog to bee a bigger issue for gay and bisexual men the next , and no doc on the pla n practice evince-based medice" sce there is no strong evince base.

CANCER FACTS FOR GAY AND BISEXUAL MEN

Not that there's been an easy way to study the populatn; surveillance data ncer rearch isn't typilly nducted by sexual orientatn, adds Rosser, who's recg participants for the first treatment study on gay and bisexual men wh prostate ncer. It don't matter if you're gay or straight, " says Michael Hoyt, an associate psychology profsor at Hunter College New York whose rearch based on a small foc group of gay prostate ncer survivors will soon be published.

THE SEXUAL FUNCTNG OF GAY AND BISEXUAL MEN FOLLOWG PROSTATE CANCER TREATMENT: RULTS OM THE RTORE STUDY

" Other Battl Some Gay Men Wh Prostate Cancer FaceWhile gay men seem to have about the same rat of prostate ncer as men general – makg the most diagnosed ncer among all men, acrdg to the Centers for Disease Control and Preventn – a review nducted by Rosser and lleagu suggts that gay survivors have poorer sexual functng and lower qualy of life. For one, some gay men Hoyt's foc group reported strs around disclosg their sexual orientatn to their health provirs, while others worked wh clicians who didn't know and didn't ask.

But for many gay men, workg wh a provir who knows and honors their sexual orientatn is important part bee more often than straight men, "sex, at some pot has been a cril part of their personal story, " Hoyt one participant his study, for example, who felt that his provirs' failure to acknowledge his sexualy was a blow to who he was as a person – and a patient. "Havg to fight battl and then havg a sexual self that you’ve fought for" should be acknowledged, he told the rearch a practil, medil standpot, too, unrstandg a patient's sexualy is important bee while all prostate ncer survivors have some sexual si effects om treatment, ankly, gay sex is different om straight sex – and treatment optns should be discsed acrdgly.

THE PROSTATE MATTERS A GAY MAN'S SEX LIFE

For example, erectile dysfunctn is a mon si effect of both radiatn and surgery to treat prostrate ncer – and n affect gay men's sex liv differently sce "they need firmer erectns for peratn" than they'd need for vagal terurse, Wtmann says. " But support om the gay muny is cril for men wh prostate ncer, pecially nsirg some of them have been rejected by their own fay members or geographic muni for their sexual orientatn, Hoyt and others have reported. For Rose, who joed a maly gay nng club a few years after his surgery, havg people his life who listened to and supported him throughout the journey has been key to his well-beg.

Koy, MD, MBA, 4 Darryl Mteldorf, MSW, MPA, 5 and William Wt, PhD6AbstractPurpose: Prostate ncer gay, bisexual, and other men who have sex wh men (GBM) is an emergg medil and public health ncern. Six future directns, to advance the study of the effects of prostate ncer GBM and to improve treatment, are words:: bisexual, ncer, gay, male, prostate, sexual rehabilatnIntroductnImprovg the health of lbian, gay, bisexual, and transgenr (LGBT) dividuals is a Healthy People 2020 goal. 3 Gay, bisexual, and other men who have sex wh men (GBM) who have been diagnosed wh prostate ncer may have differential health-related qualy of life and sexual health out than heterosexual men wh prostate ncer, but existg rmatn is almost always based on small studi, clil se studi, or an anecdote.

*BEAR-MAGAZINE.COM* CANCER PROSTATE GAY

Cancer Facts for Gay and Bisexual Men | Amerin Cancer Society .

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