Gay men's experienc of sexual chang after prostate ncer treatment-a qualative study Swen - PubMed

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<span><b>Background:</b> The needs of gay men after prostate ncer treatment are beg visible. This patient group reports a more negative impact of treatment than heterosexual men. Yet, gay men's experienc of post-treatment sexual chang are still ltle explored. This study aims to terme spec</span> …

Contents:

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

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 … * is prostate stimulation gay *

Conclns: Gay prostate ncer survivors' narrativ about sexual chang circle around siar bodily chang as heterosexual men's, such as erectile problems and weaker asms. The procre went well, but Dowsett had qutns — he wanted to know how would affect his sex life as a gay man, and how to negotiate the physil, sexual and emotnal chang that would rult om his treatment.

GAY MEN'S EXPERIENC OF SEXUAL CHANG AFTER PROSTATE NCER TREATMENT-A QUALATIVE STUDY SWEN

* is prostate stimulation gay *

But for gay and bisexual men, who are more likely than heterosexual men to be sgle when diagnosed wh prostate ncer1, and might engage different sexual practic, ltle of that applied. Physicians might not realize that the needs and ncerns of gay and bisexual men are different om those of heterosexual men, says Channa Amarasekera, a urologist and director of the Gay and Bisexual Men’s Urology Program at Northwtern Medice Chigo, Illois. However, evince of the problems facg gay and bisexual men will not by self enable clicians to advise their patients properly: empowerg physicians wh evince-backed guidance, and improvg munitn, will also be ccial.

THE EXPERIENC OF GAY AND BISEXUAL MEN POST-PROSTATE CANCER TREATMENT: A META-SYNTHIS OF QUALATIVE STUDI

But is only the past that rearch to prostate ncer specifilly gay and bisexual men has gaed tert, says Simon Rosser, a behavural psychologist at the Universy of Mnota Mneapolis. One study, for example, showed that gay and bisexual men have worse urary, bowel and hormonal functn than heterosexual men after treatment for prostate ncer, but better erectile functn2.

Siarly, a study led by Jane Ussher, a clil psychologist at Wtern Sydney Universy Atralia, found that gay and bisexual men are more likely than heterosexual men to be able to get and sta an erectn after prostate-ncer treatment3. “One of the reasons for that is that they are more likely to do somethg about — like to go and get unsellg, try penile jectns and suctn vic, or e Viagra, ” she many s, the impact of sexual dysfunctn arisg om prostate-ncer treatment is magnified gay and bisexual men. “Due to differenc sexual practic, they may have addnal ncerns, and some sexual si effects will be more bothersome or challengg to manage, ” says Sean Ralph, a nsultant theraptic radgrapher at Leeds Cancer Centre, UK, and -founr of Out wh Prostate Cancer, the Uned Kgdom’s first prostate-ncer support group for gay and bisexual men and transgenr example, an erectn mt be 33% firmer for anal terurse than for vagal terurse4.

THE PROSTATE MATTERS A GAY MAN'S SEX LIFE

This mak any loss of erectn hardns more of a problem for men who engage sertive anal terurse — not purely the prerve of gay and bisexual men, but nohels a part of many such relatnships.

Communitn blockageA 2016 study led by Ussher found that gay and bisexual men wh prostate ncer report signifintly lower qualy of life and satisfactn wh treatment than do heterosexual men1. For example, Dickste suggts that sertg a hydrogel spacer between the prostate and rectum, which rc the amount of radiatn the rectal wall is exposed to, might improve a person’s abily to engage receptive anal are also risks that particularly affect gay and bisexual men that uld be avoid if physicians are ma aware. “A lot of physicians fet to check trans women’s prostate, ” says Channa Amarasekera, a urologist and director of the Gay and Bisexual Men’s Urology Program at Northwtern Medice Chigo, Illois.

*BEAR-MAGAZINE.COM* IS PROSTATE STIMULATION GAY

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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. Jill has won multiple priz, cludg two Walkley Awards and is an adjunct associate profsor at School of Clil Medice, Faculty of Medice and Health, UNSW Sydney, Atralia.</span><span class="_1OfwR AJ5Ph" data-ttid="Author-Social"><span> <!-- -->Connect wh <!-- -->Jill<!-- --> on <a class="_3q9R7" href="//" rel="noopener noreferrer" target="_blank">Twter</a>.</span><span> <!-- -->Email <!-- -->Jill<!-- --> at <a class="_3AEsg" href=""></a></span></span></span></div></div><div class="_3nTt0" data-ttid="ArticleFooter"><div class="_30U_H"><div class="_26BHG"><button aria-scribedby="articleFooterLogTooltip" class="JSEcE uxhXB" data-click-outsi-ignore="te" data-ttid="SaveArticle-button" type="button"><span class="DcglW"><svg class="_1SIxy" focable="false" height="1em" aria-hidn="te" width="1em"><e xlk:href="#in-bookmark"></e></svg></span><span class="">Save</span></button><div class="_2jGyo _3Xjsv" id="articleFooterLogTooltip" role="tooltip"><div class="KNEjM" data-ttid="SaveArticle-tooltip"><button class="__V_M" type="button">Log </button> or <a class="_3NFfI" data-ttid="SaveArticle-subscribeLk" href=">Subscribe</a> to save article</div></div></div><div class="_332VY" data-ttid="ArticleSocialShare"><button class="_1whEj E-qQO" data-ttid="ArticleSocialShare-buttonShare" type="button"><span class="_1cmVb"><svg class="_1SIxy" focable="false" height="1em" aria-hidn="te" width="1em"><e xlk:href="#in-share"></e></svg></span><span class="">Share</span></button></div></div><div class="_28OFW"><div class="nEW5f"><a class="_2SABC" href=" rel="noopener noreferrer" target="_blank"><span>License article</span></a></div></div></div><div class="_3QtdZ" data-ttid="ArticleTags"><div class="_27M2O _2-Rvi" data-ttid="NewsfeedArticleDriver" role="alert"><hear class="_1slp0"><h2 class="_2iSlc">Introducg your <span class="_3jl0N">Newsfeed</span></h2><button class="_1aHhd" data-ttid="NewsfeedArticleDriver-close" type="button"><svg class="_1SIxy" aria-labelledby="newsfeed article driverclose-tle" focable="false" height="1em" aria-label="Close" role="img" width="1em"><tle id="newsfeed article driverclose-tle">Close.

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