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

Contents:

• THE SEXUAL FUNCTNG OF GAY AND BISEXUAL MEN FOLLOWG PROSTATE CANCER TREATMENT: RULTS OM THE RTORE STUDY
• GAY MEN'S EXPERIENC OF SEXUAL CHANG AFTER PROSTATE NCER TREATMENT-A QUALATIVE STUDY SWEN
• THE EXPERIENC OF GAY AND BISEXUAL MEN POST-PROSTATE CANCER TREATMENT: A META-SYNTHIS OF QUALATIVE STUDI
• THE PROSTATE MATTERS A GAY MAN'S SEX LIFE

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

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.

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

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. 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.

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.

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

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.