Sex After Prostate Cancer Gay and Bisexual Men: A Review of the Lerature - ScienceDirect

Contents:

• IN CHIGO, A NEW APPROACH TO GAY AND BISEXUAL MEN WH PROSTATE CANCER
• WHEN GAY MEN GET PROSTATE CANCER
• WHEN TO PROSTATE NCER, 'GAY MEN ARE ERASED,' PATIENTS SAY
• UNRSTANDG PROSTATE CANCER GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN: A REVIEW OF THE LERATURE
• CANCER FACTS FOR GAY AND BISEXUAL MEN
• PROSTATE CANCER GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN: A REVIEW
• THE SEXUAL FUNCTNG OF GAY AND BISEXUAL MEN FOLLOWG PROSTATE CANCER TREATMENT: RULTS OM THE RTORE STUDY
• REVIEWSEX AFTER PROSTATE CANCER GAY AND BISEXUAL MEN: A REVIEW OF THE LERATURE
• GAY MEN'S EXPERIENC WH PROSTATE NCER: IMPLITNS FOR FUTURE REARCH

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

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.

Amarasekera problem, experts the field say, is that the rearch about gay and bisexual men and prostate ncer is still woefully aquate.

WHEN GAY MEN GET PROSTATE CANCER

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. 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.

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

”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.

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.

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

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. “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.

CANCER FACTS FOR GAY AND BISEXUAL MEN

’”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.

La munté LGBT do savoir – Mdam et msirs, gays, bisexuels, transgenr ou tr genr, vo portez le même risque que l homm hétéros développer un ncer la prostate. Vo êt pl touchés physiquement et psychologiquement – D étus ont montré que l homm homosexuels ou bisexuels sont pl négativement touchés par l effets sendair s traements d’un ncer la prostate que l homm hétéros.

De pl, pour l homm gays ou bisexuels, la détrse liée x effets sendair, la perte l’time soi et le sentiment n’être que l’ombre sa personne sont réels. Étant donné que le ncer la prostate pt affecter l homm gays ou bisexuels et l femm transgenr différemment s homm hétérosexuels, en parler ouvertement à votre méc pt vo air à obtenir le meillr traement possible.

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

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. 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.

" 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.

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

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.

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.

" Beyond the BedroomOutsi of the bedroom, gay men's diagnos n also mean isolatn om the gay muny, rearchers have found.

REVIEWSEX AFTER PROSTATE CANCER GAY AND BISEXUAL MEN: A REVIEW OF THE LERATURE

" 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 example, some ci have support groups for gay ncer survivors and anizatns like the Natnal LGBT Cancer Network n help. 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. "It's not the end of the world, " he would tell men – gay or straight – who have been newly diagnosed wh prostate ncer.

But the unique challeng facg gay and bisexual men wh prostate ncer have largely gone who have sex wh men (MSM) are ls likely to get regular prostate ncer screengs, and those who are diagnosed are ls likely to have faial and social support, acrdg to rearch ced by the Natnal Instut of Health. And if their health re provir is not culturally petent, gay and bisexual men are much ls likely to unrstand how treatment will impact their qualy of life. ”As a rult, Margoli add, many lbian, gay, bisexual and transgenr patients go back the closet when they beg ncer treatment.

GAY MEN'S EXPERIENC WH PROSTATE NCER: IMPLITNS FOR FUTURE REARCH

“I’ve been a gay activist — and been out — so long that I took for granted I uld talk openly to my doctors, ” he told NBC News. Brass’ said his sexual functn was relatively good, but stead he stggled wh ntence for weeks — g as many as ne “pads” a day and stayg wh yards of a bathroom at all you’re gay and you go to a urologist who hasn’t alt wh gay men, they’ll tell you, 'Brg your wife wh you. '"He joed a prostate ncer support group specifilly for gay and bisexual men at Mount Sai Hospal Manhattan, one of several anized by the natnal advocy anizatn wh other queer men “allowed to be very open about our feelgs — and our sexualy — and to be empathetic wh each other, ” Brass said.

“If you’re gay and you go to a urologist who hasn’t alt wh gay men, they’ll tell you, ‘Brg your wife wh you, ’" he said. "A NEGLECTED AREA"It’s impossible to know how many gay men have been diagnosed prostate ncer, bee qutns about sexualy are rarely clud rearch studi.