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After beg visible the prostate ncer muny for 20 years, gay and bisexual men are fally beg seen." name="scriptn

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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. * prostate cancer gay guys *

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.

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.

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. * prostate cancer gay guys *

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. 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.

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

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. * prostate cancer gay guys *

"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. " 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.

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. 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.

“The medil muny say, ‘We don’t want to ask olr heterosexual men qutns that might upset them, ’" Simon Rosser, an LGBTQ health specialist and -thor of "Gay and Bisexual Men Livg Wh Prostate Cancer, " told NBC Rosser, PhD, MPH, is a profsor at the Universy of Mnota School of Public Health.

CANCER FACTS FOR GAY AND BISEXUAL MEN

Gay men's experienc wh prostate ncer and s impact on health-related qualy of life are poorly unrstood. This qualative study explored gay men's experience wh prostate ncer wh a foc on the emotnal, physil, and sexual impact of ncer; support needs; and healthre teractn … * prostate cancer gay guys *

Universy of MnotaA profsor at the Universy of Mnota School of Public Health, Rosser has received a $3 ln grant om the Natnal Cancer Instute to put together the first prehensive rehabilatn program specifilly for gay and bisexual men wh prostate ncer. Gettg the disease, ironilly, is somethg of a luxury for a gay men of Brass’ age: Too many had their liv cut short by the AIDS epimic long before they’d typilly be diagnosed (the average age for a prostate ncer diagnosis is 66) the advent of lifavg antiretroviral dgs the mid-1990s, though, gay men are fally reachg their goln years. 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. 4, 5 Until recently, there have been sufficient data on this topic, pecially postncer diagnosis, part bee, “rearch on the relatnal ntext of ncer and sexualy has tend to be heteronormative, assumg that men are long-term, monogamo heterosexual relatnships, th excludg the experienc of sgle and gay men. The search terms/statements ed were “prostatic neoplasms” or “prostate ncer” or “ncer of the prostate” or “prostatic rcoma” AND “male homosexualy” or “gay men” or “bisexual men” or “men who have sex wh men” or “bisexualy.

17, 20, 28 Wh 14 of the publitns unrtaken for a special issue one journal, 36 the edors nclu, “If prostate ncer, general, is off most people's radar screen, then gay men wh prostate ncer are a tly visible speci. 49Santillo has intified six gay “liftyle factors” that potentially uld crease the risk of prostate ncer GBM: e of ttosterone supplements and anabolic steroids, e of fasteri (Propecia) for hair loss, HIV stat and antiretroviral (ARV) treatment, a fatty diet, the effects of anal sex on prostate-specific antigen (PSA) ttg, and poor doctor–patient munitn. In parg 341 heterosexual men wh 111 gay men, Allensworth-Davi reports gay men had worse urary and bowel functng sr, lower mascule self-teem, ls partner affectn, and more treatment regret than heterosexual However, he found no sexual differenc (possibly due to wordg differenc the sexual qutns8) major ncln of this quantative lerature review is that there are aquate studi to be nfint of fdgs, and where differenc are intified, they are based on small nvenience sampl of qutnable power and unknown generalizabily.

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

40 Anecdotal evince shows that GBM wh prostate ncer face unique challeng, cludg the loss of the prostate as a se for sexual pleasure receptive anal sex, 23, 77 loss of ejaculate (which thors emphasize is more central gay sex17, 32, 34), persistent rectal irratn or pa sufficient to prevent receptive anal sex, 5, 30 and erectns too weak for sertive anal sex34 (Anal peratn is timated to require 33% more rigidy than vagal peratn78). 4, 33 Distst of the medil muny5 and reluctance to disclose sexualy to provirs19, 77 are mon barriers, wh 21% of 2560 olr LGBT (aged 50–95) reportg they are not “out” to health provirs and 13% reportg homophobic re. 25 In ntrast, urologists were intified as particularly unhelpful: “The nservative hetero-normative and sometim homophobic nature of those volved the medil procs of prostate ncer rulted distrs, dissatisfactn and negative psychologil impact for participants.

107We found three se reports documentg effects of prostate ncer on GBM upl: one where the patient was treated wh radil prostatectomy, 31 one where both were diagnosed at about the same time and treated wh proton therapy, 19 and an exploratory study of sexual functng three gay upl, where one was treated for prostate ncer. The impact of the AIDS epimic rcg the hort of olr gay men the Uned Stat by an timated 25% and the number of olr men who are not sexually active would lead this to be an overtimate; however, the broad range timat of GBM and gay male relatnships, together wh signifint unrreportg bias to socially sensive and potentially stigmatizg ems, potentially unteract this Allensworth-Davi D.

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

MethodsA lerature review through June 2019 was nducted, wh a foc on sexual out gay and bisexual men wh PCa; parisons of sexual out between heterosexual and gay and bisexual men wh PCa; and the health re experienc of gay and bisexual men wh PCa, specifilly wh regards to discsg sex wh health re provirs. A nventnal ntent analytic approach was ed to intify six primary ntent areas that scribed poignant aspects of the men's experience wh prostate ncer: mory strs, timacy and sexualy ncerns, impact on life outlook, healthre experienc, social support and the gay muny, and tersectnal inti.

The paper also highlights issu of particular ncern to gay men cludg the potential effect of ttosterone supplements, HIV stat, anal sex and s impact on PSA ttg, and the potential change sexual rponse durg anal sex rultg om the removal of the prostate. Usg exampl om his psychotherapy practice, the thor picts and offers treatment strategi for the psychologil reactns to diagnosis, treatment, and the nsequenc of treatment as they affect the gay man stgglg wh prostate ncer.

Abstact: A sexually active Lato gay man scrib how the surgil removal of his prostate gland affected his thoughts, feelgs, attus and activi about sexualy general and specifilly about how the physil chang he experienced engenred emotnal chang his own stggl wh sex and masturbatn. Abstact: Dcribg himself as a physilly f and sexually-active Ain-Amerin gay man of mature years, and havg survived more than a of beg HIV-posive, the thor wr about beg faced wh another signifint and pletely new challenge to his health and qualy of life: prostate ncer.

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

They highlight issu of particular ncern to gay men, cludg the potential effect of ttosterone supplements, HIV stat, anal sex and s impact on PSA ttg, and the potential change sexual rponse durg anal sex rultg om the removal of the prostate.

A GAY MAN’S GUI TO PROSTATE CANCER

In “Psychotherapy wh Gay Prostate Cancer Patients, Darryl Mteldorf, CSW, exampl om his own practice to highlight psychologil issu that surface dividual psychotherapy wh gay men diagnosed and treated for prostate ncer. The review suggts that more support groups specifilly for gay and bisexual men should be tablished, while urologists should ter to the sexual and mascule implitns of treatment, and not ame problems for gay and bisexual men heterosexual terms.

Keywords: gay, special populatns, bisexual, special populatns, prostate ncer, onlogy/ncer, male sex role, genr issu and sexual orientatn, masculy, genr issu and sexual orientatnProstate ncer is the send most mon ncer men and the sixth leadg e of ath ternatnally [World Cancer Rearch Fund Internatnal (WCRFI), 2015]. Although prostate ncer is more prevalent black men (1 4) aged 45 or above (Thompson, 2014), and for other ethnici aged 50 or above, there is no evince that gay or bisexual men are more specifilly at risk of velopg prostate ncer (Prostate Cancer UK, 2016).

CANCER RISKS FOR GAY AND BISEXUAL MEN

A study nducted by Motofei, Rowland, Popa, Kreienkamp, and Pni (2011) asserted that gay men diagnosed wh prostate ncer were experiencg worse sexual functng and were more ncerned about their abily to mata an erectn post-prostate ncer treatment than their heterosexual unterparts.

While gay and bisexual men may experience siar challeng to that of heterosexual men followg treatment, their sexual ntext is different and their treatment out were found to be worse (Simon Rosser et al., 2016a), wh lower mental health functng and a greater fear of ncer recurrence, thereby affectg their qualy of life (Hart et al., 2014). Wassersug, Lyons, Dunn, Dowsett, and Pts (2013) discerned that there were no signifint differenc between gay men and heterosexual men receivg different treatment modali or experiencg ED; however, gay men reported that they were bothered by their abily to ejaculate and this si-effect was emed more of a problem to this group of men than their heterosexual unterparts. The thors state that a number of psychologil terventns have been veloped for heterosexual men to addrs their ncerns; however, there is an absence of specific terventns to addrs the needs of gay men thereby creatg this equy treatment.

Although gay masculy is margalized and nigrated by tradnal hegemonic masculy (Kahn, 2009), there is evince to suggt that societal ncepts of masculy do affect the self-image of gay men (Sanchez et al., 2009) to the pcy of lerature this area, this review will foc on the experienc of gay and bisexual men followg prostate ncer treatment. Study participants were male, gay or bisexual, sgle or a relatnship, had been diagnosed wh prostate ncer and had been treated for prostate per qualative meta-synthis methods, the excln creria were quantative papers, mixed methods papers, edorials, abstracts, opn piec, nference extracts, review papers, dissertatns, sendary analys, meta-synth, lerature reviews, non-English language papers, surveys, qutnnair, studi that were pre-therapy, or rporated other typ of ncer, and studi that clud heterosexual men and transgenr women.

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

18 intified as gay, 1 intified as bisexualDurg or after treatment, men reported receivg a range of stmental support, largely a functn of relatnship stat and treatment typeExplorg gay upl’ experience wh sexual dysfunctn after radil prostatectomy: A qualative studyHartman et al. 3 were patients, 3 were partnersEquable rehabilative support is cril to assist homosexual upl manage distrs associated wh prostatectomy-related sexual dysfunctnGay men’s experienc wh prostate ncer: Implitns for future rearchHoyt et al. (2017) Uned StatTo explore gay men’s experienc wh prostate ncer wh a foc on the emotnal, physil, and sexual impact of ncer, support needs, and health-re teractnsFoc groups6 Whe men & 5 Ain Amerin men, aged 43–84 yearsMory strs, timacy and sexualy ncerns, impact on life outlook, health-re experienc, social support, and tersectnal inti all impacted on men’s experiencImpact of prostate ncer treatment on the sexual qualy of life for men-who-have-sex-wh-menLee et al.

18 intified as gay, 1 intified as bisexualAll sexual behavr wh other men, not jt sertive anal sex, was affectedThe experienc of gay and bisexual men diagnosed wh prostate ncer: Rults om an onle foc groupThomas et al. Each theme is explored tail g the data extracted om the qualative studi and supported by quotatns where ImpactGay and bisexual men this meta-synthis experienced difficulti engagg sexual activy after prostate ncer treatment.

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

There are unique phenomenologil issu that gay and bisexual men will experience when a sexual relatnship wh another man and although their experienc uld differ om that of heterosexual men, the siari pertag to mascule and sexual difficulti were adverse effects of ED are seen as more of a problem the gay muny (Asenc, Blank, Drt, & Crawford, 2009). Equally, has also been reported, acrdg to Blank (2005), that the importance of erectile functn, and the way which sexually related dysfunctn may hib or dispt timate relatnships, uld be unrstood as beg very different for gay and bisexual men.

Equally, the impact on sexual practic is th twofold, and special nsiratn needs to be given to gay and bisexual men are seen to break away om tradnal mascule iology maly bee of their affectnal and sexual orientatn (Sanchez et al., 2009).

(2018), gay men are only one of the groups whose timate sexual liv may be treated wh some gree of taboo by health gay men reported that their urologists did not want to discs the sexual effects on their sex liv, even when brought up by the patient (Lee et al., 2015; Simon Rosser et al., 2016b). It has been regnized that patients may be exposed to rmatn which they may have difficulty rememberg (Walker, Tran, Wassersug, Thomas, & Robson, 2013), therefore is pnt to ensure that gay and bisexual men are well apprised of the sexual effects of prostate ncer treatment.

WHAT'S GUIDG PROSTATE CANCER CARE FOR GAY MEN?

Addnally, the overwhelmg emphasis on wiv will be problematic for men who are partnered wh other men (Blank, 2005) data tablish that men who were dissatisfied wh the lack of support, often turned to a personal support work of iends and fay, but greatly sired to nverse wh other gay or bisexual men who had unrgone siar treatment. However, there was ncern that re for gay and bisexual men wh HIV has overshadowed re towards gay and bisexual men wh prostate ncer (Hoyt et al., 2017) and has led to wonr if there will be solidary om other gay and bisexual men the same manner that there is towards those livg wh HIV/AIDS (Mteldorf, 2005). The evince suggts that gay and bisexual men n have specific sexual rol and velopg prostate ncer and unrgog treatment may promise their role, th leadg to some men experiencg physil, sexual, and psychologil challeng.

THE PROSTATE MATTERS A GAY MAN'S SEX LIFE

The public health rearcher, who is also the -edor of the 2018 book, Gay & Bisexual Men Livg Wh Prostate Cancer: From Diagnosis to Revery, received $2 ln fundg for the first large study om the NIH 2017 to look at how prostate ncer affects gay men and how their urologists treat gay men wh prostate ncer. 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 they share many of the same challeng as their heterosexual peers, there are signifint differenc, Dr Gary Morrison, a Sydney-based health nsultant, says. Morrison says the new rourc follow through and provi the implitns of each choice for gay and bisexual 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.

This ncer has the potential to change their whole life as gay men, " Morrison n change their self-image and their sense of masculy, to the extent that pursug a sexual life n be more plited and 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 and rmativeThey are lm and rmative and although the gay muny is diverse, everyone om bankers to bikers n unrstand them. Dpe good tentns, discrimatn and homophobia still exist the health system and when to prostate ncer assumptns are often 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 talk about gay sexualy such an environment n be dntg and the booklets suggt men seek health profsnals they feel fortable 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".

*BEAR-MAGAZINE.COM* PROSTATE CANCER GAY GUYS

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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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