Sexual problems in homo- and bisexual men – the context of the issue

Abstract

The aim of the paper is to present a specific context for the occurrence of sexual problems, i.e., sexual dysfunction in the population of homo - and bisexual men. Sexual problems and revealing them are usually a big challenge for men. In case of homo - and bisexual men additional psychological and social factors may contribute to the occurrence of these problems, as well as make experiencing them more painful, but also impede looking for and receiving an adequate help. These factors are connected to the specific features of gay men sexuality, such as: lack of obvious sexual scripts for homosexual men, full reversibility of all sexual roles and positions in contacts between two men or no fear of unwanted pregnancy, but also with the unique psychosocial context such as: minority stress and internalized homophobia. Clinicians - psychiatrists, sexologists and psychologists - should be aware of their existence to deliver a more effective professional and culturally competent care, which is free of prejudice, based on deepened reflection and void of automatic transference of experiences with work with heterosexual men.

The diverse joys of sex and relationships in straight, gay, and bisexual Polish men.

“…Our data is also consistent with previous notions that anal sex in GM cannot be treated as the homologue of vaginal penetration in SM [23,29]. Not only as much as 95.3% of SM performed vaginal penetration, but the vast majority (82.5%) chose it as the most pleasurable activity.…”

“…Lacking or biased sexual education in Poland and many other cultural settings may facilitate sexual experimentation among SMM and finding their own way to sexual fulfilment and satisfaction. The differences can also be the results of the full reversibility of sexual roles in same-sex sexual contacts [23,29,31]. The fact that the control for demographic characteristics did not yield substantial changes to the results indicates that they cannot be attributed to the complex, possible influence of minor differences in age, place of residence, education, and financial situation on sexual expression and preference of men from the investigated groups.…”

Is sexual identity associated with the risk of premature ejaculation?

“…W interpretacji możliwych różnic obejmujących różne aspekty funkcjonowania seksualnego między mężczyznami heteroseksualnymi (MH) i MG lub MB wskazywano na znaczenie czynników związanych z samą seksualnością (stosunku pochwowego i analnego, rozpowszechnienia kontaktów oralnych, odwracalności ról seksualnych, równoczesnego orgazmu, lęku przed niechcianą ciążą, liczby partnerów seksualnych, nasilenia lęku zadaniowego, form związków seksualnych i romantycznych) [20,21,23], ze stresem mniejszościowym (unikatowym i dodatkowym obciążeniem dotykającym mężczyzn z grup mniejszościowych) [24,25] i zdrowiem (gorsze wskaźniki zdrowia somatycznego, psychicznego i seksualnego łączące się ze stresem mniejszościowym) [26,27].…”

“…Prezentowana analiza opiera się na bazie danych uzyskanej w ramach większego projektu badawczego dotyczącego seksualności polskich MH, MB i MG. Metodyka tego macierzystego projektu została opisana szczegółowo w innych publikacjach [20,26]. Było to badanie przekrojowe, internetowe, w którym wzięło udział 3697 mężczyzn.…”