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Describes the differences between gender, sex, and sexual orientation. Outlines the sexual response cycle. Identifies the basic features and diagnostic criteria for dysphoria. Discusses the various treatments for gender dysphoria. Describes the sexual dysfunctions. Discusses the treatment approaches for the sexual dysfunctions. Describes the paraphilic disorders. Discusses the treatment approaches for paraphilic disorders.
The physical, emotional, and social changes associated with pregnancy and the postpartum can affect sexuality. During this time, sexual desire, pleasure, and activity often diminish. Sexual dysfunctions can also appear. Active intervention by health professionals, based on respect and empathy and following a biopsychosocial approach, can help improve sexuality. Normalizing the physical and emotional changes of this period, and dismantling prejudices and erroneous beliefs about sexuality during pregnancy, we can dispel many fears and doubts, improving self-confidence and self-esteem and reducing stress and anxiety. The most important aspect in achieving a satisfactory sexuality is the quality of the couple’s relationship. Therefore, we must help both members to improve their emotional approach. In a normal pregnancy, sexual activity is safe and healthy. Adequate sexual health during pregnancy provides important benefits: it reduces stress levels, maintains adequate self-esteem, and enhances intimacy and complicity in the couple’s relationship, thus improving overall well-being.
With the growing recognition of overweightness and obesity as significant, international public health concerns, the body of research investigating the relationship between body mass index (BMI), sexual health and sexual functioning in sexual minority men is still scarce.
Objectives
The purpose of this study is to assess sexual health determinants (sexual behavior and sexual functioning) in relation to normal weight, overweightness and obesity among gay and bisexual men.
Methods
The survey included four categories of questions/measurements, encompassing sociodemographic information, protected/unprotected sexual behaviors, sexual functioning, and BMI. The survey was conducted online, and recruitment consisted of online notifications (emails and electronic messages), and advertisements sent to LGBT community organizations, mailing lists, and social networks.
Results
The study sample was composed of 741 gay and bisexual men, ranging in age from 21 to 75 years old (Mage=43.30, SDage=11.37), 62.5% of men self-identified as gay and 37.5% as bisexual. Prevalence of normal weight was 50.3%, of overweight 33.3% and of obesity 16.4%. Hierarchical multiple regression analysis to assess the effects of BMI on sexual health showed that being younger in age, self-identifying as gay, being in a relationship, having longer penises, adopting insertive position in sex and being normal weight were significant predictors of anal receptive sex without condoms, explaining 24.2% of the total variance. Yet, BMI was not predictive of sexual functioning.
Conclusions
These findings highlight the importance of including BMI in sexual behavior models of sexual minority men to better understand BMI’s role in influencing sexual risk.
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