Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus.


Journal

Nature reviews. Gastroenterology & hepatology
ISSN: 1759-5053
Titre abrégé: Nat Rev Gastroenterol Hepatol
Pays: England
ID NLM: 101500079

Informations de publication

Date de publication:
19 May 2024
Historique:
accepted: 12 04 2024
medline: 20 5 2024
pubmed: 20 5 2024
entrez: 19 5 2024
Statut: aheadofprint

Résumé

The ability to experience pleasurable sexual activity is important for human health. Receptive anal intercourse (RAI) is a common, though frequently stigmatized, pleasurable sexual activity. Little is known about how diseases of the colon, rectum, and anus and their treatments affect RAI. Engaging in RAI with gastrointestinal disease can be difficult due to the unpredictability of symptoms and treatment-related toxic effects. Patients might experience sphincter hypertonicity, gastrointestinal symptom-specific anxiety, altered pelvic blood flow from structural disorders, decreased sensation from cancer-directed therapies or body image issues from stoma creation. These can result in problematic RAI - encompassing anodyspareunia (painful RAI), arousal dysfunction, orgasm dysfunction and decreased sexual desire. Therapeutic strategies for problematic RAI in patients living with gastrointestinal diseases and/or treatment-related dysfunction include pelvic floor muscle strengthening and stretching, psychological interventions, and restorative devices. Providing health-care professionals with a framework to discuss pleasurable RAI and diagnose problematic RAI can help improve patient outcomes. Normalizing RAI, affirming pleasure from RAI and acknowledging that the gastrointestinal system is involved in sexual pleasure, sexual function and sexual health will help transform the scientific paradigm of sexual health to one that is more just and equitable.

Identifiants

pubmed: 38763974
doi: 10.1038/s41575-024-00932-1
pii: 10.1038/s41575-024-00932-1
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Springer Nature Limited.

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Auteurs

Daniel R Dickstein (DR)

Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. daniel.dickstein@mountsinai.org.

Collin R Edwards (CR)

Department of Radiology, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY, USA.

Catherine R Rowan (CR)

Inflammatory Bowel Disease Unit, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada.

Bella Avanessian (B)

Center for Transgender Medicine and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Barbara M Chubak (BM)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Christopher W Wheldon (CW)

Department of Social and Behavioral Sciences, College of Public Health at Temple University, Philadelphia, PA, USA.

Priya K Simoes (PK)

The Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Michael H Buckstein (MH)

Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Laurie A Keefer (LA)

The Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Joshua D Safer (JD)

Center for Transgender Medicine and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Division of Endocrinology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Keith Sigel (K)

Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Karyn A Goodman (KA)

Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

B R Simon Rosser (BRS)

Division of Epidemiology and Community Health, School of Public Health at University of Minnesota, Minneapolis, MN, USA.

Stephen E Goldstone (SE)

Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Serre-Yu Wong (SY)

The Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Deborah C Marshall (DC)

Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Classifications MeSH