Leuillet P, Cour F, Droupy S
CHU d'Amiens, 17, rue de la République, 80000 Amiens, France.
Prog Urol. 2013 Jul;23(9):727-33. doi: 10.1016/j.purol.2013.02.008. Epub 2013 Apr 4.
The homosexuality, which expresses itself through a varied and complex behavior that those whom are shared by the heterosexual majority, is not that a simple sexual behavior, obvious or not, but a whole set of attitudes, affects, preferences, values, lifestyle which concern profoundly the individual, as the heterosexuality.
A review of the literature using PubMed database has been performed to select 38 articles.
Among sexual difficulties met by the gays, erectile dysfunction and hypoactive sexual desire are the more frequent. Concerning the ejaculation disorders observed in the gay population, premature ejaculation is rather rare in comparison with heterosexual men; however delayed ejaculation or anejaculation are more frequent. Painful sexual disorders in particular anodyspareunia are also reported. Sexual disorder management must follows the classic rules but it is necessary to be aware how to approach the specific questions affecting the homosexual persons. Still the homosexual person has to find a competent therapist, "opened" to the sexual problem of the homosexuals, with the aim of a care privileging the efficiency to efficacy in the respect for the truth of the homosexual person.
The homosexuality is the only one of the "unusual" sexual conducts to possibly concern the daily medical practice due to is prevalence. The management of sexual dysfunctions must privilege the "meeting" in a quest of sense in front of any sexual symptom, whatever the individual sexual orientation.
同性恋通过一系列多样且复杂的行为表现出来,这些行为与异性恋多数群体所共有的行为不同,它并非简单的性行为,无论是否明显,而是一整套态度、情感、偏好、价值观、生活方式,这些如同异性恋一样,深刻地关乎个体。
利用PubMed数据库对文献进行了回顾,以筛选出38篇文章。
在男同性恋者遇到的性困难中,勃起功能障碍和性欲减退更为常见。关于在男同性恋群体中观察到的射精障碍,与异性恋男性相比,早泄相当罕见;然而,射精延迟或不射精更为常见。还报告了疼痛性性功能障碍,特别是性交疼痛。性功能障碍的管理必须遵循经典规则,但有必要了解如何处理影响同性恋者的具体问题。同性恋者仍然必须找到一位有能力的治疗师,这位治疗师要“接纳”同性恋者的性问题,目的是以尊重同性恋者真实情况为前提,优先考虑治疗效果。
由于同性恋的普遍性,它是唯一可能涉及日常医疗实践的“异常”性行为之一。性功能障碍的管理必须优先考虑在面对任何性症状时进行“会诊”,无论个体的性取向如何。