Vansintejan J, Devroey D, Vandevoorde J. The GAy MEn Sex StudieS : Anodyspareunia Among Belgian Gay Men. World Meeting on Sexual Medicine, Chicago, August 2012.
Eerste auteur: Vansintejan J.
Jaar: 2012
Type: Congres
Abstract:
Introduction: Anal intercourse is commonly associated with male homosexuality, but not all gay males engage in anal sex and it is becoming increasingly prevalent in heterosexual relationships. Although pain related to receptive anal intercourse is not uncommon, little is known about its phenomenology.
Aim: This study aims to determine the prevalence of anodyspareunia (AD) in a sample of the Belgian Men who have Sex with Men (MSM)-population, and to assess the relevance of major predictors such as age, relationship and sexual behaviour.
Methods: An internet-based survey on sexual behaviour and sexual dysfunctions, called GAy MEn Sex StudieS (GAMESSS), was administered to MSM, aged 18yr or older, between the months of April and December 2008. A part of the questionnaire was focusing on anal eroticism. The participants, who self-reported being HIV-positive or indicating not having anal intercourse, were excluded for this part of the survey.
Results: Of the 1190 participants, who practice anal sex, 59% indicated having some degree of anal pain during and after sexual intercourse. Mild AD was reported by 32,7% of the participants, 17,2% had mild to moderate AD, 4% had moderate AD and 1,8% had severe AD.
Independent predictors for the presence of AD were: age (Odds ratio [OR]= 0.99, 95% Confidence Interval [CI] 0.98–1.00, p0.006), having a steady relationship (OR=1.30, 95%CI 1.03–1.65, p0.029), frequency of sex with their partner (OR=0,88, 95%CI 0,79–0,97, p0.011), number of sex partners (OR=0.88, 95%CI 0.82–0.94, p<0.0001), the number of sex partners at the same time (OR=0.91, 95%CI 0.85–0.98, p0.008) and the massage of the anal sphincter before anal sex (OR=1.18, 95%CI 1.03-1.35, p0.02). The prevalence and the severity of AD among MSM decreased by age as they get more experienced. Participants rated inadequate lubrication and lack of oral or digitoproctic stimulation prior to penetration as the most important factors predicting pain. Barebacking, without the use of a condom for anal sex, was performed by 28,2% of the participants.
Conclusion: 59% of participating Belgian MSM reported some degree of AD. These findings highlight the need for more information and education about anal eroticism and safe sex.
Trefwoorden: homosexuality, sexual behaviour, sexual dysfunction, pain, anodyspareunia