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THE CONVERSATION
This article was originally published in The Conversation, an independent source of non-profit news, analysis and commentary from academic experts. rice field. Disclosure information is available on the original site.
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Author: Caroline Pucal, Professor of Psychology, Queens University, Ontario
Chronic genital pelvic pain, reproductive organs lasting more than 3 months and / Or the pelvic area affects up to 27% of people and has a significant impact on psychological health, coordination of relationships, and overall well-being.
In most studies of chronic genital pelvic pain, the people studied represent sexual and sexual majority. Gender assigned at birth. Most of these studies focus on the common symptoms of chronic genital pelvic pain. It is the pain experienced during "sex" defined as sexual intercourse between the penis and vagina.
This perspective ignores the experience of sexual and sexual minorities (people identified as lesbians, gays, bisexuals, quiers, trances, two spirits, etc.). It limits the experience of potential pain during permeable sexual activity to those who engage in a narrowly eccentric sexual idea, namely penis and vaginal sexual intercourse. It limits the thoughts on the bodies and identities of those who can experience this type of pain to the personal experience of the cis-gender.
Expand the definition of sex
Expand the definition of sex and include any activity that involves someone sexually increase. Even "just" fantasies can be "sex" for some. These definitions can incorporate reactions during sexual activity such as arousal and orgasm.
Extending the definition of gender removes the eccentricity framework. Sex has a different meaning — it can be applied to different activities, reactions, identities, bodies, contexts (eg loneliness or partners).
Second, pain during sex (extended definition) can theoretically affect everyone who is sexually involved.
Studies have identified 13% of Canada's population (equivalent to about 5 million) as part of a sexual or sexual minority. It is reasonable to assume that some of them are also experiencing chronic genital pelvic pain.
According to my research, up to 45% of sexual minority women experience pain during sex. In this study, my team and I examined the characteristics and experience of chronic genital pelvic pain in a sample of more than 800 lesbian, bisexual, and heterosexual women. The pain experience and characteristics were found to be similar between the sexual minority and the majority.
In another study, my team and I reported on the phenomenon of under-investigation of pain during receptive anal penetration. Receptive anal penetration pain has been reported primarily in men who have sex with men, but it can affect anyone engaged in this activity. Mostly mild, but the pain can be long-term and severe.
There are also reports of long-term genital pelvic pain after bottom (reproductive) surgery to confirm gender in individuals with trans, and reports of painful orgasms in men with trans. increase. A lifetime regimen of hormones. However, little attention has been paid to studies directed at chronic genital pelvic pain in trans individuals.
Assumptions can have a negative impact on real-life people. Chronic genital pelvic pain conditions associated with pain during sex can make honest conversations with health care providers more difficult if it is expected to affect only those engaged in penis-vaginal sex. There is sex.
This is an important issue in health care beyond chronic genital pelvic pain. For example, women are excluded from HIV studies on the assumption that they are not true and are not common to women, for example. Studies show that women make up about half of HIV cases. The assumptions do not always match the scientific facts.
Comprehensive study
My team and I are currently characterized by chronic genital pelvic pain in sexual and sexual minorities I am working on a research program to investigate my experience. Use a broad definition of sex and a "choose your own adventure" type of survey that looks at your experience over time. This allows individuals to answer questions that are tailored to their experience and preferences, based on their answers.
Importantly, the creation of this study varies to best capture the variety of chronic genital pelvic pain in researchers, clinicians, people with living experience, and people with LGBTQ +. It is known by the people who represent the identity.
The results of this research program will be centered around sexual and sexual minority representatives in the field of chronic genital pelvic pain. It informs clinical practice and future research by educating healthcare providers and creating professional services for LGBTQ + individuals.
In June, in Canada, rainbows will stand out to celebrate Pride Month. Pride is a time to collectively promote the visibility and equality of lesbians, gays, bisexuals, trances, the spirits of the two, and strange people.
Since the Stonewall uprising, those identified as LGBTQ + have fought for equal rights and representation in all areas of their lives. Although some progress has been made, their representation in overall health research and health research focused on chronic genital pelvic pain has been delayed. It's time to change this.
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Caroline Pukall (she / her5 / 8elle) is funded by the American Institute for Bisexuality, the National Institute of External Psychiatry, the International Women's Sexual Health Study Group, and Canada. I am. She is the Innovation Foundation and the Canadian Institute of Health. She is the chair of the Women's Genital Pelvic Pain Subcommittee of the International Council for Sexual Medicine (International Society of Sexual Medicine) and has a core outcome set for induced vestibular pain (Swedish Health Technology Evaluation Agency and Social Services Assessment (SBU)). ).
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This article has been republished by The Conversation under the Creative Commons license. Disclosure information is available on the original site. Read the original article:
https://theconversation.com/1-in-4-people-experience-pain-during-sex https://theconversation.com/1-in-4-people-experience-pain-duri
