Although sexual changes after
prostate cancer (PCa) have specific meanings and consequences for gay and
bisexual (GB) men, little is known about how GB men navigate sexual well-being
support.
We surveyed 124 GB men with PCa and 21 male partners, and interviewed
a sub-sample of 46 GB men and 7 male partners, to examine GB men's experiences
of sexual communication with healthcare professionals (HCPs) since the onset of
PCa. GB men perceived a number of deficits in HCPs communication: medical
support dominated sexual and psychological support; heterosexuality of GB
patients was often assumed; sexual orientation disclosure was problematic; and
GB men perceived rejection or lack of interest and knowledge from a majority of
HCPs with regard to gay sexuality and the impact of PCa on GB men. Facilitators
of communication were acknowledgement of sexual orientation and exploration of
the impact of PCa on GB men.
In order to target improved support for GB men
with PCa, it is concluded that HCPs need to address issues of hetero-centricism
within PCa care by improving facilitation of sexual orientation disclosure,
recognising that GB men with PCa might have specific sexual and relational
needs, and increasing knowledge and comfort discussing gay sexuality and gay
sexual practices.
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- 1Centre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, Australia.
- Eur J Cancer Care (Engl). 2016 Feb 26. doi: 10.1111/ecc.12469.
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