Anodyspareunia in men who have sex with men: prevalence, predictors, consequences and the development of DSM diagnostic criteria.
In a sample of men who have sex with men (N = 404), 55 (14%) experienced anodyspareunia, frequent and severe pain during receptive anal sex. Most men with anodyspareunia described their pain as life-long, experienced psychological distress as a result, and avoided anal sex for periods of time. Men with anodyspareunia reported that psychological factors were the primary contributing cause of their pain. The findings contradict the myth that pain is a necessary consequence of receptive anal sex and show that anodyspareunia is similar to dyspareunia in women in terms of prevalence, mental health consequences, and contributing factors. Clinical criteria were developed to assist clinicians in diagnosing anodyspareunia.
Damon
Will
W
Department of Family Practice and Community Health, Program in Human Sexuality, University of Minnesota Medical School, Minneapolis, Minnesota 55454, USA.
Rosser
B R Simon
BR
D000328:Adult; D001004:Anus Diseases / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D001294:Attitude to Health; D003075:Coitus / Q000523:psychology; D004414:Dyspareunia / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D010147:Pain Measurement; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires