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This chapter provides an overview of theory and research around sexual health among LGBTIQ populations. The first section of this chapter focuses on sexual intimacy and on specific environments (e.g., gay saunas, dating apps) as means for facilitating sexual encounters, as well as the experiences of sex for trans people who have undergone gender-affirming surgery and those of people born with intersex variations. The rest of the chapter focuses on sexual health in gay and bisexual men (and other mean-who-have-sex-with-men), including the use of pre-exposure prophylaxis in the prevention of HIV, sexual health in lesbian and bisexual women (and other women-who-have-sex-with-women), including engagement in cervical screening, and sexual health in trans people, including the impacts of body dysmorphia and cisgenderism on engagement with healthcare professionals.
Normative changes occur in the sexual life of the individual. The onset of illness or chronic disease may have a significant impact on how and when a woman engages in sexual activity. Adolescence is a time of great physiological, emotional and psychological change. It is a time of exploration, emancipation, and a search for self-identity. For couples who want to continue sexual intimacy throughout pregnancy, the physician may recommend positional changes that are more comfortable for the woman and can accommodate the enlarging fetus. Pain, or the anticipation of experiencing pain, may have a negative effect on the woman's interest in sexual intimacy. Women in midlife, aged 40 to 65, can use guidance regarding the impact of chronic illness, hormonal changes, and medications on sexual functioning. Common sexual consequences of dementia include anhedonia, depression, impotence, incontinence, and anorgasmia.
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