International consensus on testosterone treatment for women

Jean Hailes, 2 September 2019

The first Global Position Statement on the use of testosterone in the treatment of women, led by the International Menopause Society (IMS), was published in four leading international medical journals today.

The statement has been authored by a diverse team of leading experts based around the world and has been endorsed by internationally-esteemed medical societies.

It follows years of debate regarding testosterone therapy for women and, for the first time, provides agreement among experts and medical societies about how testosterone could be prescribed for women.

Access the statement: 

More than half of Aussie men report experiencing sexual difficulties

The Conversation, March 22, 2019

One in two Australian men aged 18 to 55 have experienced sexual difficulty in the past 12 months, according to data released this week.

The findings are drawn from the Australian Longitudinal Study on Male Health, which included more than 12,000 men. Overall, 54% of sexually active men reported having at least one specific sexual problem lasting three months or more.

The men reported a range of difficulties.

Are We Blinded by Desire? Relationship Motivation and Sexual Risk-Taking Intentions during Condom Negotiation

The Journal of Sex Research, Shayna Skakoon-Sparling & Kenneth M. Cramer (2019) DOI: 10.1080/00224499.2019.1579888

ABSTRACT

Effective condom negotiation skills support better sexual health for both men and women. The current study explored relationship motivation (motivation to establish and maintain long-term romantic relationships), gender, and sexual orientation as factors influencing the condom negotiation process.

Participants (177 heterosexual women, 157 heterosexual men, and 106 men who have sex with men) read a vignette describing an encounter with a hypothetical new sexual/romantic partner and responded to embedded items and scales.

Stronger relationship motivation predicted increased willingness to have condomless sex among women who perceived greater familiarity with the hypothetical partner. Gender and sexual orientation predicted different preferences for condom insistence strategies.

The findings suggest that there are a number of conditions that make it more difficult to recognize risk during a sexual encounter and demonstrate how the process of condom negotiation can be impacted by gender, sexual orientation, and relationship motivation.

Special issue of Drugs and Alcohol Today: ChemSex – Apps, drugs and the right to pleasure

Emerald Publishing Limited, 2019

This special edition of Drugs and Alcohol Today, entitled “Chemsex – Apps, drugs and the right to pleasure”, acknowledges an aspect of drug taking that is often ignored in the discourse on the “scourge” of drug abuse – that drugs enhance pleasure.

Amidst the pleasure brought on by “chems”, there has been pain. Drug overdoses and deaths fuelled by a prohibition that supports an illicit market of unlabelled, often adulterated drugs and fear that calling an ambulance will implicate you in a crime

Chemsex is a unique phenomenon, requiring unique public health responses. The melding of smart phone apps, spatial data and real time “personal adverts requires a significant re-think and re-design when developing public health responses”.

This issue publishes work from experts that help gay communities to mobilise their own responses. It takes the onus off public health policy to respond, and respectfully recognises the agency and resilience within gay communities, to formulate culturally and contextually competent community responses to chemsex.

Free access to this special issue until March 31st

 

 

 

Launching the Australian Trans and Gender Diverse Sexual Health Survey

 Kirby Institute at UNSW Sydney, November 5 2018

Virtually nothing is known about the sexual lives of trans and gender diverse people living in Australia. A new survey coordinated by the Kirby Institute at UNSW Sydney in collaboration with community advocates from across Australia will provide the first national data on topics related to sex and romance among Australia’s trans and gender diverse communities.

“This trans-led research is the first of its kind in Australia and we need as many people from our community as possible to do the survey and to encourage their trans and gender diverse mates to do it too,” said Teddy Cook from the Peer Advocacy Network for the Sexual Health of Trans Masculinities (‘PASH.tm’) and one of the study’s chief investigators.reserese

The online survey covers a diverse range of topics including online and offline dating, sexual health care, pleasure and satisfaction and marriage. The data from the survey will be used to inform service delivery, guide public policy, and otherwise support the sexual well-being of trans and gender diverse people.

As another of the study’s chief investigators, Liz Duck-Chong, explained: “sexual health isn’t just about testing, it has to be about talking. We have designed this survey to take a big-picture look at the experiences and desires of people who are often assumed to not have them at all.”

Although international research suggests that trans and gender diverse people have sexual lives and experiences that are unique from their cisgender peers, very little research has looked at this in detail in Australia or overseas.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sexual activity and sexual health among young adults with/without intellectual disability

BMC Public Health 201818:667

https://doi.org/10.1186/s12889-018-5572-9

Abstract

Background

There is widespread concern about the sexual ‘vulnerability’ of young people with intellectual disabilities, but little evidence relating to sexual activity and sexual health.

Method

This paper describes a secondary analysis of the nationally representative longitudinal Next Steps study (formerly the Longitudinal Survey of Young People in England), investigating sexual activity and sexual health amongst young people with mild/moderate intellectual disabilities. This analysis investigated family socio-economic position, young person socio-economic position, household composition, area deprivation, peer victimisation, friendships, sexual activity, unsafe sex, STIs, pregnancy outcomes and parenting.

Results

Most young people with mild/moderate intellectual disabilities have had sexual intercourse by age 19/20, although young women were less likely to have sex prior to 16 than their peers and both men and women with intellectual disabilities were more likely to have unsafe sex 50% or more of the time than their peers. Women with intellectual disabilities were likely to have been pregnant and more likely to be a mother.

Conclusion

Most young people with mild/moderate intellectual disabilities have sex and are more likely to have unsafe sex than their peers. Education and health services need to operate on the assumption that most young people with mild/moderate intellectual disabilities will have sex.