Evidence map›Paper›PMID 38763974›Full record

ReviewNature reviews. Gastroenterology & hepatology2024

Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus.

Daniel R Dickstein, Collin R Edwards, Catherine R Rowan, Bella Avanessian, Barbara M Chubak, Christopher W Wheldon, Priya K Simoes, Michael H Buckstein, Laurie A Keefer, Joshua D Safer and 6 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Justice, equity, diversity and inclusion in gastroenterology and hepatology.Nature reviews. Gastroenterology & hepatology · 2024
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Daniel R DicksteinDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. daniel.dickstein@mountsinai.org.ORCID http://orcid.org/0000-0003-4606-5574
Collin R EdwardsDepartment of Radiology, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY, USA.
Catherine R RowanInflammatory Bowel Disease Unit, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada.
Bella AvanessianCenter for Transgender Medicine and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Barbara M ChubakDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0001-9836-5515
Christopher W WheldonDepartment of Social and Behavioral Sciences, College of Public Health at Temple University, Philadelphia, PA, USA.
Priya K SimoesThe Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Michael H BucksteinDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Laurie A KeeferThe Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Joshua D SaferCenter for Transgender Medicine and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Keith SigelDivision of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Karyn A GoodmanDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-4576-6355
B R Simon RosserDivision of Epidemiology and Community Health, School of Public Health at University of Minnesota, Minneapolis, MN, USA.
Stephen E GoldstoneDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Serre-Yu WongThe Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-2070-4123
Deborah C MarshallDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-6675-7482

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability to experience pleasurable sexual activity is important for human health. Receptive anal intercourse (RAI) is a common, though frequently stigmatized, pleasurable sexual activity. Little is known about how diseases of the colon, rectum, and anus and their treatments affect RAI. Engaging in RAI with gastrointestinal disease can be difficult due to the unpredictability of symptoms and treatment-related toxic effects. Patients might experience sphincter hypertonicity, gastrointestinal symptom-specific anxiety, altered pelvic blood flow from structural disorders, decreased sensation from cancer-directed therapies or body image issues from stoma creation. These can result in problematic RAI - encompassing anodyspareunia (painful RAI), arousal dysfunction, orgasm dysfunction and decreased sexual desire. Therapeutic strategies for problematic RAI in patients living with gastrointestinal diseases and/or treatment-related dysfunction include pelvic floor muscle strengthening and stretching, psychological interventions, and restorative devices. Providing health-care professionals with a framework to discuss pleasurable RAI and diagnose problematic RAI can help improve patient outcomes. Normalizing RAI, affirming pleasure from RAI and acknowledging that the gastrointestinal system is involved in sexual pleasure, sexual function and sexual health will help transform the scientific paradigm of sexual health to one that is more just and equitable.

Indexed as

Rectal DiseasesAnus DiseasesColonic DiseasesHumansPleasureSexual BehaviorSexual Dysfunction, Physiological

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.