Gay dating cancer patients

On, you will find patient and doctor written articles about Lesbian, Gay, Bisexual and Transgender people diagnosed with cancer.
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In contrast to the men who undertook radiation and other therapies, men who had radical prostatectomies reported needing and receiving more instrumental support immediately before, and especially in the first days to weeks after returning home from surgery, such as cooking food, running errands, transportation, and cleaning wounds.

I was lucky I had a sister who was a nurse who came to stay with me for a few days and we talked quite a bit about it. He would come over at will. He would even come over in the middle of the night to make sure I was okay. Most of the partnered men who had surgery got instrumental caregiving from their partners.

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Indeed, GBMPCa raised having a catheter in as a barrier that impeded asking for instrumental support after surgery. Another predominant theme, particularly among single men, was of independence or being solitary. This independence theme referred to people either not asking for or turning down help, whereas being solitary reflected more comprehensive social isolation.

A number of men with surgery reported simply being home alone, most were not explicit about whether they needed more support than what they were getting. I live alone and when I came home, the first day that I was there, my best friend and a couple of other friends came over and made sure that I was comfortable and situated in the house.

After that and from that point on, I just did it myself. My family is in [Midwestern state], so my brother came down, which was nice, for the day of surgery, but my good friend just basically dropped me off at the hospital. Then for the rest of the week, I was by myself. This is in contrast to the tone among men who had radiation and those who underwent other treatments. Both groups either had support available but reported not needing it or felt like support was unavailable and seeking support from outside their family.

Prostate Cancer in Gay, Bisexual, and Other Men Who Have Sex with Men: A Review

My big brother…helped me out some. I had pretty much done everything on my own. I have a paid caregiver who comes in four days a week, four and a half hours a day. Notably, the instrumental support single GBMPCa did receive came largely from friends, family and paid caregivers. Emotional support represented the next most common component of social support during treatment. After treatment, the primary type of support men reported wa s informational and emotional support about sexual rehabilitation.

Other men mentioned a transition from needing and using support — informational and emotional — to providing this support by remaining active in prostate cancer support groups. For the support GBMPCa needed after treatment, men were selective as to whom they talked to regarding sexual side effects.

Some confided in partners, others to friends or other social support groups, but generally less on family.

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A distinct minority of men noted helpful friends and sympathetic partners. And I thought well, this is it. Many men, especially single men reported not having much instrumental support throughout recovery. Of those who had support, their social support network consisted largely of friends, parents and siblings.

The Dating Game: Older Patients with Cancer, Survivors Seeking Supportive Partners

Second, the social support GBMPCa report receiving varied across the domain of social support and differed between the time of diagnosis and during treatment. Although our goal was not to sample stratified by race or sexual orientation, we caution saturation was not reached across race or sexual orientation and have not made explicit comparisons of differences in by these factors. Moreover, we note that our study design does not facilitate direct comparisons to the dominant literature of men in heterosexual relationships; however, we speculate and show how our work fits within the findings of this previous work.

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Not all interviews explored the experiences of social support to the same depth, which resulted in some sparsity in the data; this is particularly true of emotional support, as that domain was not explicitly focused on in interviews. Phone interviews also may have limited the emotional depth of the interview compared to in-person interviews where establishing rapport is easier.

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We recruited from one online forum; results may have differed if recruitment were in person or from multiple online venues. These weaknesses notwithstanding, this study has many strengths. As the first published study of support persons, it breaks new ground.

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  7. With 30 interviews, it is the largest qualitative study of social support for GBMPCa to date, and the first with sufficient subgroups of men who underwent surgery, radiation, or other treatment to enable comparative analysis. The provision of support by parents, siblings and friends contrasted with the existing literature of social support for men with prostate cancer.

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    Much of the qualitative studies of support for men with prostate cancer focus on spouses, the vast majority of whom are wives. In contrast to the dominant literature, only one mentioned adult children. GBMPCa reported feeling free to talk about the sexual and continence challenges with their friends in a way they reported not sharing with family. Additional support resources tailored for and directed to GBMPCa seem highly relevant and in high demand.

    In particular for this analysis, the expressed wish for or use of support groups ideally in person for other gay men with prostate cancer was noted. Clinicians should take into account the more varied support network GBMPCa may have, specifically the central role of friends and other family. An avenue for future research would be to test how social support is associated with differences in PCa outcomes between GBMPCa and other men. Or it goes unmet. Additional qualitative and quantitative research is needed on prostate cancer in gay and bisexual men.

    Such research needs to conceptualize social support networks broadly and inclusively, and should focus on the relationship between social support and patient outcomes. This study was conducted with funding from the National Cancer Institute grant number: CA; PI: National Center for Biotechnology Information , U. Author manuscript; available in PMC Nov 1. Benjamin D. William G. Simon Rosser. Author information Copyright and License information Disclaimer.

    Corresponding Author: Copyright notice. See other articles in PMC that cite the published article. Abstract Objective Prostate cancer, the second most common cancer among men, typically onsets in middle or older age. Methods This study used qualitative data from in-depth, semi-structured, one-on-one telephone interviews with 30 GBMPCa recruited from a national cancer support group network, Malecare. Results GBMPCa reported help from friends, family parents, siblings , ex-partners, and paid caregivers.

    Conclusions GBMPCa received variable, but generally low, social support during diagnosis and treatment and from a diverse social network, including a prominence of friends and family. Background Prostate cancer PCa is the second most common cancer among men,[ 1 ] and, like other cancers, typically requires extensive social support.

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    Methods This study used a qualitative design—specifically, one-on-one telephone interviews—and was oriented by a thematic analysis[ 26 ] The study was approved by the University of Minnesota Institutional Review Board S Open in a separate window. Data Collection After a series of demographic questions collected by online survey, the semi-structured interviews covered several domains along the timeline of diagnosis, treatment, and rehabilitation.

    Data Analysis Data analysis was informed by thematic analysis approaches[ 26 ]. Social support across the treatment timeline Unmet needs A number of men who did not have access to a gay support group, locally, reported wanting it.

    Social Network for Support Before Treatment Help from others in their social networks ranged from very involved to uninvolved. Social Support During Treatment Instrumental support During treatment, men undertaking radiation and other treatments reported little instrumental support and less than to men with surgery. Support Network for Instrumental Support Most of the partnered men who had surgery got instrumental caregiving from their partners.

    Emotional support Emotional support represented the next most common component of social support during treatment. Strengths and Weaknesses Although our goal was not to sample stratified by race or sexual orientation, we caution saturation was not reached across race or sexual orientation and have not made explicit comparisons of differences in by these factors.

    Acknowledgments Sponsors: References 1. Cancer statistics, That, in itself, is a challenge for many of my older patients who are not tech-savvy or at least not comfortable with posting a picture and completing an online profile. In other words, they are a disappointment. My patients ask me what they should do next—and having never registered a profile myself, I am not able to provide much more than common sense suggestions. Number 1: And number 3: You need to talk about expectations about a physical relationship sooner rather than later. Something that I have found interesting is that both men and women say that they are most interested in companionship.

    What does that mean? Most of my patients say that they want someone to travel with, to go out for dinner with, or to a movie or symphony concert. And then the women say: The men say: See why I would like to start a matchmaking service? It seems that after cancer men and women who are not able to either have erections or who are not interested in sex, are willing to do it if a potential partner wants it—or if they assume that a potential partner wants it. What if the desire for sex or a platonic relationship were two items on the profile list of a dating website?

    If I were running a matchmaking service for this population, those would be important questions to respond to and would be on the profile of everyone who joined. One of the saddest stories I have heard in this realm was that of an year-old man who lived in a nursing home. He came to see me, asking for something to help him have an erection he had multi-modality treatment for recurrent prostate cancer so options that might help were limited. Many gay men start have experienced their early lives in heterosexual relationships and marriages.

    Cancer is in our family.

    They have tried hard not to be gay, and struggled to get past the fears and risks associated with being out. Now, they are trying hard to not be the person diagnosed with cancer, not the person whose life is once again at risk. Patient needs assurance that his doctor respects him as a gay man. Simply by asking a man if he enjoys sex with men, women or both, sets a calm and understanding clinical relationship.

    The patient needs to hear his doctor ask questions to understand the patients concerns about treatment outcomes, such as sexual performance, and will take steps to protect him from all of his practical concerns, such as visitation rights. Doctors should be prepared to respond to gay focused questions as well as clearly communicate a sense of comfort around sexuality.

    Being Gay is not the same as being short, tall or Russian. Gay couples can present as mundane or inflamed as heterosexual couples; accept the idea that a gay marriage is dynamic and love filled. Children are important.