The Impact of Performance-Based Scripts on Men's Sexual Communication to Peers.

Gender norms related to sexual behavior have a pervasive impact on the psychosocial development of men. These norms have been theorized to influence the formation of male sexual scripts, including those that place high emphasis on performative abilities. While research has indicated that endorsing performance-based scripts can have negative consequences, little work has examined how this sexual ideology is communicated by men to their peer groups. Using structural equation modeling, the current study tested a model of openness to communicate sexual behavior that is incongruent with existing performance-based scripts. A sample of 424 men were recruited from a variety of Internet platforms to participate in a one-time online survey. Results demonstrated that endorsing performance-based scripts impeded men's ability to discuss sexual behavior with male peers, female peers, and sexual partners. Men's lack of transparency about particular sexual experiences may be contributing to harmful narratives that rigidly emphasize sexual performance.

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men.

BACKGROUND: Hypersexual disorder (HD) is defined as a condition in which the individual loses control over engagement in sexual behaviors, leading to distress and negative effects on key life areas. Cognitive behavioral therapy (CBT) has been proven to reduce symptoms of hypersexual behavior; however, no randomized controlled study of CBT interventions for HD has been reported previously. AIM: To investigate the efficacy of group-administered CBT for HD. METHODS: Male participants (n = 137) diagnosed with HD, were randomized between 7 weeks of group-administered CBT (n = 70) and a waitlist control receiving the intervention after 8 weeks (n = 67). Measurements were administered at pre-, mid-, and posttreatment, with follow-up after 3 and 6 months. OUTCOMES: The primary outcome was the Hypersexual Disorder: Current Assessment Scale (HD:CAS), and secondary outcomes were the Sexual Compulsivity Scale (SCS) and measures of depression (Montgomery-Åsberg Depression Rating Scale (MADRS-S), psychological distress (Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM), and treatment satisfaction (CSQ-8). RESULTS: A significantly greater decrease in HD symptoms and sexual compulsivity, as well as significantly greater improvements in psychiatric well-being, were found for the treatment condition compared with the waitlist. These effects remained stable at 3 and 6 months after treatment. CLINICAL IMPLICATIONS: CBT can ameliorate HD symptoms and psychiatric distress, suggesting that the CBT program may serve as a first-line treatment in clinical settings. STRENGTHS & LIMITATIONS: This is the first randomized controlled study evaluating the efficacy of a CBT program in a rather large sample of HD-specific diagnosed men. The long-term treatment effects are vague due to the low response rate on follow-up measurements, and the efficacy of this program for hypersexual women remains unknown. CONCLUSION: This study supports the efficacy of a group-administered CBT program as a treatment option for HD; however, future studies should include women, comprise dismantling analysis of the constituting interventions, and evaluate other treatment formats, for example, administration via the Internet. Hallberg J, Kaldo V, Arver S, et al. A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men. J Sex Med 2019;16:733-745.

Performance, power and condom use: reconceptualised masculinities amongst Western male sex tourists to Thailand.

Each year large numbers of Western men travel to Thailand for sex tourism. Although many will use condoms during their sexual encounters, others will not, potentially exposing themselves to the risk of acquiring sexually transmitted infections, including HIV. Although sex tourism in Thailand has been well documented, the social drivers underpinning voluntary sexual risk-taking through the avoidance of condoms remain poorly understood. Engaging with R.W. Connell's concept of hegemonic masculinity and drawing on data collected from 1237 online discussion board posts and 14 face-to-face interviews, this study considers the ways in which understandings and performances of masculinities may inform the sexual risk-taking behaviours of Western male sex tourists. It argues that for some of these men, unprotected sex is viewed not as a reckless behaviour but, instead, as a safe and appropriate masculine practice, supported by relationships that are often framed as romantic and within a setting where HIV is still largely considered a homosexual disease. With sex workers often disempowered to request safer sexual practices, and some men's attitudes towards unprotected sex resistant to external health promotion advice, the paper concludes by considering what this might mean for policy and practice.

Relationship Between Use of Videogames and Sexual Health in Adult Males.

BACKGROUND: Videogame use is increasingly prevalent in people of all ages, and despite the wide amount of scientific evidence proving a role for electronic entertainment in human health, there is no evidence about the relation between use of videogames and sexual health. AIM: To investigate the association between use of videogames and male sexual health. METHODS: We administered the two validated questionnaires, the Premature Ejaculation Diagnostic Tool (PEDT) and the International Index of Erectile Function (IIEF-15), to men 18 to 50 years old recruited through social networks and specific websites. In addition to the questionnaires, volunteers were asked to provide information on their gaming habit and lifestyle. OUTCOMES: An extended version of the IIEF-15 and PEDT, including data about gaming habits and relevant lifestyles. RESULTS: From June 18, 2014 through July 31, 2014, 599 men 18 to 50 years old completed the questionnaires. One hundred ninety-nine men reported no sexual activity during the previous 4 weeks; four records were rejected because of inherent errors. The remaining 396 questionnaires were analyzed, with 287 "gamers" (playing >1 hour/day on average) and 109 "non-gamers" providing all the required information. We found a lower prevalence of premature ejaculation in gamers compared with non-gamers (mean PEDT score = 3.57 ± 3.38 vs 4.52 ± 3.7, P < .05, respectively). Analysis of the IIEF-15 showed no significant differences between gamers and non-gamers in the domains of erectile function, orgasmic function, and overall satisfaction. Median scores for the sexual desire domain were higher for non-gamers (median score [interquartile range] 9 [8-9] vs 9 [8-10], respectively; P = .0227). CLINICAL IMPLICATIONS: These results support the correlation between videogame use and male sexual health. Compared with non-gamers, men playing videogames for more than 1 hour/day were less likely to have premature ejaculation but more likely to have decreased sexual desire. STRENGTHS AND LIMITATIONS: This is the first study aimed to assess male sexual health in gamers. We identified an association between PEDT and IIEF scores and videogame use; however, these findings require validation through interventional studies. Furthermore, volunteers were recruited through social networks, thus increasing the risk of recruitment bias. CONCLUSION: To our knowledge, this is the first observational study investigating the link between electronic entertainment and male sexuality, specifically for ejaculatory response and sexual desire. Sansone A, Sansone M, Proietti M, et al. Relationship Between Use of Videogames and Sexual Health in Adult Males. J Sex Med 2017;14:898-903.

Integrating male sexual diversity into violence prevention efforts with men and boys: evidence from the Asia-Pacific Region.

Men's perpetration of gender-based violence remains a global public health issue. Violence prevention experts call for engagement of boys and men to change social norms around masculinity in order to prevent gender-based violence. Yet, men do not comprise a homogenous category. Drawing on probability estimates of men who report same-sex practices and preferences captured in a multi-country gender-based violence prevention survey in the Asia-Pacific region, we test the effects of sexuality-related factors on men's adverse life experiences. We find that sexual minority men face statistically higher risk of lifetime adversity related to gender-based violence, stemming from gender inequitable norms in society. Sexuality is thus a key axis of differentiation among men in the Asia-Pacific region, influencing health and wellbeing and reflecting men's differential engagement with dominant norms of masculinity. Integrating awareness of male sexual diversity into gender-based violence prevention interventions, particularly those that work with boys and men, and bridging violence prevention programming between sexual minority communities and women, are essential to tackle the root drivers of violence.

Sexuality in men after prostate cancer surgery: a qualitative interview study.

INTRODUCTION: Prostate cancer affects a growing number of men. Although erectile dysfunction is a well-known side effect, its impact on sex life and sexuality is under-researched. PURPOSE: The aim of this study was therefore to elucidate the effect of surgical treatment for prostate cancer on men's sexuality. METHODS: Data for the descriptive qualitative study were collected in interviews. The author applied a phenomenological-hermeneutic frame of understanding. RESULTS: Four themes appeared in the analysis of the interviews: lack of control, sense of self, intimate relations and redefining sexuality. CONCLUSION: Men experience erectile dysfunction as a negative influence on their sexuality with respect to their sex life, sense of self and intimate relations. The dysfunction is thus shown not only to affect sexual life but also to have repercussions for a range of aspects in male intimate life. A broader perspective should be applied in supporting the men's efforts towards improving their quality of life, for example through sexual counselling services performed by nurses.

Pornography and the Male Sexual Script: An Analysis of Consumption and Sexual Relations.

Pornography has become a primary source of sexual education. At the same time, mainstream commercial pornography has coalesced around a relatively homogenous script involving violence and female degradation. Yet, little work has been done exploring the associations between pornography and dyadic sexual encounters: What role does pornography play inside real-world sexual encounters between a man and a woman? Cognitive script theory argues media scripts create a readily accessible heuristic model for decision-making. The more a user watches a particular media script, the more embedded those codes of behavior become in their worldview and the more likely they are to use those scripts to act upon real life experiences. We argue pornography creates a sexual script that then guides sexual experiences. To test this, we surveyed 487 college men (ages 18-29 years) in the United States to compare their rate of pornography use with sexual preferences and concerns. Results showed the more pornography a man watches, the more likely he was to use it during sex, request particular pornographic sex acts of his partner, deliberately conjure images of pornography during sex to maintain arousal, and have concerns over his own sexual performance and body image. Further, higher pornography use was negatively associated with enjoying sexually intimate behaviors with a partner. We conclude that pornography provides a powerful heuristic model which is implicated in men's expectations and behaviors during sexual encounters.

[Male sexuality after external continent urinary diversion type Mitrofanoff]. / Étude de la sexualité masculine après dérivation urinaire externe continente de type Mitrofanoff.

OBJECTIVE: To evaluate the influence of continent external urinary diversion type Mitrofanoff on male sexuality. MATERIAL AND METHODS: Between 1992 and 2011, 140 patients underwent continent urinary diversion type Mitrofanoff at an academic hospital. Among 76 men, 46 were interviewed about their sexuality after this operation. This study was performed using a set of validated questionnaires (IIEF, DAN PSS and Urolife), grouped by the model of the CTMH. Patients were divided according to their marital status: group 1: patients married before surgery (15 cases), group 2: patients married after surgery (7 cases) and group 3: singles (24 cases). RESULTS: In the first group, the functional dimension of sexuality was positive with an overall score of 81%, the sexual discomfort score was assessed at 26 % and the sexual satisfaction score was 77%. In the second group, sexual function was considered conserved in all cases with a satisfaction score estimated at 98%. These patients reported a feeling of well-being following the disappearance of urinary incontinence with integrity of their body images. In contrast, in the last group, relatively impaired sexual function was noted (65%) with a satisfaction score estimated at 59%. These disorders were multifactorial, mainly related to neurological causal pathology. CONCLUSION: To our knowledge, this is the first study about male sexuality in patients with a continent urinary diversion type Mitrofanoff. Marital status has a major role in the sexuality of these patients. A prospective study with pre- and postoperative evaluation will better clarify the factors affecting sexuality in these patients.

A Scoping Review of the Influence of Mindfulness on Men's Sexual Activity.

Mindfulness practice and mindfulness-based interventions are widely known, especially for women's sexuality. However, it is currently unknown how this practice affects the experience of male sexuality, possibly due to the existence of pharmacological treatments that are usually the first choice of treatment for men. The objectives of this study are to explore the influence of mindfulness on different components of men's sexuality from a scoping review of relevant scientific articles existing in the literature. A literature search from 2010 to 2022 was carried out in the electronic databases MEDLINE, Embase, PsycINFO, Web of Science, Scopus, PubMed, Dialnet, SciELO Citation Index, and Redalyc. Out of the 238 studies, 12 that met the defined selection criteria were selected. The analysis of these studies seems to indicate that the practice of mindfulness favours different variables of male sexuality, such as satisfaction and sexual functioning or genital self-image. Mindfulness-based interventions represent a valuable and promising contribution. No adverse effects were detected from the review of scientific articles considered in this work. Nevertheless, more randomized studies with active control groups are necessary to establish the benefits of mindfulness-based interventions in sex therapy for men.

Can Annual Daylight Cycles and Seasons Have an Effect on Male Sexual Functions?

Introduction Mammals' sexual functions exhibit seasonal variations that have been attributed to changes in the daylight. In this study, taking into consideration endocrine and psychogenic status, we aimed to investigate whether human males experience changes in erectile functions and sexual desire depending on daylight periods and seasons, and whether periodicity exists in human sexual behavior. Materials and methods International Index of Erectile Function (IIEF) and psychiatric scale scores of 221 male patients were evaluated. In addition, hormonal parameters of the patients were examined. These data were first evaluated in two groups (summer and winter) according to local daylight amounts the participants received. Then IIEF scores were also analyzed according to four conventional seasons (winter, spring, summer, and autumn). Results There was no significant difference in laboratory data, psychiatric scale scores and IIEF evaluations between summer and winter groups. Moreover, no significant difference was found in terms of sexual desire and erectile functions in terms of four seasons (p > 0.05). Conclusion According to the results of this study, there is no periodicity in human sexual functions both in relation to daylight and four seasons.

Peyronie's disease may negatively impact the sexual experience of a couple and female sexual function: a single center study.

BACKGROUND: Peyonie's disease (PD) mostly affects males in the fifth decade of life, with a prevalence in the general population ranging between 0.5% and 20.3%. The pathology of PD is characterized by fibrosis of the tunic albuginea of the cavernous bodies of the penis, with the presence of pain in the erection and penile deformity. This is associated with decreased sexual function for both participants. The objective of the study was to investigate the influence of PD pathology on both male patients' and their female partners' sexual spheres, and analyze changes in sexual function and perception following penile correction surgery. METHODS: Prospective study, we included male patients with PD and their female partner sexually active. Patients underwent corporoplasty with multiple plications. The male and female sexuality was evaluated before surgery and three months after male treatment by the Female sexual Function Index (FSFI); International Index of Erectile Function (IIEF); Visual Analogical Scale (VAS). RESULTS: From January 2018 to November 2019 we included 35 couple. The female subjects before partner's surgery presented dyspareunia, loss of sexual desire, inability to achieve orgasm, and sexual dissatisfaction. At three months after surgical treatment there was an improvement of sexual function in both male patients and female partners (desire P<0.0001, arousal P<0.0001, lubrification P<0.0001, orgasm P<0.0001, satisfaction P<0.0001, pain P<0.0001). As regarding male patients the pain decreased significantly (VAS score from 6 to 2.5), while there was no statistically significant improvement in erectile function (P=0.05). CONCLUSIONS: Our findings suggest that a viable approach to treatment of PD patients that involves their partners could lead to better functional and psychological results.

Male sexual function and pelvic floor surgery of their female partner: A one-year follow-up study.

OBJECTIVE: The aim of this study was to examine if sexual function of male partners changed after surgery for pelvic floor disorders and to explore associated factors. STUDY DESIGN: This was an observational follow-up study at the Gynecological Department at the St Olavs University Hospital, Trondheim. The sample consisted of 35 male partners of women scheduled for pelvic organ prolapse or stress urinary incontinence surgery. Self-administered questionnaires, containing validated instruments as well as exploratory questions, were sent to women and their partners before and one year after pelvic floor surgery. Vaginal dimensions were measured in all women according to the Pelvic Organ Prolapse Quantification System, both before and after the surgery. MAIN OUTCOME MEASURES: The Brief Sexual Function Instrument and the presence of erectile dysfunction. RESULTS: One year after pelvic floor surgery, scores for sexual drive, erection and overall satisfaction from the Brief Sexual Function Instrument were unchanged; the ejaculation score (range 0-4) had mildly improved from a range of 4 (median 4) to a range of 3.5 (median 4), (p = 0.014). The proportion of men with erectile dysfunction was unchanged, while the proportion of men reporting vaginal wind had significantly decreased (p = 0.016). None of the baseline factors, subjective experiences or vaginal dimensions at baseline or follow-up were associated with the improved ejaculation score; only a reduction in the proportion of men reporting their partners with dyspareunia (ns) was significantly correlated (Spearman's rho 0.42, p = 0.019). CONCLUSION: Sexual function of male partners was unchanged or mildly improved after pelvic floor surgery.

Os sentidos das masculinidades juvenis num contexto de cuidado

O presente estudo abordou a discussão acerca da sexualidade, juventude e masculinidade num cenário de epidemia de AIDS. O objetivo foi compreender como os homens jovens universitários se comportam sexualmente em tempos de AIDS. Resultado e Discussão este trabalho foi construído a partir das seguintes categorias: Identidade masculina sexual juvenil: armadilhas produzidas; Masculinidades e ausência do cuidado de si. Conclusão homens jovens apresentam comportamentos de risco no que diz respeito às práticas sexuais desprotegidas, uma vez que o tempo de namoro e confiança se apresentam de acordo com os depoimentos como fatores impeditivos para práticas sexuais mais seguras.

Nadie puede juzgar qué es bueno y qué es malo. Sexualidad masculina y sexo entre varones en los delitos contra el honor militar en la Armada Argentina, 1960-1980 / Ninguém pode julgar o que é bom e o que é ruim. Sexualidade masculina e sexo entre homens em crimes contra a honra militar na Marinha Argentina, 1960-1980 / No one can judge what is right or wrong. Male sexuality and sex between men in the crimes against military honor in the Argentine Navy, 1960-1980

Resumen: Este artículo analiza la producción de sentidos y saberes sobre el sexo entre varones y la sexualidad masculina durante los juicios por delitos contra el honor militar en la Armada Argentina (1960-1980), en un contexto de ascenso del autoritarismo. Sostengo que, en contraste con la escalada represiva del período, el éxito de las Fuerzas Armadas en la construcción de una masculinidad hegemónica distaba mucho de ser una realidad en las décadas de 1960 y 1970. Lejos de un discurso o dispositivo bien articulado, los saberes producidos en los juicios militares no llegaban a constituirse en un conocimiento autoritativo (Jordan, 1991) sobre la sexualidad masculina. En términos metodológicos, me hago eco de Guinzburg (1991) quien sostiene que los "archivos de la represión" pueden servir tanto para realizar una historia de la represión como un estudio de la agencia subjetiva.

Resumo: Este artigo analisa a produção de sentidos e saberes sobre o sexo entre homens e a sexualidade masculina durante julgamentos por crimes contra a honra militar na Marinha argentina (1960-1980) em um contexto de crescente autoritarismo. Argumenta que, em contraste com a escalada repressiva do período, o sucesso das forças armadas na construção de uma masculinidade hegemônica distava de ser uma realidade nas décadas de 1960 e 1970. O conhecimento produzido em julgamentos militares não chegou a constituir um conhecimento autoritativo (Jordan, 1991) sobre a sexualidade masculina. Em termos metodológicos, o artigo retoma a Guinzburg (1991), que argumenta que os "arquivos da repressão" podem servir tanto para fazer uma história de repressão quanto para um estudo da agência subjetiva.

Abstract: This article analyzes the construction of meaning and knowledge about sex between men and male sexuality in crimes against military honor in the Armada Argentina (1960-1980) in a context of increasing authoritarianism. In contrast to the escalating repression of the period, the success of the armed forces in building a hegemonic masculinity was far from being a reality in the decades of 1960s and 1970s. Instead of a well articulated discourse or device, the notions produced during military trials did not constitute an authoritative knowledge (Jordan, 1991) on male sexuality. In methodological terms, the article echoes Guinzburg (1991), who argues that the "archives of repression" can serve both to build a history of repression and a study of subjective agency.

Categorização, cognição e o estilo de vida goy / Categorization, cognition and the g0y lifestyle / Categorización, cognición y el estilo de vida g0y

A categorização é fundamental para o nosso pensamento, nossa percepção, ação e posicionamento no mundo. Todas as vezes que percebemos algo como um tipo de coisa, ou como parte de alguma coisa, estamos a categorizar e a recorrer ao uso de processos cognitivos. Nessa perspectiva, as novas categorias homoeróticas na contemporaneidade surgem de que axiomas? O que é gay, o que é g0y (g-zero-y) e o que não é? Bem como, qual é a fronteira desses conceitos com o comportamento masculino heteroflexível? São questões instigantes sob o enfoque da cognição, da categorização; e, com base em verificação ontológica, este artigo enfatiza o papel de validação exercido pela "confirmação" e "desconfirmação" das crenças acerca de categorias mais fluidas de comportamentos sexuais masculinos que podem estar externalizados. Nesse âmbito, registra-se que não se encontra na proposição g-zero-y erros sejam no sentido da redundância, de inconsistência interna, de partição ou de circularidade conceptual.

The categorization is basic for our thinking, our perception, action, and positioning in the world. When we perceive something as a kind of thing, or as part of something, we are categorizing and resorting to the use of cognitive processes. In this perspective, from which axioms arise the new homoerotic categories in the contemporaneity? What is gay, what is g0y (g-zero-y) and what is not? As well as, what is the frontier of these concepts with the heteroflexible male behavior? These are intriguing questions at perspective of the cognition processes, of categorization based on the ontological verification this paper emphasizes the role of validation exercised by the 'confirmation' and 'disconfirmation' of the beliefs, about categories more fluids of male sexual behaviors that may be externalized, registering that it is not in the proposition g-zeroy errors are in the conceptual sense of redundancy, internal inconsistency, partition or circularity

La categorización es fundamental para nuestro pensamiento, percepción, acción y posicionamiento en el mundo. Cuando percibimos algo como una especie de cosa, o como parte de algo, estamos categorizando y recurriendo al uso de procesos cognitivos. En esta perspectiva del proceso de categorización, ¿las nuevas categorías homoeróticas de que axiomas surgen? ¿Qué es gay, qué es g0y (g-cero-y) y qué no lo es? Así como, ¿cuál es la frontera con el comportamiento masculino heteroflexible? Estas son preguntas intrigantes en la perspectiva del proceso de la cognición, de la categorización y basado en verificación ontológica, este artículo hace hincapié en el papel de la validación ejercida por la 'confirmación' y la 'desconfirmación' de las creencias, sobre categorías más fluidas de los comportamientos sexuales masculinos que pueden estar externalizados. En conclusión, se registra que no se encuentran en la proposición g-cero-y errores en el sentido de redundancia, inconsistencia interna, partición o circularidad conceptual

Negociando saberes e poderes: a Política Nacional de Atenção Integral à Saúde do Homem e a Sociedade Brasileira de Urologia / Negotiating knowledge and power: the National Policy for Comprehensive Men’ s Healthcare and the Brazilian Society of Urology

Resumo O objetivo do artigo é evidenciar as negociações e disputas entre saberes e poderes na história da Política Nacional de Atenção Integral à Saúde do Homem, a partir da criação da Área Técnica de Saúde do Homem, instituída em 2008 no Departamento de Ações Programáticas Estratégicas no Ministério da Saúde. Acompanhamos a posição da Sociedade Brasileira de Urologia no processo de constituição da política. Recuperamos a disputa colocada em discurso tendo como referência as entrevistas realizadas com gestores do Ministério da Saúde e com o representante auxiliar do Fundo de População das Nações Unidas no Brasil. Nas aparições do sujeito de direitos à saúde, analisamos a visibilidade do corpo masculino nos signos das resistências às intervenções do biopoder.

Abstract The aim of this article is to demonstrate the negotiations and disputes between different kinds of knowledge and power in the history of the Brazilian National Policy for Comprehensive Men’s Healthcare based on the creation in 2008 of the Technical Area for Men’s Health within the Ministry of Health’s Department of Strategic Programs. We observed the Brazilian Society of Urology’s position as the policy was being drawn up, including the discourse adopted, based on interviews held with managers from the Ministry of Health and the assistant representative of the United Nations Population Fund in Brazil. We analyzed the visibility of the male body in signs of resistance to the interventions of biopower in the expression of the right to health.

A política nacional de atenção integral à saúde do homem e suas engrenagens biopolíticas: o uso do conceito de gênero como regime de luzes / The national policy for integral attention to men's health and its biopolitics gear: the use of the concept of gender as a light regime

O artigo analisa a Política Nacional de Atenção Integral à Saúde do Homem do governo brasileiro. Foram analisados os documentos "Princípios e diretrizes da Política Nacional de Atenção Integral à Saúde do Homem", "Princípios e diretrizes da Política Nacional de Atenção Integral à Saúde da Mulher"; e entrevistas realizadas com gestores federais da Área Técnica de Saúde do Homem. A análise do discurso a partir de Michel Foucault permitiu lidar com o corpus em suas condições de produção mediante um gesto analítico-descritivo de manejo dos enunciados dispersos. O argumento central é o de que a Política de saúde tem um "gênero" como uma rede discursiva que produz os sujeitos referências de sua inteligibilidade. Destacam-se na análise a emergência do sujeito feminino do cuidado, representada pela mulher-mãe higiênica e mulher-sujeito; e do homem como sujeito de direitos à saúde sob o signo de acontecimento de seu nascimento

The article examines the National Policy of Comprehensive Men and Women's Healthcare of the Brazilian government. Documents analyzed were: "Principles and guidelines of the National Policy of Comprehensive Men's Healthcare", "Principles and guidelines of the National Policy of Comprehensive Women's Healthcare", and interviews to federal managers of the Technical Field of Men's Healthcare. Discourse analysis from Michel Foucault allowed to deal with the corpus in their production conditions through an analytical -descriptive gesture handling of scattered statements. The central argument is that the health policy analyzed has a "gender" as a discursive network that produces the subject references its intelligibility. Stand - in analyzes the emergence of the female subject of care, represented by the woman-mother hygienic and woman -subject, and the man as the subject of rights to health under the sign of newness of his birth. The dialogue with Judith Butler and Jacques Derrida is one of the enablers axes theoretical analysis of the issues that build the product , in addition to the title itself also seeks to highlight , namely the biopolitics gears that move the policy in question.

Olhar a sexualidade masculina na gravidez: desenvolvimento de competências do EEESMO / Looking at male sexuality during pregnancy: development of EEESMO skills

O presente Relatório de Estágio encontra-se integrado no 7º Curso de Mestrado e Pós-Licenciatura em Saúde Materna e Obstetrícia, da Escola Superior de Enfermagem de Lisboa, o qual reflete o percurso de aprendizagem realizado no Estágio com Relatório, centrando-se no desenvolvimento de competências do Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstetrícia (EEESMO) e de mestre, descrevendo as atividades desenvolvidas. Assim como todo o percurso efetuado para desenvolver a temática por mim proposta, de acordo com o plano de estudo do CMESMO, durante os cuidados de enfermagem especializados abordando a temática da sexualidade masculina na gravidez. Para desenvolvimento das competências, sobre a temática escolhida, foi efetuado uma Scoping Review segundo a metodologia de Institute Joanna Briggs. Os cuidados de Enfermagem foram prestados de acordo como o modelo teórico de Enfermagem de Nancy Roper. Dos dados obtidos pude constatar que existem alterações na sexualidade masculina por medos e dúvidas relacionadas com as relações sexuais na gravidez, desconforto das parceiras; desconhecimento das alterações sexuais femininas durante a gravidez. O companheiro sente necessidade de informação para se adaptar à nova condição de vida, contudo a maioria dos Profissionais de Saúde não se sente muito à vontade em abordar a temática. Os companheiros esperam dos Enfermeiros Especialistas apoio e informação para desenvolver mecanismos de coping, para se readaptarem à sexualidade. Os resultados encontram-se de acordo com a evidência científica encontrada. Esses mesmos resultados permitem-me identificar o conhecimento dos companheiros sobre as mudanças sexuais femininas durante a gravidez, as alterações sexuais sentidas pelos companheiros, e as necessidades sentidas de forma a desenvolver mecanismos de coping para as ultrapassar, permitindo, assim, a criação de programas de intervenção precoce, devidamente contextualizados e avaliados pelos enfermeiros especialistas

The present Internship Report is integrated in the 7th Master and Post- -Graduate Course in Maternal Health and Obstetrics of Lisbon Higher School of Nursing, which reflects the learning path carried out in the Internship with Report, focusing on the development of the skills of Specialist Nurse in Maternal Health and Obstetrics and Masters, describing the activities carried out. As well as all the path carried out to develop the theme proposed by me, in accordance with the CMESMO study plan, during the specialized nursing care, addressing the theme of male sexuality in pregnancy. A Scoping Review was undertaken, according the methodology of The Joanna Briggs Institute, to develop skills on the chosen theme. Nursing care were provided according the theoretical Nancy Roper Model of Nursing. From the data obtained with the male partners, I could determine that there are changes in male sexuality due to fears and doubts related to sexual intercourse in pregnancy, female partners' discomfort and a lack of knowledge about female sexual changes during the pregnancy. Man feel the need of information to adapt to the new condition of life. However, most of Health Professionals do not feel comfortable in addressing the issue. The male partners expect support and information from the Specialist Nurses to develop mechanisms of coping, allowing them to feel readapted to sexuality. The results are in accordance with the scientific evidence found. The results allow us to identify the partners' knowledge about the female sexual changes during pregnancy, the sexual modifications experienced by the male partners, and other needs in order to develop coping mechanisms to overcome those changes. This enables the creation of precocious intervention programs, duly contextualized and evaluated by the specialist nurses.

A terceira onda sexológica: medicina sexual e farmacologização da sexualidade / La Tercera Ola sexológica: medicina sexual y tratamiento "farmacológico" de la sexualidad / The third sexological wave: sexual medicine and the pharmaceutical "treatment" of sexuality

Este artigo pretende discutir a passagem da "segunda onda sexológica", que surge em meados do século XX, para uma terceira fase representada pela Medicina Sexual, cujo surgimento data da última década do século. Analisa-se o surgimento da Medicina Sexual como parte de um processo mais amplo de "biologização" das concepções acerca do humano ao qual se concatena uma transformação importante do modo de atuação e produção da indústria farmacêutica. Dois pontos cruciais na passagem da segunda sexologia para a Medicina Sexual serão abordados: a reconfiguração médica da impotência através da construção e da difusão do diagnóstico de "disfunção erétil" e os efeitos disto para a sexualidade masculina; a mudança de foco da sexualidade feminina ou do casal para a sexualidade masculina e suas consequências. O objetivo mais amplo do artigo é apresentar e discutir a medicalização da sexualidade masculina e seu significado no que diz respeito às relações de gênero.

Este artículo se propone discutir el paso de la "segunda ola sexológica", que surge a mediados del siglo XX, a una tercera fase representada por la Medicina Sexual, cuyo surgimiento data de la última década del siglo. Se analiza el surgimiento de la Medicina Sexual como parte de un proceso más amplio de "biologización" de las concepciones acerca de lo humano, ligado a una transformación importante del modo de acción y producción de la industria farmacéutica. Se abordarán dos puntos cruciales del paso de la "segunda sexología" a la Medicina sexual: la reconfiguración médica de la impotencia, a través de la construcción y difusión del diagnóstico de "disfunción eréctil", con sus efectos en la sexualidad masculina; y el cambio de foco, de la sexualidad femenina o de la pareja a la sexualidad masculina y sus consecuencias. El objetivo más amplio del artículo es presentar y discutir la medicalización de la sexualidad masculina y su significado, en lo que respecta a las relaciones de género.

This article discusses the passage of the "second sexological wave", which emerged in the middle of the 20th century, to a third phase represented by Sexual Medicine, which came to light in the last decade of the 20th century. I analyze the emergence of Sexual Medicine as part of a broader process of "biologization" of the human, which was parallel to an important transformation in the mode of operation and production of the pharmaceutical industry. Two crucial points in the transition from the second sexology to Sexual Medicine will be addressed: the medical reconfiguration of impotence through the construction and dissemination of the diagnosis of "erectile dysfunction" and its effects on male sexuality; the changing of focus from female (or couple) sexuality to male sexuality and its consequences. The broader goal of the article is to present and discuss the medicalization of male sexuality and its significance regarding gender relations.

Capturados pelo sexo: a medicalização da sexualidade masculina em dois momentos / Accessed through sex: the medicalization of male sexuality at two different moments

O objetivo deste artigo é refletir sobre a medicalização da sexualidade masculina a partir do contraponto entre dois processos históricos distintos. O primeiro deles se refere ao grande movimento de intervenção na sexualidade masculina ocorrido no início do século XX no Brasil em torno da sífilis e do combate mais geral das doenças venéreas. O segundo diz respeito à medicalização da sexualidade via o foco na disfunção erétil e na chamada andropausa e a criação de uma nova farmacologia do sexo que se torna incontornável na passagem para o século XXI. Esse contraste permite perceber certas diferenças importantes. Destaca-se a nova ênfase na noção de saúde sexual baseada no aprimoramento individual e uso de medicamentos além da promoção do interesse masculino no desempenho sexual como porta de entrada para se chegar ao tratamento da saúde do homem.

The scope of this article is to reflect upon the medicalization of male sexuality based on the counterpoint between two distinct historical processes. The first of these is the major trend towards intervention in male sexuality which occurred in the early twentieth century in Brazil as a result of syphilis and the broader campaign against venereal disease. The second concerns the medicalization of sexuality through the focus on erectile dysfunction and the creation of a new pharmacology of sex which has become inevitable with the transition to the twenty-first century. This contrast enables us to see some important differences. The study highlights the new emphasis on the notion of sexual health based on individual improvement and use of medications. It also demonstrates that the promotion of male interest in sexual performance serves as a gateway to approach the treatment of male health.