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Of all 81 study participants, only those quoted in the text are included in this table. For Lesedi, such alternative lubricants were used when commercial lubricants were unavailable: HIV infection and sexually transmitted infections among men who have sex with men in Senegal. Given the sampling approach, the participants in this study are not necessarily representative of Black South African MSM, and findings are not generalizable to other populations of MSM. For example, Mosegi described how what began as a consensual sexual encounter ended in rape when he withdrew consent during an attempt at intercourse that was painful: Pain during sex is quite common, and affects men and women.

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The story shared by Tlotliso exemplified the potential vulnerability of MSM in their first sexual encounters, which could be amplified by the need or desire for secrecy about engaging in same-sex sexual behavior. Anodyspareunia among Belgian Gay Men. Open in a separate window. Qualitative data were coded for purposes of this study in two stages, concept-driven and data-driven coding Gibbs, Belgian MSM rated the lack of lubrication and of anal foreplay as the most important factors predicting pain during RAI Vansintejan et al. Capacitating health care workers should include skills-building around non-stigmatizing clinical care of MSM and strengthening practices around patient confidentiality to avoid, among other things, involuntary disclosure of same-sex sexual behaviors or sexual minority identity.

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