Carole Anderson, James Cresswell, Gianna Tetz, Somayyeh Zare
{"title":"Do you do hymenoplasty? Doctors' ethical, cultural and social dilemmas when faced with this question.","authors":"Carole Anderson, James Cresswell, Gianna Tetz, Somayyeh Zare","doi":"10.1080/13691058.2025.2498425","DOIUrl":"https://doi.org/10.1080/13691058.2025.2498425","url":null,"abstract":"<p><p>Hymenoplasty is a procedure to surgically restore the hymen, a thin membrane that partially closes the entrance to the vagina and which may be ruptured due to sexual activity. It is requested by women whose culture demands they prove their virginity by bleeding on their wedding night. As a result, this surgery is filled with ethical and legal controversy surrounding virginity, sexual equality, and women's rights to bodily autonomy and self-determination. This paper is a qualitative analysis of conversations with four Canadian doctors faced with the request for hymenoplasty and their experiences and decision-making process. Results indicate doctors relied on values of self-determination, bodily autonomy, honesty and integrity, and ethical principles of informed consent, competence, privacy, confidentiality, and culture and gender awareness, to inform their decision making. In their dialogues they placed different weight on the biological aspects of the surgery, culture, and personal autonomy resulting in different decisions and actions in response to the request. In addition, compartmentalisation, simplification, distance, differentiation and responsiveness appeared to assist the doctors in engaging with the discomfort and ethical dilemmas inherent in responding to the request for hymenoplasty. Future research is needed to verify these results and to explore the impact of the differing approaches to the women requesting the surgery.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-15"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Better than sex? The rise of assisted reproductive technologies as a reproductive norm.","authors":"Shizuko Takahashi","doi":"10.1080/13691058.2025.2495751","DOIUrl":"https://doi.org/10.1080/13691058.2025.2495751","url":null,"abstract":"<p><p>Half a century after the birth of Louise Brown, assisted reproductive technologies (ART) have evolved from specialised infertility treatments to become a reproductive norm in specific societal contexts. In Japan-where sexlessness and declining birthrates are widespread-ART has emerged not only as a medical solution but also a societal workaround. This paper explores the ethical implications of ART's normalisation in Japan, focusing on three key concerns: (1) the commercialisation of ART and its framing as 'natural'; (2) pronatalist incentives that blur the line between support and coercion; and (3) the decoupling of sex and reproduction through medicalisation. Using Japan as a case study, the paper examines whether ART should require clear medical indications, whether societal factors like sexlessness justify its use, and how government and industry pressures subtly shape patient choices. Ultimately, it argues for the stricter regulation of ART practices and more effective pronatalist policies that directly address sexlessness, calling for a stronger emphasis on relational ethics to balance individual autonomy with societal needs in reproductive health.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"First Nations music and social emotional wellbeing and health among LGBTIQA+SB First Nations peoples: a review of the literature.","authors":"Kristy Apps, Naomi Sunderland, Te Oti Rakena","doi":"10.1080/13691058.2024.2387674","DOIUrl":"10.1080/13691058.2024.2387674","url":null,"abstract":"<p><p>Music has been linked to improved social and emotional wellbeing for First Nations Peoples, yet little research directly explores the link between music and social emotional wellbeing of Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, Asexual, Sistergirl, and Brotherboy (LGBTIQA+SB) First Nation Peoples in Australia. This article reports on a hybrid scoping narrative review of existing literature that explores LGBTIQA+SB social emotional wellbeing and potential links to music practices, such as music listening, performance, and composing. Findings suggest that music and creative practices can be linked to feelings of elation, positive self-regard, and safety. Music and performance can promote and celebrate the diversity and complexities of Queer First Nations people and identities through art and performance, enhancing a sense of belonging and links to community, generating feelings of pride, and contributing to knowledge sharing. Community connections built through creative arts and digital platforms are seen as enhancing social emotional wellbeing for First Nations Lesbian, Gay, Bisexual, Transgender, Intersex, Queer/Questioning, Brotherboy, Sistergirl people.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"570-590"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regimes of truth regarding 'sexual justice' in academic literature from 2012 to 2022: a scoping review.","authors":"Pedro Pinto, Catriona Ida Macleod, Megaera Jones","doi":"10.1080/13691058.2024.2386051","DOIUrl":"10.1080/13691058.2024.2386051","url":null,"abstract":"<p><p>The notion of 'sexual justice' has gained traction in academic and policy arenas in recent years. This paper presents a scoping literature review of the regimes of truth, following Foucault, of 'sexual justice' appearing in the scientific literature from 2012 to 2022. Thirty-eight papers were coded using (1) content analysis of the studies' central problematics, the programmes referred to, and institutional location(s); and (2) thematic analysis of how the notion was deployed. Central problematics centred on (1) critiques of, or alternatives to, dominant approaches to sexual and reproductive health; and (2) highlighting injustices. As such, 'sexual justice' is fighting for legitimacy in the truth stakes. There is a distinct paucity of papers tackling the translation of 'sexual justice' into practice. South Africa dominates as the site in which papers on 'sexual justice' have been produced, but there is a lack of South-South collaboration. Two themes were apparent around which conceptions of sexual justice cohere. Firstly, sexual justice is seen as a vital, yet politically ambivalent <i>goal</i>, with neoliberal co-optation of progressive rights agendas being warned against. Secondly, sexual justice is viewed as a <i>means</i>, in which sexual justice is described as having potential to repair established frameworks' shortcomings and oppressive legacies.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"554-569"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reconciling moral discourses on choice, risk and pronatalism: the politics of elective egg freezing in Singapore.","authors":"Gracia J Lee","doi":"10.1080/13691058.2024.2391936","DOIUrl":"10.1080/13691058.2024.2391936","url":null,"abstract":"<p><p>This article examines the framing of choice, risk and pronatalism in Singapore's debate on elective egg freezing, beginning from the government's review of the ban in 2012 and ending in 2023 when the procedure was legalised. It demonstrates the possibility of reconciling liberal discourses on reproductive choice with technocritical discourses on egg freezing as a risky and oppressive pronatalist technology. While medical complications, false hope and commercial abuse were longstanding concerns in Singapore, these risks were perceived as reconcilable with choice through an age limit, mandatory counselling and comparative frames from the national and international regulatory context. Additionally, low fertility rates and efforts to advance gender equality enabled the reconciliation of choice and pronatalism as policy justifications, while the construction of female candidates' heteronormative reproductive desire framed pronatalism in women-centric ways. Such reconciliation was facilitated by Singapore's strong interventionist culture which normalises paternalism and pronatalism. Within this context and through actors' articulation of policy ideas, elective egg freezing was reinterpreted as a technology with manageable risks, and a hope technology for women and nation. A moral Singapore State which permits elective egg freezing while supporting the interests of women and society was thus co-produced by politicians, journalists and doctors.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"608-622"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Areej K Othman, Jamila A Abuidhail, Nadin M Abdel Razeq, Abeer Shaheen, Mohammad A Bushnaq, Mohammad N Ali, Mutaz M Abu Hananneh, Lily Marmash, Ana Langer, Jewel Gausman
{"title":"Jordanian and Syrian adolescents' perspectives on where, what and how to seek sexual and reproductive health information.","authors":"Areej K Othman, Jamila A Abuidhail, Nadin M Abdel Razeq, Abeer Shaheen, Mohammad A Bushnaq, Mohammad N Ali, Mutaz M Abu Hananneh, Lily Marmash, Ana Langer, Jewel Gausman","doi":"10.1080/13691058.2025.2487097","DOIUrl":"https://doi.org/10.1080/13691058.2025.2487097","url":null,"abstract":"<p><p>This descriptive qualitative study explored Jordanian and Syrian adolescents' understandings of available sexual and reproductive health (SRH) information sources and identified their perceived barriers to accessing these sources. The sample consisted of 179 adolescent participants aged 15-19 who were enrolled from community centres in the four main cities of northern and central Jordan. Same-sex trained facilitators guided focus groups to generate discussions. Thematic analysis found that adolescents frequently expressed how conservative social norms, referred to as the 'culture of shame,' prohibited them from accessing and obtaining accurate SRH information. The 'taboo' surrounding SRH in Jordanian society made adolescents feel embarrassed and judged when seeking SRH information. Intergenerational dialogue regarding SRH was generally prohibited and limited. Despite the cultural shame surrounding reproduction and sexuality, participants identified diverse sources in their quest for adequate and reliable SRH information. This study underscores the need for culturally acceptable and youth-friendly SRH services and information. Efforts should be directed towards meeting adolescents, and young people's needs in this regard. Additionally, the sensitive nature of SRH topics for Jordanian adolescents and their parents should be considered.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-17"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A qualitative study of women's experiences of vaginal douching in Türkiye.","authors":"Sibel Yalvaç, Deniz Akyıldız, Ayşegül Dönmez","doi":"10.1080/13691058.2024.2384701","DOIUrl":"10.1080/13691058.2024.2384701","url":null,"abstract":"<p><p>Vaginal douching, a practice that has existed for many years, is defined as the process of intravaginal cleansing using a liquid solution. Despite its negative consequences with respect to health, vaginal douching is widely practised in many countries. This study sought to examine the vaginal douching experiences of women in the southeastern region of Türkiye. We used a phenomenological approach with semi-structured, in-depth interviews conducted between January and June 2022. Participants were 20 women who either currently practised vaginal douching or had stopped practising it at some point in their lives. The women were admitted to the obstetrics and gynaecology outpatient clinic of a district state hospital in Eastern Turkey for care and treatment. The data collected from the respondents were categorised into five thematic areas: sources of information about douching; reasons for doing so; as well as frequency, methods, and feelings about douching. The findings provide a rich source of information about each of these areas. These findings may help inform future studies on the prevention of vaginal douching in women.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"520-534"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian D Earp, Jasmine Abdulcadir, Arianne Shahvisi
{"title":"What counts as mutilation-and who should decide? Disrupting dominant discourses on genital cutting and modification.","authors":"Brian D Earp, Jasmine Abdulcadir, Arianne Shahvisi","doi":"10.1080/13691058.2024.2388438","DOIUrl":"10.1080/13691058.2024.2388438","url":null,"abstract":"","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"511-519"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Valdez, Mira Weil, Saharra Dixon, Jazmine Chan, Tiarra Fisher, Alya Simoun, Justine Egan, Aline Gubrium
{"title":"Using youth participatory action research to explore the impacts of structural violence on LGBTQIA + youth health.","authors":"Elizabeth Valdez, Mira Weil, Saharra Dixon, Jazmine Chan, Tiarra Fisher, Alya Simoun, Justine Egan, Aline Gubrium","doi":"10.1080/13691058.2024.2403108","DOIUrl":"10.1080/13691058.2024.2403108","url":null,"abstract":"<p><p>Queerphobia is defined as society's negative attitude towards LGBTQIA + people, translating into structures that marginalise LGBTQIA + people and contribute to health inequities that cause real harm and can be understood as structural violence. The purpose of this article is to explore what historically marginalised youth in a youth participatory action research (YPAR) project characterise as the big picture issues affecting the lives of LGBTQIA + youth. We used participatory arts-based methods to conduct community and identity building, define research questions and photo prompts, conduct data collection, engage in group thematic analysis, and make recommendations at the state policy level. We also conducted individual semi-structured interviews with participants. Our findings can be grouped into three main themes: LGBTQIA + youth may feel it is safer to remain closeted; queerphobia perpetuates housing instability; and queerphobia functions as a structural barrier to social services. Youth also developed state level policy recommendations to address the structural issues causing harm to LGBTQIA + youth health. Recommendations included increasing access to affordable housing and LGBTQIA + inclusive foster and group homes, and advocating for government-funded LGBTQIA + specific healthcare practices for LGBTQIA + youth. More youth-driven data are needed that centre those directly impacted by structural violence and associated health outcomes.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"638-655"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"'It's not a me thing': the role of transcendence and critical politics in Black LGBTQ wellness in Montreal.","authors":"Darius Scott","doi":"10.1080/13691058.2024.2390893","DOIUrl":"10.1080/13691058.2024.2390893","url":null,"abstract":"<p><p>This study explores well-being strategies and challenges for Black LGBTQ individuals in Montreal, Canada. Semi-structured interviews were conducted between March and May 2023 with key informants, or advocates and service providers for LGBTQ communities in the Montreal metropolitan area. Thematic analysis was used and involved transcription, memo-writing and a multi-step, inductive coding process using MAXQDA. The findings highlight three areas of well-noted challenges for Black LGBTQ individuals: systemic barriers; lack of targeted support; and challenges to accessing services. Two strategic domains emerged as innovative approaches to support well-being: transcendental practices and intersectional sociopolitical awareness raising. Transcendental practices, ranging from fine arts and dance to reiki energy healing, offered avenues for healing and community-building. Intersectional sociopolitical awareness was described as crucial in informing and contributing to existing efforts to improve well-being such as therapeutic engagement with clients and facilitating mutual aid. The identified transcendental practices and political awareness offer promising avenues for holistic well-being and comprehensive approaches to challenges such as inequitable HIV burden. Recognising the convergence of identities and social power axes can inform future interventions to foster more inclusive and empowering health strategies for Black LGBTQ communities.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"591-607"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}