International Journal of Sexual Health最新文献

{"title":"Effect of Gender Equality Education on Health Students' Gender Perceptions and Roles: A Randomized Controlled Trial.","authors":"Beyzanur İşbay Aydemir, Tuğba Şahin Tokatlioğlu, Nur Bahar Kuru Aktürk, Gül Dikeç","doi":"10.1080/19317611.2026.2635655","DOIUrl":"10.1080/19317611.2026.2635655","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the impact of community gender equality education program on health sciences students' perceptions of gender, gender roles, and their awareness of social norms and gender inequality.</p><p><strong>Design: </strong>A single-blind, two-arm, parallel-group randomized controlled trial.</p><p><strong>Methods: </strong>Conducted with 70 students at a foundation university in Istanbul (2024-2025). The intervention group received two weeks structured training. Data were collected using the Perception of Gender Scale (PGS) and Gender Roles Attitude Scale (GRAS).</p><p><strong>Results: </strong>No significant differences were observed at baseline. Post-intervention, the intervention group showed significant improvements in PGS and GRAS scores, while no change was found in the control group.</p><p><strong>Conclusion: </strong>Short-term gender equality education program effectively improved students' gender perceptions and attitudes.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1126-1136"},"PeriodicalIF":2.2,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping Experiences of Trans Women Throughout Their Gender Exploration and Affirmation.","authors":"Gülşah Yıldız Aytaç, Duygu Hiçdurmaz, Koray Başar","doi":"10.1080/19317611.2026.2634895","DOIUrl":"10.1080/19317611.2026.2634895","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding the coping experiences of trans women throughout their gender exploration and affirmation is crucial for developing targeted psychosocial support services tailored to their specific needs, thereby promoting their well-being through enhanced coping strategies. This study aimed to explore trans women's coping experiences throughout their gender exploration and affirmation process.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed, involving in-person, semi-structured interviews with 12 trans women to gather in-depth data on their coping experiences.</p><p><strong>Results: </strong>Fourteen themes emerged from the content analysis of trans women's experiences in four contexts: \"self-discovery,\" \"self-acceptance,\" \"coming out to others,\" and \"after coming out to others.\" The results showed that while trans women predominantly used avoidant and emotion-focused coping strategies during the process of self-discovery, these strategies started to become more problem-oriented in the \"self-acceptance\" process. During the process of coming out and afterwards, coping strategies involved approach, such as seeking social support, using internal resources, and planful problem-solving.</p><p><strong>Conclusions: </strong>This study sheds light on the coping strategies used by trans women throughout their gender exploration and affirmation, highlighting both the constructive and challenging aspects of these strategies. The study emphasizes the importance of providing psychosocial support and enhancing the accessibility of these services to strengthen the coping strategies of trans women throughout their gender exploration and affirmation, particularly in the contexts of self-discovery and coming out to the people around them.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1069-1091"},"PeriodicalIF":2.2,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-Affirming Care: A 21st Century Bibliometric Perspective.","authors":"Jeroen Vervalcke, Konstantina Barouti, Silvia Ciancia, Joz Motmans, Guy T'Sjoen","doi":"10.1080/19317611.2026.2633626","DOIUrl":"10.1080/19317611.2026.2633626","url":null,"abstract":"<p><strong>Introduction: </strong>Health of transgender people is a globally relevant issue, and research on the topic has expanded rapidly in the 21st century, warranting a bibliometric approach. We aim to characterize the transgender health-related publication landscape and describe the current state of research.</p><p><strong>Methods: </strong>A bibliometric analysis was conducted in Medline, restricted to publications indexed after December 31, 1999. The search string contained keywords including possible identity labels, diagnostic terminology, and gender-affirming interventions. Metadata were extracted using custom code on September 22, 2025. Thematic clusters, or super-nodes, were identified from reference lists and further characterized through text-mining analyses.</p><p><strong>Results: </strong>A total of 20,506 articles were identified. Transgender-related research grew at a rate four times higher than the overall Medline publication growth. The h-index of the body of evidence was 129. The publications originated from 132 unique countries, with most papers coming from the United States of America (46.6%). Other leading countries included the United Kingdom (8.5%) and Canada (7.6%). Cluster analysis revealed that the largest super-node focused on \"Human Immunodeficiency Virus\" (HIV, 19.5% of articles), followed by \"Discrimination\" (15.3%) and \"Youth and Adolescents\" (12.7%). A recurring recommendation across studies was the routine inclusion of Sexual Orientation, Gender Identity and Expression, and Sex Characteristics (SOGIESC) data in research initiatives.</p><p><strong>Conclusion: </strong>Transgender health-related research has grown exponentially, outpacing background Medline growth. This reflects a field in motion, addressing the needs of a formerly underserved group. Topics such as \"Discrimination\" and \"HIV\" are closely linked to gender-affirming care. Standardizing methods for assessing gender-identity status appears crucial for future research.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1031-1050"},"PeriodicalIF":2.2,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Not Ideal Uncles\": Unveiling Childhood Sexual Victimization and Hidden Identity Struggles of GBTQI+ Youth in Sex Work in Botswana.","authors":"Lesedi Mashumba","doi":"10.1080/19317611.2026.2618268","DOIUrl":"10.1080/19317611.2026.2618268","url":null,"abstract":"<p><strong>Objective: </strong>Globally, growing attention has been directed toward the sexual health and developmental experiences of gay, bisexual, transgender, queer, and intersex (GBTQI+) youth. Existing literature links childhood sexual victimization, familial rejection, bullying, and gender nonconformity to adverse sexual health outcomes. Evidence further suggests that sexual and gender minority youth are often targeted for abuse before they self-identify based on perceived gender nonconformity; yet, despite these insights, little is known about these dynamics in Botswana. This study applies an intersectional and sexual health lens to examine how early victimization shapes later sexual vulnerability among GBTQI+ individuals involved in sex work.</p><p><strong>Methods: </strong>This article draws on findings from a larger qualitative study on male sex work in Botswana. Data from 15 purposively sampled participants who self-identified as a gay person or bisexual were analyzed to explore childhood experiences, pathways into sex work, and subsequent sexual health risks and victimization.</p><p><strong>Findings: </strong>Participants reported patterns of vulnerability across the life course, including childhood sexual abuse, bullying, and familial rejection, often occurring prior to conscious sexual identity formation, linked to gender nonconformity. These experiences contributed to increasing reliance on sex work as a survival strategy. Within sex work, however, participants experienced continued sexual and physical violence, limited power to negotiate safer sex, and heightened exposure to sexual health risks, all of which are reinforced by cultural norms that stigmatize nonconforming masculinities.</p><p><strong>Conclusion: </strong>The findings demonstrate that sexual health vulnerabilities among GBTQI+ individuals in Botswana are cumulative and structurally produced, beginning in childhood and extending into adulthood through constrained pathways into sex work. Early victimization, identity disruption, and economic exclusion intersect to shape sexual risk and harm.</p><p><strong>Policy implications: </strong>Sexual health interventions should adopt trauma-informed and rights-based approaches that address early childhood victimization, family- and school-based stigma, and access to sexual health services and justice for GBTQI+ individuals.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"1017-1030"},"PeriodicalIF":2.2,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suffering in Silence: Examining U.S. College Students' Painful Sexual Experiences and Their Relationship to Gender Roles.","authors":"Terri D Fisher, Mary Bullard, Sydney Eyster, Camilla Kalthoff","doi":"10.1080/19317611.2025.2605125","DOIUrl":"10.1080/19317611.2025.2605125","url":null,"abstract":"<p><strong>Objectives: </strong>Pain during sexual activity is a common, yet understudied experience. This research used a non-clinical sample and included women, men, and non-cisgender participants (in some of the analyses) in an attempt to understand more about the prevalence of and potential reasons for common painful sexual experiences (including non-penetrative, penile-vaginal, and anal sex) and their connection with traditional gender roles.</p><p><strong>Methods: </strong>For this study, 263 U.S. college students were asked about how common they believed painful sex to be, reported their own painful sexual experiences, provided potential explanations for pain during sexual activity and continuing that painful activity, and responded to a measure of hypergender beliefs. Data were collected online between 2022 and 2023.</p><p><strong>Results: </strong>Women were almost twice as likely as men to report pain during penile-vaginal intercourse. Of those participants who experienced pain during vaginal-penile sex, women were twice as likely as men to tell their partners about it and four times more likely to stop the activity compared to men. Participants higher in hypergender beliefs were less likely to report painful penile-vaginal intercourse to their partners. A thematic analysis yielded nine themes for why women and men might feel pain during sexual activity and six themes for why they might continue painful sexual activity. Hypergender attitudes were related to several of these themes.</p><p><strong>Conclusion: </strong>The results of this study suggest that pain during sexual activity is gendered in that it is more common for women and is related to beliefs in traditional gender roles. However, men also reported pain during sexual activity and failed to inform their partners for similar gendered reasons. People of all genders should be informed that pain during sexual activity, while common, is not inevitable and that better partner communication could diminish their discomfort.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"560-579"},"PeriodicalIF":2.2,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FULLSENSE-An Online Intervention Program for Adults Reporting Sexual Difficulties: A Two-Armed Randomized Controlled Pilot Trial Protocol.","authors":"Ana Rita Barros, Priscila A Vasconcelos, Ana Luísa Quinta Gomes, Mariana Carrito, Ana Luísa Patrão, Leonor de Oliveira, Sandra Aguiar, Joana Carvalho, Pedro J Nobre","doi":"10.1080/19317611.2026.2618264","DOIUrl":"10.1080/19317611.2026.2618264","url":null,"abstract":"<p><strong>Background: </strong>Sexuality is a key aspect of human life, significantly influencing health, well-being, and quality of life. Sexual dysfunction may occur throughout the sexual response cycle and is commonly associated with psychological distress and dissatisfaction. Online interventions have proven effective in promoting sexual health by providing accessible, private, and evidence-based support. Cognitive-behavioral therapy (CBT) and mindfulness-based methods show promise in treating sexual dysfunction, enhancing function, increasing satisfaction, and reducing distress. Embracing a comprehensive and positive, pleasure-inclusive view of sexuality is vital for supporting sexual health and overall well-being. This study presents the protocol for a feasibility pilot randomized controlled trial evaluating FULLSENSE, an 8-week, guided online intervention designed to improve sexual well-being in adults reporting sexual dysfunction.</p><p><strong>Methods: </strong>A two-arm, parallel, open-label design, with the waiting-list control group receiving treatment as usual will be conducted. Participants (N = 70) meeting eligibility criteria will be randomly assigned to the FULLSENSE intervention or a waiting-list control group. Primary outcomes will assess the intervention's acceptability, usability, and feasibility. Secondary outcomes will evaluate preliminary efficacy in improving sexual satisfaction, functioning, pleasure, and reducing sexual distress, while cognitive and neurophysiological assessments will allow us to explore functional connectivity and correlates of implicit cognition and interoception. Data collection will include self-reported measures and neurophysiology assessments for a nested sample.</p><p><strong>Results: </strong>Findings will provide insights into the feasibility and preliminary efficacy of FULLSENSE, informing future large-scale trials. If successful, this intervention may facilitate access to sexual health care and support individuals experiencing sexual distress.</p><p><strong>Conclusion: </strong>The FULLSENSE feasibility pilot trial promises valuable insights into an accessible, evidence-based online intervention for sexual dysfunction, potentially contributing to digital sexual health solutions. The findings of the forthcoming studies will support the intervention's implementation and ultimately facilitate sexual healthcare access and support.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"969-980"},"PeriodicalIF":2.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are There Gender Differences in Successful Sexual Aging? An Exploration Using Three Statistical Approaches.","authors":"Aleksandar Štulhofer, Azra Tafro, Yuko Higashi, Laura Pietras, Ana A Carvalheira, Yumiko Nakahara, Kyoko Yamanaka, Mayu Koike, Ivan Landripet, Goran Koletić","doi":"10.1080/19317611.2025.2601621","DOIUrl":"https://doi.org/10.1080/19317611.2025.2601621","url":null,"abstract":"<p><strong>Objectives: </strong>A novel process-based conceptual model of positive sexual aging, the Successful Sexual Aging Model, was recently proposed. Given the developmental, epidemiological, and sexological literature on gendered aspects of human sexuality, the current study explored gender differences in successful sexual aging (SSA) among partnered older adults who participated in a cross-cultural research project on aging and sexuality. The assessment was also important for the model's conceptualization of the gendered micro, meso, and macro factors that were assumed to affect SSA.</p><p><strong>Method: </strong>Three analytical approaches were employed-(a) latent construct measurement invariance testing, (b) latent profile analysis, and (c) network analysis-to tackle the gender-specificity question from distinct analytical perspectives. In total, 773 older women (<i>M</i> _age = 69.9, <i>SD</i> = 4.2) and 1054 older men (<i>M</i> _age = 70.4, <i>SD</i> = 4.4) from Croatia, Germany, Portugal, and Japan participated in the survey. The data was collected between June 2024 and May 2025. The 9-item Successful Sexual Aging Scale was used as the latent outcome.</p><p><strong>Results: </strong>Overall, marked similarities in SSA among older partnered female and male adults were observed in the overall latent structure of SSA, the pattern and size of participants' latent SSA profiles, and the general topology of the network of SSA items. However, at a fine-grain level, several gender-specific differences emerged-most notably women's lower latent means on two of the three SSA facets, somewhat different configuration of latent profiles, and gender-specificity in the SSA network connectivity.</p><p><strong>Conclusions: </strong>The recently introduced measure of SSA can be reliably used for direct gender comparisons. More research is needed to clarify if the observed (dis)similarities may be related to perceived quality of relationship, education, internalization of sexual ageism, or a combination of these factors. Dyadic studies might assist in illuminating some of the subtle gender differences that emerged in this study.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"424-439"},"PeriodicalIF":2.1,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HIV/AIDS Knowledge, Undetectable = Untransmittable (U = U) Messaging, and Condom Use Among Men Who Have Sex With Men in China.","authors":"Zurong Liang, Boxuan Song, Qiang Li","doi":"10.1080/19317611.2025.2608689","DOIUrl":"https://doi.org/10.1080/19317611.2025.2608689","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine how traditional HIV/AIDS knowledge interacts with awareness and trust in the undetectable = untransmittable (U = U) message, influencing condom use behaviors among men who have sex with men (MSM) in China.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from October 2023 to May 2024 among 1,085 MSM participants in Zhejiang Province. Structured questionnaires assessed HIV/AIDS knowledge, U = U awareness, trust in U = U messaging, condom use self-efficacy, and reported condom use behaviors. Data were analyzed using multivariable linear regression and ordinal logistic regression models, with interaction terms included to assess moderating effects.</p><p><strong>Results: </strong>Both traditional HIV/AIDS knowledge and U = U-related variables independently predicted higher condom use self-efficacy and more consistent condom use. Significant interactions revealed that the positive association between traditional HIV/AIDS knowledge and condom use was weaker among MSM with higher awareness and trust in U = U. Trust in U = U emerged as a strong moderator, indicating that those who trusted U = U messaging were less likely to rely solely on traditional knowledge for condom use decisions. Additionally, higher condom use self-efficacy was significantly associated with increased frequency of condom use behaviors, highlighting the critical role of confidence in preventive practices.</p><p><strong>Conclusions: </strong>The findings suggest that biomedical prevention messages like U = U should be integrated carefully with traditional HIV education to ensure complementary, rather than contradictory, messaging. Public health initiatives must enhance biomedical literacy, promote accurate understanding of U = U messaging, and address trust issues toward biomedical strategies within culturally specific contexts. To strengthen the effectiveness of prevention strategies, targeted interventions that bolster both biomedical and traditional HIV/AIDS knowledge are necessary. Limitations of this study include its cross-sectional design, reliance on self-reported behaviors, and inability to infer causality. Comprehensive, culturally tailored HIV prevention strategies are recommended for MSM populations in China.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 2","pages":"606-624"},"PeriodicalIF":2.1,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13203039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Therapeutic Interventions on Sexual Function in Women with Vaginismus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Aysu Yıldız Karaahmet, Fatma Şule Bilgiç","doi":"10.1080/19317611.2025.2612232","DOIUrl":"10.1080/19317611.2025.2612232","url":null,"abstract":"<p><strong>Objectives: </strong>Vaginismus is a complex sexual pain disorder that severely impairs sexual function and quality of life. Evidence regarding the effectiveness of therapeutic interventions remains fragmented and inconsistent. This systematic review and meta-analysis aimed to evaluate the effects of therapeutic interventions applied to women diagnosed with vaginismus on penetration-related outcomes and multidimensional sexual function, as assessed by validated outcome measures.</p><p><strong>Methods: </strong>The meta-analysis research and study selection were conducted independently by two researchers. The final literature search was completed on July 28, 2025. Studies published between January 2013 and July 2025 were searched in PubMed, Scopus, Web of Science, Cochrane Library, PsycINFO, and TR Dizin databases. Study quality was assessed using the GRADE approach, and risk of bias was evaluated using the Risk of Bias tool. Data synthesis and analyses were performed using Review Manager software.</p><p><strong>Results: </strong>Fifteen RCTs (n = 950; 494 intervention, 456 control) were included. Therapeutic interventions significantly improved overall sexual function in women with vaginismus (FSFI total score(SMD = 0.94; 95% CI:0.37-1.51, <i>p</i> = 0.001; I²=93%) and penetration success (SMD = 0.61; 95% CI:0.38-0.84, <i>p</i> < 0.00001; I²=43%). Mindfulness/ACT (SMD = 0.33; 95% CI: 0.07-0.60; I²=0%) and technology-based interventions (SMD = 0.49; 95% CI:0.15-0.83; I² = 0%) showed consistent, moderate effects. Pelvic floor-based approaches had the largest effect (SMD = 4.49; 95% CI: 0.10-8.87; I²=98%). FSFI subdomains improved significantly, except orgasm. Independent pain outcomes were non-significant (SMD = 0.02; 95% CI:-1.12 to 1.16, <i>p</i> = 0.97; I²=91%), while combined psychological outcomes showed small improvements (SMD=-0.35; 95% CI:-0.64 to -0.05, <i>p</i> = 0.02; I²=48%).</p><p><strong>Conclusion: </strong>Therapeutic interventions for vaginismus are associated with meaningful improvements in penetration-related outcomes and multiple dimensions of sexual function, without implying complete resolution of the condition. Mindfulness/ACT-based and technology-assisted approaches appear to offer the most consistent benefits. These findings highlight the importance of integrating evidence-based, multidisciplinary strategies into clinical practice and underscore the need for well-designed, standardized randomized controlled trials to optimize treatment outcomes.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"38 3","pages":"947-968"},"PeriodicalIF":2.2,"publicationDate":"2026-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Porto Proclamation: Advancing a Global Agenda for Sexual Health, Rights, and Justice.","authors":"Faysal El Kak, Rene de Klerk, Eli Coleman, Esther Corona, Erick Janssen, Eszter Kismödi, Pedro Nobre, Elna Rudolph, Jessie V Ford","doi":"10.1080/19317611.2025.2597854","DOIUrl":"https://doi.org/10.1080/19317611.2025.2597854","url":null,"abstract":"<p><strong>Objectives: </strong>This report summarizes the key discussions and outcomes of the inaugural World Sexual Health Assembly, which culminated in the development of the <i>Porto Proclamation on Sexual Health, Rights, and Justice</i>. It aims to identify global challenges and emerging opportunities in sexual health, highlight new insights and capacities generated through the Assembly, and outline strategic actions to guide international efforts over the next five years.</p><p><strong>Method: </strong>The report draws on the proceedings of the Assembly held in Porto, Portugal, which convened leaders from the United Nations, civil society organizations, professional associations, and academic institutions. Through plenary sessions, working groups, and multi-stakeholder dialogues, participants collaboratively examined intersections of research, policy, service delivery, and advocacy.</p><p><strong>Results: </strong>Deliberations revealed widespread concern about escalating global threats to sexual rights, justice, and evidence-based practice, while also surfacing innovative models of collaboration and advocacy. Participants underscored the value of cross-sector and cross-regional dialogue as essential for translating research into action and fostering shared accountability. The <i>Porto Proclamation</i> emerged as a unifying framework articulating a shared global agenda for advancing sexual health, rights, and justice.</p><p><strong>Conclusions: </strong>The Assembly marked a pivotal moment for global sexual health, demonstrating the power of inclusive, multidisciplinary collaboration. Moving forward, sustained solidarity and coordinated strategies across sectors will be critical to defending scientific integrity, advancing rights, and promoting sexual health and justice worldwide.</p>","PeriodicalId":46855,"journal":{"name":"International Journal of Sexual Health","volume":"37 4","pages":"797-809"},"PeriodicalIF":2.1,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}