Abstract

Purpose of ReviewThe purpose of this review is to summarize the current knowledge around sexual desire, fantasies, and related biopsychosocial factors that may facilitate or obstruct sexual expressions in lesbian women and gay men.Recent FindingsSexual desire levels and related problems do not seem significantly different in people who identify as gay or lesbian compared to their heterosexual counterparts. Evidence has shown lesbian women and gay men may have specific desire expressions and biopsychosocial factors influencing their sexual health. This may suggest the importance of deepening the understanding of the unique factors of LGBT+ sexuality and relationships while paying attention to the sociocultural background in which lesbian and gay people grow and develop their identities.SummaryA lack of specific and unbiased literature on sexual desire and fantasies in gay and lesbian people is reported. Available evidence is controversial and often biased. LG people showed a variety of sexual expressions that are hard to categorize referring to the heteronormative sexual standards that permeate literature and clinical practice. Implications for future research and clinical practice are discussed.

Highlights

  • Defining sexual desire is more challenging than any other sexual response phase

  • Many believed that comparing lesbian, gay, and heterosexual people could increase the knowledge of sexual and gender identity [12]

  • Heteronormativity assumes that lesbians cannot achieve real sexual satisfaction without the presence of men

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Summary

Introduction

Defining sexual desire is more challenging than any other sexual response phase. It is typically defined as the subjectiveThis article is part of the Topical Collection on Urology, Gynecology, and Endocrinology psychological status to initiate and maintain human sexual behavior which can be triggered by external (a person, pornography) and internal stimuli (sexual fantasies) [1, 2]. Defining sexual desire is more challenging than any other sexual response phase. It is typically defined as the subjective. This article is part of the Topical Collection on Urology, Gynecology, and Endocrinology psychological status to initiate and maintain human sexual behavior which can be triggered by external (a person, pornography) and internal stimuli (sexual fantasies) [1, 2]. It was first conceptualized by Kaplan [3, 4] as the appetitive phase preceding arousal, orgasm, and resolution. It represents the most difficult area to deal with in research and sexual therapy in the authors’ perspective

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