SMW and their partners have many shared and unique support resources and barriers. Heteronormativity that is implicit in the structure of support resources can serve as a barrier to support for SMW and their partners. Flexibility in relationship roles enabling some SMW to include former partners as significant means of support may be a source of resiliency, particularly for unpartnered SMW cancer patients. Support needs and resources of SMW are best understood through an intersectionality framework that considers sexual orientation, relationship status, cancer stage, age, healthcare access, and other important identities and experiences.

In the majority of literature related to Bondage and Domination/Dominance and Submission/ Sadism and Masochism (or Sadomasochism) (BDSM;Connolly, 2006), there exists a focus on the pathologization of such interactions, and little attention is given to a non-clinical BDSM-oriented population. What research there is analyzing non-clinical expressions of BDSM suggests that consensual BDSM interactions can positively influence individuals in various ways, such as through heightened meaning-making and self-awareness and intensified interpersonal connection through a deliberate exchange of power. A closer look at the extant literature discussing nonpathological expressions of BDSM reveals that the explicit communication of consent is paramount. Nonpathological mainstream sexual interaction is based on the construct of consent as well, though consent is often assumed rather than asserted. While the realm of BDSM encompasses a vast range of potential activities, explicit consent is the single universal characteristic in BDSM sexual interactions and is considered a fundamental tenet in the BDSM community. This article presents a review of the literature on BDSM interactions with three goals in mind: 1) to investigate the historical pathologization of BDSM; 2) to compare similarities between BDSM and mainstream sexualities; and 3) to highlight the importance of explicit rather than tacit agreements of consent in every type of sexual interaction.

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Despite the direct connection between anal sex and pleasure, the majority of academic literature frames anal sex in terms of homophobia and/or disease. In the large body of literature on anal sex, only two academic articles have been published on anoreceptive heterosexual males (ARHMs), despite evidence of this type of sexuality dating back to Ancient Egypt and Greece. A review of the literature suggests that the lack of empirical research on ARHMs is due to compulsory heteronormativity, which can instill sexual shame in those with nonconforming sexual preferences. Some ARHMs are BDSM-oriented, and given that BDSM behavior and identity are also stigmatized, BDSM-oriented ARHMs have an additional concealable status that is subject to prejudice. Skills such as higher level communication and self-reflection often inform BDSM interactions and relationship structures, therefore, BDSM-oriented ARHMs may have more opportunity to develop skills to offset shame and stigma, and may take pride as well as pleasure in subverting traditionally heteronormative anoreception roles.