“It’s Absolutely Intense, and I Love It!” A Qualitative Investigation of “Pegging” as Leisure

Williams, DJ; Coto, Lynnette; Berkowitz, Dana

doi:10.1080/01490400.2023.2226669

Cited by 8 publications

(4 citation statements)

References 45 publications

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“…Notably, node PSS5 (“Sex with my partner is an exciting experience”) showed moderate-to-large associations with almost all other nodes in the same positive sexuality cluster. This is coherent with the sex-positive perspective, where sexual arousal and excitement are recognized as crucial components to understand and enhance sexual well-being ( Werner et al, 2023 ; Williams et al, 2023 ). It also aligns with evidence that feeling sexually aroused within monogamous, heterosexual romantic relationships accounted for a considerable amount of the variance in sexual satisfaction for both men and women, as partner-induced sexual arousal may increase the amount of pleasure and enjoyment derived from sexual activity within the couple ( Lawless et al, 2022 ).…”

Section: Discussionsupporting

confidence: 72%

Positive sexuality, relationship satisfaction, and health: a network analysis

Andreoli,

Rafanelli,

Gremigni

et al. 2024

Front. Psychol.

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IntroductionPositive sexuality, defined as the happiness and fulfillment individuals derive from their sexual experiences, expressions, and behaviors, has been linked to relationship satisfaction and health. However, the intricate associations between positive sexuality and relationship functioning and health indicators have rarely been explored from a network perspective. This approach, by analyzing the interconnections among these factors within a broader system, can offer insights into complex dynamics and identify key variables for targeted interventions.MethodsThe present study applied network analysis to uncover interconnections between positive sexuality, relationship satisfaction, and health indicators, highlight the most relevant variables and explore potential gender-based differences in a sample of 992 partnered individuals (51% women, aged 18–71 years). Networks were estimated via Gaussian Graphical Models, and network comparison test was used to compare men and women.ResultsResults indicated that variables related to positive sexuality were more highly interconnected than the rest of the network. There were small-to-negligible connections between positive sexuality and relationship satisfaction variables, both of which had negligible or no connections with health. The network was globally invariant across gender, though a few connections were gender-specific. The most important variables, regardless of gender, related to pleasurable feelings during sexual intercourse.DiscussionThe findings underscore the importance of enhancing positive sexual experiences within intimate relationships and have implications for research and clinical practice in positive sexuality.

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Section: Discussionsupporting

confidence: 72%

Positive sexuality, relationship satisfaction, and health: a network analysis

Andreoli,

Rafanelli,

Gremigni

et al. 2024

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…Notably, node PSS5 ("Sex with my partner is an exciting experience") showed moderate-to-large associations with almost all other nodes in the same positive sexuality cluster. This is coherent with the sex-positive perspective, where sexual arousal and excitement are recognized as crucial components to understand and enhance sexual well-being (Werner et al, 2023;Williams et al, 2023). It also aligns with evidence that feeling sexually aroused within monogamous, heterosexual romantic relationships accounted for a considerable amount of the variance in sexual satisfaction for both men and women, as partnerinduced sexual arousal may increase the amount of pleasure and enjoyment derived from sexual activity within the couple (Lawless et al, 2022).…”

Section: Discussionsupporting

confidence: 80%

Data_Sheet_1.pdf

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“…For intersex people and individuals with differences of sex development 34 , RAI is a major source of erogenous sensation and pleasure -particularly for those who had genitopelvic surgery at birth resulting in decreased genital sensations 35 . Additionally, up to 3% of cisgender heterosexual men have engaged in RAI with a phallus 36 (likely underestimated due to associated stigma 37 ), up to 27% of cisgender heterosexual women and 13% of cisgender heterosexual men have engaged in RAI through anal stimulation by tongue or mouth (termed analingus or 'rimming') in the past month 38 , and up to 17% of people have engaged in RAI through a dildo attached to a sexual partner 39,40 (termed 'pegging') 41 .…”

Section: Introductionmentioning

confidence: 99%

Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus

Dickstein,

Edwards,

Rowan

et al. 2024

Nat Rev Gastroenterol Hepatol

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The ability to experience pleasurable sexual activity is important for human health. Receptive anal intercourse (RAI) is a common, though frequently stigmatized, pleasurable sexual activity. Little is known about how diseases of the colon, rectum, and anus and their treatments affect RAI. Engaging in RAI with gastrointestinal disease can be difficult due to the unpredictability of symptoms and treatment-related toxic effects. Patients might experience sphincter hypertonicity, gastrointestinal symptom-specific anxiety, altered pelvic blood flow from structural disorders, decreased sensation from cancer-directed therapies or body image issues from stoma creation. These can result in problematic RAI -encompassing anodyspareunia (painful RAI), arousal dysfunction, orgasm dysfunction and decreased sexual desire. Therapeutic strategies for problematic RAI in patients living with gastrointestinal diseases and/or treatment-related dysfunction include pelvic floor muscle strengthening and stretching, psychological interventions, and restorative devices. Providing health-care professionals with a framework to discuss pleasurable RAI and diagnose problematic RAI can help improve patient outcomes. Normalizing RAI, affirming pleasure from RAI and acknowledging that the gastrointestinal system is involved in sexual pleasure, sexual function and sexual health will help transform the scientific paradigm of sexual health to one that is more just and equitable. Sections Key points• Receptive anal intercourse (RAI) is common worldwide.• Pleasurable RAI occurs through stimulation of the perianal or anal nerves and prostate or paraurethral glands, inducing vasodilation, erectile tissue engorgement, anopelvic tissue sensitization, and anal sphincter and pelvic muscular contractions.• Patients with a stoma and anorectal stump should be counselled on hygiene and dilator use to minimize infections, maintain anorectal patency, and prevent a permanent stoma, promoting RAI restoration.• Antidiarrhoeals, anti-flatulence medications, fibre supplements, lower residue diet to control regularity, avoiding spicy foods, timing meals, and defecation prior to RAI can help control symptoms and relieve distress.• Survivors of anal, rectal, and colon cancer and patients with gastrointestinal disease should be counselled on problematic RAI due to anal sphincter, neurovasculature, and prostate or paraurethral gland damage resulting in arousal dysfunction, anodyspareunia or orgasm dysfunctions.• Management strategies, including anal dilators for anodyspareunia, anal vibrators for arousal disorders, pelvic floor strengthening for anorgasmia and psychological interventions for decreased desire, should be discussed with patients.Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author selfarchiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

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“It’s Absolutely Intense, and I Love It!” A Qualitative Investigation of “Pegging” as Leisure

Cited by 8 publications

References 45 publications

Positive sexuality, relationship satisfaction, and health: a network analysis

Positive sexuality, relationship satisfaction, and health: a network analysis

Data_Sheet_1.pdf

Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus

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