Asexuality

• Published in: Canadian Medical Association journal (CMAJ) 2023-12, Vol.195 (47), p.E1627-E1627
• Main Authors: Schneckenburger, Stella A, Tam, Michelle W Y, Ross, Lori E
• Format: Article
• Language: English
• Subjects: Asexuality; Asexuality (Sexual orientation); Health aspects; Humans; Mental health; Non-binary gender; Personal relationships; Sexual Behavior; Stigma
• ISSN: 0820-3946; 1488-2329
• DOI: 10.1503/cmaj.231003

Asexuality is an umbrella term that includes demisexuality (only experiencing sexual attraction after emotional bonds form) and greysexuality (experiencing sexual attraction rarely or under specific circumstances). Asexual people may engage in sex and experience romantic attraction. These adverse mental health outcomes often result from minority stress and stigma, which are further exacerbated by discrimination at other intersections. Asexual people also have unique physical and sexual health needs, such as navigating arousal without attraction and learning to set boundaries in relationships. Pathologization -- considering the absence of sexual attraction as inherently disordered -- in health care settings has been reported by many asexual people and can lead to health care avoidance. Providers can use inclusive, affirming language; allow patients to self-identify; avoid assuming lack of sex is problematic; connect patients to asexual communities; ensure approaches are asexual-specific rather than generalized to the entire LGBTQIA2S+ community; include asexual-friendly options on forms and questionnaires; and educate themselves on asexuality. Providers should also upskill in nonbinary-affirming care, as asexual communities often have higher proportions of nonbinary gender identification.