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شو السبب؟ ?Shu el Sabab

January 12, 2016 Leave a comment

ما بهم شو السبب، المثليّة منّا مرض: فيلم تثقيفي حول التصنيف الطبي للمثليّة الجنسية. “شو السبب؟” هو السؤال الأول الذي يراودنا عند مقاربة موضوع المثلية الجنسية في لبنان

أظهرت دراسة حديثة أعدها مركز الموارد الجندرية والجنسانية لدى المؤسسة العربية للحرية والمساواة أن ٧٢٪ من اللبنانيين واللبنانيات يعتقدون بأن المثلية الجنسية هي حالة اضطراب نفسي، لا سيما وأن بعض مهنيي الصحة النفسية في لبنان ما زالوا يمارسون أنواع مختلفة من علاجات تحويل الميول الجنسي وذلك خلافاً لأعراف الطب النفسي العالمية واللبنانية

تأسّست الجمعية الطبية اللبنانية للصحة الجنسية (لبماش) في لبنان في ٤ أيلول/سبتمبر ٢٠١٢، وهي منظّمةٌ غبر حكوميّةٍ لا تبغي الرّبح. تهدف جمعية لبماش إلى تحسين الصحّة الجنسية لجميع الأفراد في لبنان، مع التركيز بشكلٍ خاصٍّ على المثليين والمثليات ومزدوجي/ات الميول الجنسيّة والمتحوّلين/ات جنسيًا، وغيرهم/ن من الفئات المهمّشة في لبنان

لتصويب الرأي العام حول تصنيف المثلية الجنسية كحالة اجتماعية غير مرضية، أعدَّت جمعية لبماش فيلم رسوم متحركة يسلط الضوء على الموضوع ويشير إلى عدم جدوى علاجات تحويل الميول الجنسي والتي غالباً ما يكون تأثيرها سلبياً

شو السبب؟ هو فيلم رسوم متحركة يستند على شهادات حياة لمثليين ومثليّات من لبنان، شاركوا في مجموعات تركيز أجرتها لبماش لِتدوين تجربتهم/ن الشخصية، صَمَّمته ونفّذته جيسيكا عازار بتمويل كريم من السفارة السويسريّة في بيروت

Shu el Sabab? (what is the cause?) is one of the most frequently asked questions regarding homosexuality in Lebanon. A recent study conducted by the Gender & Sexuality Resource Center (GSRC) at the Arab Foundation for Freedoms and Equality (AFE) showed that 72% of the Lebanese population perceive homosexuality as a mental disorder. Some mental health professionals in Lebanon continue to practice various forms of conversion therapy against the recommendations of international and Lebanese mental health professional organizations

The Lebanese Medical Association for Sexual Health (LebMASH) produced this movie to address these issues and increase awareness regarding homosexuality, its “cause”, lack of efficacy of conversion therapy, and its potential harmful effects

This movie was designed and animated by the talented Jessica Azar. It was made possible by a generous grant from the Swiss Embassy in Lebanon. This movie is based on the stories of gay and lesbian individuals living in Lebanon who participated in focus groups conducted by LebMASH

This is what the doctor told me about LGV

November 3, 2014 Leave a comment

IMG_8877Lymphogranuloma venereum (LGV) is a sexually transmissible infection (STI). It has occurred in outbreaks in Western Europe and North America. Since talking about sexual health lately is no longer a taboo in our area, I visited a clinic in Hamra (close to Costa cafe, same building as SGBL) recommended by a friend to talk to a young doctor who reported recently the first case of LGV in Lebanon in an HIV-negative MSM (Man who has sex with a man). A very calm and welcoming environment you get its vibes once you get the “blue-ashy” clinic of Dr. Ismaël Maatouk, a Dermato-Venereologist who works in Beirut, and welcomes all patient with no discrimination based on sexual orientation and gender identity for more than 3 years. Dr. Maatouk, have in his records more then 40 publications and several appearances in worldwide conferences talking about STI’s.

Below are his answers to some of my questions:

What is LGV?

It is an infection caused by three types (L1, L2 and L3) of the bacterium Chlamydia trachomatis.

IS it the same Chlamydia we know?

Yes, the same bacteria, but different sub-types.

Is it a new described infection?

No, it is an old infection and since 2003, initial clusters of LGV cases in MSM were reported in the Netherlands followed by a series of outbreaks in Europe, North America and Australia, mainly among HIV-positive MSM. However, it is not an MSM disease: it can infect sexually active people.

Is this infection frequent in MSM in those countries?

A large study in MSM from London and Brighton showed an estimated prevalence of LGV of 0.90% in the rectum and only 0.04% in the urethra.

Is it also present in the pharyngeal area, like the other types of Chlamydia?

Yes, Chlamydia is known to be found during standard STI screening of the urethra, rectum, pharyngeal mucosa. The prevalence of pharyngeal Chlamydia in London MSM is 1.2%.

What is the clinical presentation of this infection?

The classical presentation of LGV is inguinal lymphadenitis and abscess formation sometimes preceded by anogenital ulceration. Which means that we rarely find the genital ulceration associated with LGV because it is transient. Following this transient ulceration, we have an inflammation of the lymphatic ganglia that drains the region, which can be painful and can lead the patient to ask for a consultation. This inflammation looks like an abscess.

Is there any test we can perform to confirm the diagnosis?

Yes, a test based on PCR.

Is the treatment difficult?

No, it is a 3-week course of doxycycline.

Do we search for this disease in Lebanon?

In a routine consultation, No. The test is expensive.

I have read that recently, you reported the first case of LGV in Lebanon. Was it in a HIV-positive MSM as well?

No, it was in a HIV-negative MSM. However, it can infect any patient, regardless of HIV status and sexual orientation.

Do you see other STIs in your clinic? I mean severe cases like syphilis? Are these cases frequent?

We have syphilis, they are definitely not frequent, but they exist.

What do you think of LebMASH?

I really appreciate the work that these doctors are doing. Helping and being there for the LGBT community is what we need in our days. I support them to the maximum.

Special thanks to Doctor Ismaël Maatouk

By: Alex.

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