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Since medical literature began to describe homosexuality, it has often been approached from a view that assumed or sought to find an inherent psychopathology as the root cause. While the nerve endings in the anus can provide pleasurable feelings, an orgasm may be achieved through receptive anal penetration by indirect stimulation of the prostate. Retrieved September 28, Although these issues exist among non-heterosexuals, discussion about their causes shifted after homosexuality was removed from the Diagnostic and Statistical Manual of Mental Disorders DSM in In other words:

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Clinical men's health: