Gay Men's Sexual Health
There are a number of sexual health, mental health and generic health issues
that affect Gay and Bisexual men, and men who have sex with men i.e. those men that
have sexual relations with other men but who do not identify as Gay or Bisexual.
In recent years, the number of heterosexual men infected with HIV in Britain
has increased, There is also a high prevalence of other sexually transmitted infections,
for example syphilis. HIV is still an issue of major concern for Gay and Bisexual
Findings have shown that gay men are having more unsafe sex despite the continuing
threat of HIV, unprotected anal sex is recognised as a high risk route
for contracting HIV infection. New treatments for HIV have shown reduced concern
about HIV infection. Around 80% of new infections of HIV are occurring
through sex between men, In the UK, gay and bisexual men are affected by HIV, more
than any other population group.
Sexual health should be of great importance to every gay man. Gay men's health organisations
work hard to promote safer sex amongst the most at risk groups and assist with improvements
to sexual health services getting the correct information to those at risk.
striving to keep well informed. The message of safe sex should be targeted across
all ages, especially the younger gay men who it seams are just not as interested
in safe sex, or lack the knowledge concerning safe sex practices, or shun campaigns
aimed at safe sex.
Sexually transmitted infections can be passed on to others, some
people may be unprepared, or off their guard, such as after drinking excess
alcohol, or taking drugs, it is important to have an awareness of symptoms and changes
that may occur, for example, spots, rashes or blisters, any change in sensation
like pain, itchiness, or burning when passing urine, or after passing urine, blood
in urine, or semen, discharge, or having to urinate more frequently.
To reduce the risk of contracting a sexually transmitted infection,
its recommended always use condoms. They are not 100% safe, notably genital warts
can still be contracted from a contact with warts. Warts are
caused by a virus, can be easily treated, it is best to have a check-up once
warts appear on the skin, as they can increase in size and number if
left untreated. Some sexually transmitted infections can be present without
signs or symptoms, or an infection can come and go, but a sexual health check-up
may eventually be needed.
Infections associated with homosexual activity
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Non-specific urethritis (NSU)
- Crabs and Scabies
- Molluscum Contagiosum
- Warts (HPV)
Testing, treatment, and contact tracing is the same as in the heterosexual community
- Full Screen for sexually Transmitted Infections
- Rectal Swab for Chlamydia and Gonorrhoea
- Urine Test for Chlamydia
- Blood Test for Syphilis, HIV, Hepatitis B, Hepatitis C
- Immunization for Hepatitis A and B
Further concerns related to Gay Well Men
Erectile dysfunction is being seen increasingly in HIV positive men in the late
stage of the infection, although this is not clear whether its an effect of the
HIV drugs or of the virus. This can be discussed with the Doctor at a consultation.
Anal Warts (Condyloma Acuminata)
These are warts around or inside the back-passage or bottom, the wart virus can
be passed on during oral or anal sex with an infected person, correct use of condoms
reduces the risk, but does not eliminate the risk.
Roughly 90% of all anal warts are caused by the human papilloma virus (HPV) types
6 and 11. Anal warts are usually transmitted through direct sexual contact with
someone who is infected with condyloma acuminata anywhere in the genital area, including
the penis and vagina. Studies have shown that roughly 75% of those who engage in
sexual contact with someone infected with condyloma acuminata can develop warts
within three monthsof contact.
Gay Men May seek Advice for some of the following:
Amount of Semen Produced
The volume of semen is often related to how often you ejaculate. Two things can
happen: If you refrain from ejaculation, your semen will build up over a few days
and then you can produce more ejaculate. Or if you ejaculate often, the ejaculate
can be small initially, but over time your body will compensate and return to normal.
While a recognised route of transmission for some sexually transmitted
infections, it is considered low risk for HIV.
It is very rare that sexually transmitted infections like herpes or genital
warts are transmitted via mutual masturbation. This is generally considered to be
safer sex and carries a very, very low risk for HIV gonorrhea, chlamydia or syphilis,
but is always advisable to know you don't have a STI, so regular STI check-ups every
six months if you're sexually active can be reassuring
This may be due to Peyronie's disease. One of the main characteristics
of this disease is the development of a stiff, fibrous deposit of scar tissue that
frequently builds up under the skin of the upper or lower side of the penis. This
can result in painful erections and can make sex extremely difficult, often creating
frustration and strain for both the sufferer and their partner.
The symptoms associated with this condition can occur overtime, but they may also
occur overnight. In mild cases the inflammation that occurs may subside with time,
which means the pain will subside and the bending may not be permanent.
Fisting or receiving a hand or fist up the anus and into the rectum is a sexual
activity that can cause trauma to the rectum. Good hygine is necessary to help prevent
the transmission of enteric infections like hepititis A, shigella, giardia and
A common problem. Most men and women will get them as they get older. Certainly,
trauma to the anus during anal sex and any type of straining can make hemorrhoids
worse. There are treatments available using creams, ointments, lasers, and surgery.
Risks from Penis Rings
The risks of wearing a penis ring while having sex depends for example how long
the rings should one be worn, some worry about what damage rings may cause
Overall there are no great risks in wearing or having sex with a ring as long as
you remove it after sex. But you can do damage to your penis if it is too tight
and stays on too long. A too tight ring will produce numbness to the penis, discoloration,
prolonged swelling and finally severe pain. It is important that rings have some
kind of fastener which can be loosened or opened completely if need be (Velcro,
elastic, snaps, etc.). If a combination of drugs such as Viagra or crystal
meths is used with irremovable penis ring, this can cause problems, as the blood
in your penis could get restricted, sent back into the body, and trapped in the
penis. Using such drugs can be a risk , and this can also increase risks of getting
an STI or HIV anywhere from 3-5 times.
Tearing During Anal Sex
Two thirds of Gay Men have anal sex and this may cause a tear or persistent soreness
after sex. A couple of factors may exist in having sex before your sphincter muscle
is relaxed enough to allow it. Lack of lubrication , or a medical condition such
as a tear, hemorrhoid, or fissure can cause this, discuss your concerns with the
Doctor where an examination will be needed to rule out medical concerns. Good communication
should occur with partners/contacts around this issue, especially regarding pain,
and using alternatives to anal sex while seeking a medical check-up. The Doctor
will advise on treatment and follow-up care needed for example if there are hemorrhoids
or fissures present. Painful Sex can be a sign of infection, or other problem warranting
a check up.
Safer sex is important in any new relationship. knowing the sexual history of
any partner/contact can be difficult and don't always presume they are negative.
As a result of homophobia prejudice and discrimination against Gay men, heterosexism
assuming that everyone is heterosexual and that being heterosexual is superior to
being Gay, and internalised homophobia where Gay men believe that being Gay is wrong,
Gay and Bisexual men, and men who have sex with, can often experience a number of
mental health problems, and young Gay men in particular suffer from higher levels
of depression, deliberate self-harm (suicide attempted), and actual suicides.
Discuss any problems or worries with the Doctor at consultation.
You can make an appointment at any clinic, outside the area and outside working
hours where ever you live. What happens there is strictly confidential, no one will
be told about your visit, even your doctor or your family unless you specifically
give your permission. Of course you may be asked for details of contacts so that
others can be traced and treated, but you are not compelled to give them. Any contacts
you do name will not be told the source of the information, nor will anyone else.
The Sunshine Clinic provides a rapid comprehensive confidential
service for those concerned about sexual health issues.