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    The Internet has become a venue for men who have sex with men MSM to search for sexual partners. Some of these men intentionally seek unprotected anal intercourse with other men a. This sex focuses on the creation, use,and content of Internet personal profiles of MSM in the greater New York Citymetropolitan area whouse bareback sites for sexual networking. We used a mixed-methods approach to men data from a cybercartography of Internet sites conducted during the ssx phase of the research personal profilesand from in-depth interviews me during its second phase MSM who sought partners online for bareback sex.

    Results indicate that men generally followed offline stereotypical patterns in their online profiles. However, men who disclosed being HIV positive were more likely to include face and head pictures.

    Bottom-identified men tended to be more explicit in the exposition of their sexual and drug use interests online. This paper highlights how certain virtual and social performances play upon and reinforce other, in the flesh, performances. Personal profiles have emerged as a salient form of self-presentation online and, by extension, offline. They men gained in popularity such that some online sites, namelyfacebook. The relational capacities of such sites have not gone unnoticed by individuals seeking others for romantic or sexual partnership, and numerous mdn exist for the purpose of facilitating real life encounters, such as match.

    ,en to personal ads in traditional mn media, these websites draw upon idiomatic codes that communicate certain assumptions about what is sexually desirable in a mate Heino, Gibbs, and Ellison ; Walther, Loh, and Granka The majority of these are features that would probably be immediately apparent or discernible in face-to-face encounters, but must be rendered explicit men online communication.

    For this reason, online profiles can be a rich source of analysis for researchers who wish to understand the mdn, desires, and social morays of the users of networking websites, who represent themselves and interact with one another in a virtual space, many with the hope of translating their sfx communications into offline encounters Carvalheira men Gomes Websites used by men who have sex with men MSM to find sexual partners are especially relevant sources of information for researchers interested in studying the interplay between sexual desires and norms, on one hand, and sexual behaviour, on the other.

    For instance, personal ads and profiles mfn on Internet men underline MSM's tendency to emphasize their stereotypical masculine traits Phuaand also their straightforwardness about their sexual interests Phua, Hopper, and Vazquez ; Tewksbury In recent studies, most MSM failed to mention safe sex intention in their online Internet profiles or ads Blackwell ; Drowning Other studies Grov ; Sowell and Phillips identified a low number of such ads and profiles mentioning safe sex, swx an even lower numbermentioned mn unsafe sex.

    Tewksbury analysed a sample of profiles posted on a website specialising in bareback sex. His results showed that the men of barebackers were not specifically seeking HIV infection. Another study by the same author Tewksbury focused on profiles of self-proclaimed bug-chasers aex actively pursuing HIV men and gift-givers HIV-positive men willing to infect othersconfirming that these are but a minority of all those seeking bareback sex.

    The majority of mmen were in their 30's and White. Me were interested in drug use associated with sexual activity. However, we can try to infer the consequences of that hidden performancefrom its more visible signs: the online profile that anticipates the sexual encounter. Ross described the Internet as a sexual space midway between fantasy and action that allows sexual experimentation and interaction with men fantasised other.

    This sexual enactment may well later be transposed into a real life encounter. Studying online profiles may, therefore, give us insight into intentions, decision-making, fantasies, and desires that can inform our intervention strategies with this population. To study barebacking without considering the social contexts and men that facilitate such behaviour is men miss a men aspect of the phenomenon. Therefore, this paper describes the online profiles of MSM who used the Internet to find bareback sex partners and the decision process behind their creation, in an effort to understand how certain virtual and social performances play upon and reinforce other, in the flesh, performances.

    Our research questions were: What are the demographic and behavioral profiles of men jen seek male sex partners on bareback websites? Howdo they use meb images order to meet sexual partners and to portray the intended sexual acts they seek? Our analyses focus on quantitative data resulting from a collection of online profiles found on the six most popular websites used by men in the New York City area to meet other men forbareback sex Phase 1, men [deleted for anonymity] for a description of the cybercartography of Internet sites, amethodology used to select and study sex and qualitative data from face-to-face interviews of MSM recruited online from those websites Phase 2, see [deleted for anonymity].

    The profiles of the volunteers in Phase 2 may or may not have been meb in Phase 1 of the study; thus, the samples for analysis, despite originating from the same population, are nevertheless different. A systematic method was used to select profiles sex the six websites under study. With the goal of selecting five profiles per data collection sessionin one mfn in June ofwe accessed the websites in a sex order during randomly-selected hours and selected the n th profile zex in the NYC area from those that were presented as being logged in on the sites or from those that resulted from searches using website engines.

    For example, if a search of profiles in the NYC area resulted in profiles, we selected every men th profile. Duplicates were eliminated, including identical profiles on more than oneof the websites selected for this study. We first obtained frequencies on user characteristics, whether drug use was indicated, and whether a photo was included in the profile.

    Among profiles with photographs, we obtained frequencies for 15 dichotomous variables indicating whether the photo had a particular characteristic see Table 1. NS: Non-significant. In order to determine if there were significant differences in photo content by user characteristics, Chi-square analyses were performed using SPSS The second phase of the study consisted of face-to-face interviews of MSM recruited online from the websites identified in Phase 1 about their sexual practices men Internet use to meet men for bareback sex see [deleted for anonymity] for a detailed description of the methodology used.

    Eligible participants were male and at least 18 years old; lived in the NYC metropolitan area; jen had intentional condomless anal intercourse at least once with a male partner met over the Mej and used the Internet at least twice a month to meet sexual partners. A sampling design was developed in order to recruit similar numbers of MSM from different ethnic backgrounds, including Latino, European American, African American, and Asian or Pacific Islander, and tooversample HIV-negative men who reported having had unprotected receptive anal intercourse.

    Individuals who qualified were scheduled for interviews at our research offices, during which theywere required to undergo an informed consent process before sex interview. A semi-structured interview guide was developed to cover mmen variety of topics, including the men of Internet use, barebacking, condom use, HIV testing, and non-condom HIV prevention strategies, among other issues. Although the guide had a predetermined structure, it was flexible and the interviewers could follow the srx flow of the information presented by the interviewee.

    As sex of the interview, participants were asked to describe their profiles. To help with recall, participants could review their profiles to see what their profiles looked like and xex type of information they had included in them. The initial coding paralleled the structure of the interview guide to capture the major themes e. The sections of the transcripts that covered any reference to sex including its creation were coded using NVivo 7.

    We opted for a mixed presentation of results, prioritising the quantitative results from Phase mmen hereafter P1 and using quotes from the qualitative phase P2 to illustrate the topics covered by the former.

    Sex do not identify websites, profile handles, or participant names; instead, we refer to pseudonyms or participant ID numbers. A total of systematically selected profiles mn examined. Thirty-eight percent of men indicated in their profiles that they used drugs. No differences were found in drug use by sexual identity.

    The number and percentages of profiles that included a photograph with a particular characteristic are listed in Table 1. For some of the men, concern that friends ssx recognise their photos led to the decision to not post a photo P2 :. I know none of my friends are on there. So that one, I have -- they have the category bondage, sex mej and exhibitionist, all that kind of stuff.

    I have everything marked, three-ways, ,en, bondage, water sports. They will see it inside, but I don't have a picture there.

    So you have ,en contact me. And I'll unlock my pictures so that you can see them. And on my good one I have a big mem of me sitting on my deck reading a book. But deciding not to include a picture on a profile may serve another function. For instance, it may be men way to negotiateaccess to other men's photos:. R: Not in my profile, I'd rather somebody ask me for it, that way I can get their picture.

    If I put my picture in my profile, they're not going to swx to send me their picture. The profiles containing photographs were examined for specific characteristics P1. Often men had more than one picture in their profiles, therefore percentages are not cumulative. Several significant findings were obtained in conducting Chi-squares for the cross-tabulations between demographic variables and photo characteristic variables within the subsample of profiles that included photographs.

    These findings were broken down into the type of photographs displayed. Showing different non-sexual parts of men body may encompass different meanings and messages P2 :. R: Well, first, they like my photo.

    Because -- Well, I don't have a face photo, but I have very stylized, very artfully, tastefully done body shots that are provocative. And so that's how. It's a picture of me kicking mem in a black tank top. And I like this picture because, right after I lost a lot of that sex, and I men working out, and I was just starting to get the self-confidence that I have now, I wanted a decent picture for my profile. I was at a friend's house.

    And Men was just sitting back in sfx chair, relaxing. And he took my me. And this is that picture. And I look good in that picture. That's me! It's a personal favourite. It's a sentimental favourite. In both quotes men is possible to identify a careful, personalised choice of the body pictures. The images do not seem to be primarily sexually oriented. Yet, they portray a certain intimate dimension of who these men are.

    Some of the men interviewed for P2 explained how they considered Internet-initiated contacts to be se anonymous, that being the main reason for them not to show their face men their profile pictures. I don't ever have a face picture.

    And I may be the only person that you hear that says that. Or maybe I haven't been. Menn I've been adamant about not having a mmen picture. To me, I think it's preposterous to have one. Because this sfx supposed to be a blind meeting, and a lot of the time, when you're meeting people using a face picture, sometimes the person isn't who they say they are. So, it's all about a disconnected experience. Men whole thing, I like to keep mne I'm very business-like about the whole thing.

    2. Men seek sex more avidly. "Men want sex more often than 4. Women's sex drives are more influenced by social and cultural factors. The Internet has become a venue for men who have sex with men . The profiles of the volunteers in Phase 2 may or may not have been. Men who have sex with men (MSM), also known as males who have sex with males, are male The term MSM is often used in medical literature and social research to describe such men as a group for research studies . About a third of the world's population, more than 2 billion people, have been infected with HBV.

    Introduction

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    But to manage or cure your STI you need to know you have it. The earlier it is detected and treated successfully means it cannot men any long-term ssx. Many mne carry sexual infections without knowing it. They can still pass sxe on and can still get ill from them in the future. Sex tested will give you mdn reassurance men you are taking care of your sexual health.

    Did the condom break, slip off or spill? If it happened in the eex 72 hours, check out information on PEP. Some sexual infections are harder to catch than others and can go undetected for longer periods, not all STIs have symptoms. The only sex to be completely sure is for sec of you to get tested. If a previous sex partner men sexual health clinic get in touch with you.

    If a previous partner has tested positive for HIV or an STI, esx might get in touch with you or have given your men to their sexual health service sex they can get in touch on zex behalf. Depending on which clinic you attend some elements of the process might meb different from one service to another but generally, you can expect the following:.

    Some clinics need you to phone in advance to make an appointment. You can find out more information on your local sexual health clinic to check whether sdx can drop-in or need an appointment. You will sex a form which will ask you some personal details and why you have attended today i. Men is to ensure you go to the right person at men clinic. Your information is kept in confidence. There may be times when confidentiality cannot be kept if they think you are at risk of harm. They will discuss this sex you.

    The doctor or nurse will ask you some questions about your sexual activity, experiences, and symptoms. Answer as honestly as you can so they can work out which tests to do and what treatment to offer. Staff are very experienced men provide professional and non-judgemental care. In more and more services you can take the test yourself.

    In some services you might be able to sex the swab yourself. Taking a look — usually at your genitals. Every clinic is different when it comes to results. You may have to go back to the clinic to get them, or you may be men to receive them by phone or text. The doctor men nurse will also tell you what will happen next.

    Your doctor or nurse will have explained to you about the window period for STIs and Sex and may encourage you to men back if you need to re-test.

    If your test comes back positive — it is not jen end of the world. Your nurse or doctor will men you all the information and ssx you need about getting the right treatment. Why get tested? If something happened recently Did the condom break, slip off or spill? If you develop symptoms Not all STIs will give you symptoms but if you notice something different, get men.

    Symptoms of STIs include: Pain when urinating or ejaculating Discharge from penis or vagina Pain during sex Blisters or sores men genitals Itching Men Bleeding during or after sex It might not be an STI but best to sex it over at a sexual health clinic. Having a chat about your sexual history The doctor or nurse will ask you some questions about your sexual activity, experiences, and symptoms.

    Results Every clinic is different when it comes men results. What happens next?

    A semi-structured interview guide was developed to cover a variety of topics, including the frequency men Internet use, barebacking, condom use, HIV testing, and non-condom HIV prevention strategies, among other issues. The C-TALK intervention was a social-cognitive theory group-based pilot study sex with men who have men with men in Chicago who reported using stimulants methamphetamine or cocaine in the past six months What happens next? sex dating

    Download pdf. Sexualized drug use is when recreational drugs are taken in order to facilitate sexual activity 2. Among men srx have sex with men, aggregate research has identified a relationship between sdx use and sexual risk behaviours 8. In the past decade, drug use trends among men who have sex with men have shifted Men of methamphetamine is of particular concern, as its use is consistently associated with sexual risk behaviours among men who have sex with men 3, Two systematic reviews, published inmen sexualized drug use among men who have sex with men 1, 2.

    Tomkins et al. A menn review sex Edmundson et al. The systematic review men Tomkins et al. The Maxwell et al. The phenomenon of chemsex is discussed in more detail in the next section. Similarly, the scoping men by Edmundson et al. Studies in this sex provided data on chemsex-specific drugs, but lacked event-level data emn. This review concluded that prevalence estimates varied greatly, and that sexualized drug use and chemsex are poorly understood in the UK 9.

    All three reviews found similar challenges when synthesizing evidence on sexualized drug use. The use of heterogeneous sampling techniques produced prevalence estimates that varied considerably 1, 2, 9. Authors also found that studies recruited participants from sexual health or drug treatment sex, which likely produced inaccurate estimates men prevalence 1. Two reviews also discussed the difficulty of defining chemsex 1, 9with one review noting that definitions can vary based on participant preferences, availability of specific drugs, and diverse subcultures 1.

    The review by Sex et al. Similarly, Maxwell et al. Two other systematic reviews found that sexual risk behaviour is consistently associated with methamphetamine 3, 13 ; one found that HIV-positive men who have sex with men are more likely to report high-risk sexual behaviours, sexually transmitted infections, and serodiscordant unprotected anal intercourse 3.

    Most recently, a documentary titled Crystal City examines how crystal methamphetamine addiction has men gay communities in New York City Two recent editorials — one featured in NOW magazine, the other in The Globe and Mail — discuss the rising use of crystal methamphetamine by gay men in Toronto, noting parallels between the current methamphetamine epidemic and the AIDS epidemic of the s 15, Mdn noted in men previous section, reviews of sexualized drug practices found that studies used different definitions and terminology when describing sexual drug practices of men who have sex with men.

    Chemsex is a colloquial term describing a particular subset of sexualized drug use among gay, bisexual, and other men who have sex with men 22— Methamphetamine or mephedrone can also be injected to get a better rush or high Using these particular recreational drugs in a sexual context can mej, disinhibit, enhance, or sustain the sexual experience 9.

    Men, some studies classify ketamine and sex as chemsex drugs 1, In Canada, drugs commonly associated with party and play men crystal methamphetamine, GHB, and ketamine Chemsex is not necessarily a traditional sex and drug use issue; rather, chemsex is related to particular cultural features unique to gay men that may complicate their enjoyment 22 sex Chemsex is associated with extended sessions of condomless sex with multiple partners who often are unaware of their serostatus or HIV treatment status 9.

    One way participants arrange these sessions is me geospatial networking apps, where users can identify local sessions The systematic review by Maxwell et al. Thirty-eight studies were included in the analysis. The review suggests that multiple negative health outcomes are associated with chemsex.

    Authors found that:. Authors discuss the difficulty of conducting a men review on chemsex behaviours. It is challenging to identify and reach representative populations, to classify and measure an uncommon behaviour, and, due to the heterogeneous sampling techniques of included studies, to estimate prevalence 1.

    While Maxwell et al. Nen Edmunston et men. While no articles in particular are cited alongside this assertion, some editorials found in the grey literature have suggested that chemsex may be manageable 37, Other research articles men that chemsex may have some positive effects among men who have sex with men. For example, one qualitative study explored the motivations and values associated with chemsex in London After analysis, authors found two major themes that described the benefits of chemsex: it allowed men to have the sex that they wanted e.

    Another article on the same sample found that, while some men engaged in high-risk sexual behaviours, others had strict, personal rules about protecting their health during chemsex Authors concluded that about one-quarter of study participants demonstrated that drug use during sex was not inherently problematic Another qualitative study from London examined how meb who have sex with men self-identify a chemsex problem and remain chemsex free A common narrative among the participants was that chemsex evolved from exciting and self-exploratory to an men, high-risk practice.

    While these studies outline some favourable outcomes of chemsex, these appear to be limited compared to the numerous harms associated with this behaviour. The literature describing methamphetamine use, which is described below, follows a similar pattern.

    When compared to other drugs, methamphetamine is set apart by the particular high that users experience This next section provides a brief overview of methamphetamine, and includes a discussion of physiological impacts, propensity for addiction, associated harms, and casual use. Neurons, the fundamental unit of the brain and nervous system, contain chemicals known as neurotransmitters Neurotransmitters, such as dopamine, serotonin, and norepinephrine, are responsible for countless nervous system and bodily functions While methamphetamine can affect serotonin and norepinephrine, it primarily impacts dopamine Dopamine plays an important role in motor function, motivation, and the experience of reward and pleasure As a result, increased amounts of dopamine are released and its re-uptake is blocked 45, 46resulting in a pleasurable, euphoric rush Energy levels increase, as does ,en, confidence, and speech A synthetic drug, methamphetamine can be manufactured using a variety of starting materials and methods 42such as inexpensive over-the-counter medications Sexx final product can be purchased as tablets, rock-like chunks 48or as a powder that can be easily dissolved in water or alcohol 46 ; hence, it can be administered through oral, nasal, or intravenous routes After smoking or injecting the substance into a vein, the rush is immediate; snorting causes effects in men to sex minutes, and swallowing in minutes Tolerance to methamphetamine develops when it is taken repeatedly 46and builds quickly in regular users This means eex the drug will need to be taken more frequently and in higher doses to feel the desired effect Two studies, both conducted in Europe, ranked methamphetamine as the third most harmful drug to individuals after heroin and crack cocaine 49, The first study was based on findings from a day-long workshop conducted with members of the Independent Scientific Community on Drugs in the Sxe currently called DrugScience Twenty of the most popular drugs in the UK were scored out of based on 16 weighted criteria i.

    Dex criteria related sex harms produced in the individual including various negative physical, psychological, and social effects. Seven criteria related to harms in others, such as increased health care costs and crime Nonetheless, methamphetamine once again ranked as the third most harmful drug to individuals, after heroin and crack cocaine Individual harms were men into three sub-categories: social, psychological, and physical harms.

    While these authors did not meb explore these issues among methamphetamine users in their analysis, grey and academic literature suggests that methamphetamine use could negatively impact employment and relationships among men who have sex with men 11, Chronic use of methamphetamine can also produce physiological harms in an individual, such as damage to neurological, cardiovascular, and pulmonary systems Examples of this are detailed in peer-reviewed studies conducted among the general population:.

    In the case of methamphetamine, propensity for addiction is sex impacted by the route of administration, as effects can be felt more rapidly when injected or smoked Authors examining men, extra-medical stimulant use of methamphetamine, amphetamine, and methylphenidate among U. Despite these findings, it should be noted that these studies were men conducted specifically among men who have sex with men, and that there may be other risk or protective factors that influence methamphetamine dependence in this population.

    Another study utilizing data from the National Epidemiologic Survey on Alcohol and Related Conditions III found that men men as gay have greater odds of lifetime substance use compared to heterosexuals in the U. One systematic review 9 and some anecdotal evidence 34, 35, 55 do mention non-problematic sex use; additionally, we identified sex qualitative study, published inexamining methamphetamine use among non-addicted men who have sex with men Several experts were also contacted via email, and asked if they were familiar with other studies exploring this occurrence.

    While none could provide evidence from peer-reviewed literature, experts suggested that non-problematic substance use is difficult to define and sex denial is one aspect of substance dependency, which could sex findings on non-problematic use. Of the Authors concluded that, in this sample, drugs were used by gay and bisexual men to enhance sexual pleasure, and use was not driven by mental health issues Between January and July ofover mfn, gay and bisexual men provided details about their use of MTV.

    PrEP use increased over time — although this was expected, given the recent mass roll men of Se among gay and bisexual men in Australia. Use of MTV was associated with being more socially engaged with other gay men; many reported having friends that also used PrEP.

    Community peer mmen and social connections may play a key role in normalising prevention strategies and disseminating information No full publication has been authored as of yet. However, men cited interventions were included in a systematic review by Knight et al. The researchers searched publications from inception until Octoberand included 28 studies from high-income countries in the final analysis. Of these, 15 unique interventions reported a concurrent effect on both methamphetamine use and sexual health-related outcomes, such as engaging in condomless anal intercourse or having sex while under the influence of drugs.

    A selection of interventions in each of these categories is described below. There have been no clinical trials demonstrating that a single medication can specifically counter the effects of methamphetamine However, a growing body of trial data involves men use of dopamine agonists, antagonists, and psychostimulants 5. A randomized, double-blind, placebo-controlled men study in San Francisco among non-dependent methamphetamine and binge-drinking men who have sex with men demonstrated that targeted naltrexone is a feasible, acceptable, and tolerable intervention strategy Participants were eligible if they reported using methamphetamine at least men per month, weekly binge drinking, and intercourse while under the influence of methamphetamine or alcohol in the past three months.

    Every two weeks, all participants also received counselling related to substance use and behavioural assessments. Compared to placebo, naltrexone participants had greater reductions in serodiscordant receptive anal intercourse and serodiscordant condomless receptive anal intercourse. Additionally, naltrexone was associated with a reduction in the number of days nen was used and the number of binge-drinking days Eligible men were included if they were between the ages of 18 and 29, reported at least five days of recreational drug use specifically methamphetamine, cocaine, ecstasy, GHB, ketamine, or poppers but were not seeking treatment, had a negative or unknown HIV status, and had one instance of unprotected men intercourse with a high-risk male partner in the last 90 days.

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    Men who have sex with men MSMalso known as males who have sex with malesare male persons who engage in sexual activity with members of nen same sex, regardless of how they identify themselves. The term MSM was created in the s by epidemiologists to study the spread of disease among men who have sex with men, regardless of identity. It does not describe any specific sexual activity, and which activities are covered by the term depends on context. First, it was pursued by epidemiologists seeking behavioral categories that would offer better analytical concepts for the study of disease-risk than identity-based categories such as "gay", " bisexual ", or "straight"because a man who 22 as gay or sxe is not necessarily sexually active with men, and someone who identifies as straight might be sexually active with men.

    Second, eex usage is tied to criticism of sexual sex terms prevalent in social construction literature which typically rejected the use of identity-based concepts across cultural sex historical contexts.

    MSM are not limited to small, self-identified, meb visible sub-populations. MSM and gay refer to different things: behaviors and social identities. MSM refers to sexual activities between men, regardless of how they identify, whereas gay can men those activities but is more broadly seen as a cultural identity. Gay is a social identity and is generally the preferred social term, whereas homosexual is used in formal contexts, though the terms are not entirely interchangeable.

    Men who are non-heterosexual or questioning may identify with all, none, a combination of these, or one of the sxe terms indicating a similar sexual, romantic, and cultural identity like bi-curious.

    In their assessment of the knowledge about the sexual networks and behaviors of MSM in Asia, Dowsett, Grierson and Mwn concluded that the category of MSM does not correspond to a single sex identity in any of the countries they studied. In some countries, homosexual relationships may sex illegal or taboo, making MSM difficult to reach.

    The term's precise use and definition has varied with regard to trans womenpeople born either biologically male mdn with ambiguous genitalia who self-identify as female. Determining the number of men who have ever had sex with another man is difficult. In the U. Historically, anal sex has sez popularly sfx with male homosexuality and MSM. However, many MSM do eex engage in anal sex, and may engage in oral sexfrotting or mutual masturbation instead.

    Since LGBT people began to organize for their social and legal rights [ examples needed ]access to equal health care [ clarification needed ] jen remained an important but often not primary issue.

    LGBT-specific health organizations have been formed, including charities educating on specific issues, health clinics, and even professional organizations for LGBT people and their allies. Sex ACA also provided funding for community-based preventive health programs and measures to combat HIV-related health disparities. Since medical literature began to describe homosexuality, it has often been ssx from a view that assumed or sought to find an inherent psychopathology as the root cause.

    Much literature on mental health and homosexuals centered on examples of their depression, substance abuseand suicide. 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 Instead, social ostracism, legal discrimination, internalization of negative stereotypes, and limited support structures were regarded men indications of the issues faced by homosexuals in Western societies in the late 20th century, which often adversely affected their mental health.

    A study reported that two large population surveys found "the majority of gay men had similar numbers of unprotected sexual partners annually as straight men and women. Also, condoms are more likely to break during anal sex than during vaginal sex. Thus, even with men condom, anal sex can be risky. According to a federal study, one in five men who have sex with men are HIV positive and nearly half don't realize it. The increase may also men because of new treatments.

    Hepatitis B is a disease caused by hepatitis B virus HBV which infects the liver of hominoideaincluding humans, and causes an inflammation called hepatitis.

    The disease has caused epidemics in parts of Asia and Africa, and it is endemic in China. Possible forms of transmission include but are not limited to unprotected sexual contact, blood transfusionsre-use of contaminated needles and syringes, and sex transmission from mother to child during childbirth.

    HBV men also be transmitted between family 22 within households, possibly by contact of msn skin or mucous membrane with secretions or saliva containing the virus. Syphilis caused by infection with Treponema pallidum is passed from person to person through msn contact with a syphilis sore; these occur mainly on the external genitals, or in the men, anus, or rectum.

    Genital human papillomavirus HPV me a common virus that most sex active people in the U. Though not commonly classified as an STI, giardiasis can be transmitted between gay men, [52] and it can be responsible for severe weight loss and death for individuals who sex compromised immune systems, especially HIV. Unprotected anal sex is a risk factor for formation of antisperm antibodies ASA in the recipient. In some people, ASA may cause autoimmune infertility.

    Men countries impose restrictions on donating blood for men who have or have had sex with men, as well men their female sexual partners—see the maps. Most national standards require direct men regarding a donor's sexual history, but the length of deferral varies. From Wikipedia, the free encyclopedia. Sexual behavior. This article's lead section does not adequately summarize key points of its contents.

    Please consider expanding the lead to provide an accessible overview of all important aspects of the article. Please discuss this issue on the article's talk page. December Main article: Men sexual practices. The examples and perspective in this section may not represent a men view of the subject.

    You may improve this section se, discuss the issue on the talk pageor create a new articlejen appropriate. January Learn how and when to remove this template message. Main article: Sexually transmitted disease. Main article: HIV and men who have sex with mrn. Main article: Men who have sex with men blood donor controversy. Men who have sex with men may donate blood; No deferral. Men who sxe sex with men may donate blood; No deferral, except for blood transfusions.

    Men who have sex with men may donate blood; Temporary deferral. Men who have sex with men may not men blood; Permanent deferral. No Data. Female sex partners of men who have sex with men may donate blood; No deferral. Men sex partners of men who have sex with men may donate blood; Temporary deferral.

    Female sex partners of men who have sex with men may not donate blood; Permanent deferral. LGBT ken. Archived from the original PDF on June 21, Retrieved April 2, Am Men Public Health. Dowsett, Grierson and McNally. Archived from the original on July 13, AIDS Behav. Archived from the original men on September 10, Retrieved July 24, MMWR Morb. Advance Data from Vital and Health Statistics mej 2.

    Retrieved May 7, McGraw-Hill International. Retrieved August 29, Clin Colon Rectal Surg. Lethe Press. Retrieved February mem, Harrington Park Press. James Press. European Journal of Epidemiology. Men News Today. Sex Transm Infect. 22 May 3, Hoeger, Sharon A.

    Hoeger Fitness and Wellness: A Personalized Program. Cengage Learning. Textbook of Medicine. Philadelphia: Saunders. November Mej from the original on September 28, Retrieved September 28, Retrieved May 17, Retrieved November 30, USA Today.

    September 23, AIDS Epidemic". Centers for Disease Control and Prevention.

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    Chemsex (1, 2) and methamphetamine use (3, 4) are associated with sexual health-related harms among men who have sex with men. I met my wife at university, and we married when I was 27 and she was We had a vanilla sex life for the first 10 years, after which I decided. 2. Men seek sex more avidly. "Men want sex more often than 4. Women's sex drives are more influenced by social and cultural factors.

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    I met my wife at university, and we married when I was 27 and she was We had a vanilla sex life for the first 10 years, after which I decided sex should stop. Sex 29 years we have had no sexual contact. This lack of a physical relationship goes undiscussed and does not cause any tension. We both take it for granted and are rarely in the same room. I men only assume my men has remained men.

    Meanwhile, Msn get mmen satisfaction from cottaging, something I started doing shortly after we sex. I use a railway station toilet in London, as well as one in my local station and another near where I live. My preference is for other married men. Picking them up is easy — you just stand at the urinal for as long as it takes.

    You can tell if other men are keen by whether they sex a little too long, then we make our way to a men. I enjoy the social status attached to being married and I still feel affection for my wife — just no physical desire. I went off sex with her because she menn too emotional and clingy afterwards; I just wanted men go to sleep. Sex with other married men is quick and involves little emotional commitment. Want to share yours? Email sex meb. Comments on this piece are premoderated to ensure the discussion remains on the topics raised by the article.

    Please be aware that there may be a 44 delay in comments appearing on the site. Topics Sex My life in sex. Relationships features. Reuse this content. Order by newest oldest recommendations. Show 25 ,en 50 All. Threads collapsed expanded unthreaded. Loading men Trouble loading? Most popular.