Queer Anal Group Sex
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Choose less risky sexual behaviors.Receptive anal sex is the riskiest type of sex for getting HIV. Insertive anal sex (topping) is less risky for getting HIV than receptive anal sex (bottoming). In general, there is little to no risk of getting or transmitting HIV from oral sex.
The most common types of cancer among men in the US are skin, prostate, lung, and colorectal cancer. Some younger men might be at risk of testicular cancer and Hodgkin Lymphoma. Some gay men, especially those who are HIV positive, might have a higher risk of anal cancer. Knowing about these cancers and what you can do to help prevent them or find them early (when the cancer is small and might be easier to treat) may help save your life.
There is no widely recommended screening test for anal cancer in the US. However, some experts recommend screening with a digital rectal exam (DRE) and an anal Pap test for those who might be at high risk for anal cancer. This test has not been studied enough to know how often it should be done, or if it helps reduce the risk of anal cancer. But you may want to talk to a provider about whether this test might be right for you.
It's also important to know that if screening is done, it looks for cancer in people with no symptoms. If you have symptoms, report them to a health care provider right away. These may include any anal or rectal symptoms such as bleeding, itching, discomfort, pain, swelling, or discharge. A DRE will likely be done, along with other testing, and may help find some cases of anal cancer early.
This means that lube is really, really important for any anal play. First, to stop damage to the internal lining of your arse. Second, to make bottoming (and topping!) more pleasurable. And third, to help protect it from infections.
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In some states, including Alabama, state sex education policies require educators to teach exclusively about heterosexual sex or to advise against even consensual gay sex. While groups like the Sexuality Information and Education Council of the United States criticize the state policies as harmful and discriminatory toward LGBT students, the conservative states defend their policies, often citing bans on oral and anal sex in their state laws.
NBC News:Map: Countries With Confirmed Monkeypox Cases In The 2022 OutbreakAt least 160 confirmed cases of monkeypox have been reported this month in non-African countries, according to Global.health, a group that gathers infectious disease data. All but 10 of those cases have been in Europe: 56 in the United Kingdom, 41 in Spain, 37 in Portugal and single-digit case counts in Austria, Belgium, Denmark, France, Germany, Italy, the Netherlands, Sweden and Switzerland. (Bendix and Carman, 5/23)
Gay, bisexual, and other men who have sex with men* are among groups at high risk for infection with Shigella germs. This infection is called shigellosis. Shigella germs spread easily and rapidly among people, including during sexual activity.
Party and play (PnP), also called chemsex or wired play, is the consumption of drugs to facilitate or enhance sexual activity. Sociologically, it refers to a subculture of recreational drug users who engage in high-risk sexual activities under the influence of drugs within sub-groups.[1] This can include unprotected sex during sessions with multiple sexual partners that may continue for days.
Ketamine is very different from the main chemsex drugs, as it is a dissociative hallucinogen that distorts perceptions and creates a sense of detachment. Ketamine is used in chemsex encounters to "improve the experience of receptive anal intercourse or fisting".[10]
Internet posts by men seeking PNP experiences often resort to slang to identify what drug they are partying with.[12][13] These drugs tend to inhibit penile erection,[8][9] a phenomenon known by the slang term crystal penis or tweaker dick. Consequently, many men who engage in PNP use erectile dysfunction drugs such as sildenafil, vardenafil, and tadalafil.[14] Imodium is often taken by participants in passive anal sex in order to be clean for longer.
The use of drugs like mephedrone, GHB/GBL, and crystal meth before or during sex, can have physical effects. These can include dehydration, a higher risk of HIV and other sexually transmitted infections (STIs), and drug-related injuries. Dehydration is a widespread problem with chemsex. This is because the drugs involved can often cause users to forget to drink water. This can lead to serious health problems, including seizures and even death. GHB/GBL and crystal meth can also increase the risk of injuries due to accidents or sexual encounters that go wrong. These injuries can be as minor as cuts and bruises, but they can also be dangerous in severe cases, such as haemorrhages, anal fissures, ripped anuses, anal prolapse, suffocation, and more. Furthermore, the use of these drugs can affect erection and ejaculation. Gay/Bisexual men often will use Viagra or other ED drugs to overcome this issue. Unfortunately, this means that their body has to cope with drug interactions that very often go wrong leading, in many cases, to overdose, seizures, drug induced heart attacks, stroke, paralysis, neurological damage and even death. These physical risks are particularly higher in older men and those with pre-existing medical conditions.[citation needed]
Although communication scholars have been exploring the role of partner communication in sexual health promotion since the 1960s, the term safer sex, and its corollary safer sex communication, emerged in the late 1980s in the wake of the HIV/AIDS epidemic, which was and still is disproportionately affecting queer individuals. Numerous studies, along with some meta-analyses, point to the protective potential of safer sex discussions, defined here as the communicative management of health concerns with sex partners. Despite scholarly agreement regarding its importance, the term safer sex communication has received little explication, and much of what is known about it comes from studies with predominantly heterosexual samples. A review of the literature on queer safer sex communication points to some key issues related to age, race, trauma history, place, and pre-exposure prophylaxis (PrEP), and suggests important considerations for future research efforts.
Abstract: The primary objective of this project is to develop, implement, and provide an evaluation of an HIV prevention program for HIV-positive gay and bisexual men in a sexual health and community-based research framework. This collaboration between the Positive Prevention Working Group and researchers comes at a time when HIV rates have begun to rise among men who have sex with men, and when rates of unprotected sex have been rising among HIV-positive men. The project will build on evidence-based HIV prevention programs reported in the research literature, consult with leading developers and practitioners of prevention programs directed toward HIV-positive men across North America, and engage local men to find the kind of program they would find attractive and effective. A small-scale series of workshops will be mounted for four groups of a dozen men who have a recent history of unprotected sex. Workshop participants will subsequently be followed to discover the degree to which the intervention has a sustained effect on risk behaviour. Findings from this study will provide the foundation for a subsequent effective, evidence-based, large-scale intervention.
Abstract: Cancer of the anus occurs at much higher rates in HIV-infected men who have sex with men (MSM). Both anal and cervical cancers are caused by a sexually transmitted virus called human papillomavirus (HPV), so these conditions may be passed on to sexual partners. Anal Pap smears can be used to screen for precancerous anal growths. If the pap is positive, then a high-powered examination can be done to identify the precancerous growth which can then be removed using laser treatment. Our team has used HPV tests, anal Pap smears and high-power examinations of the anal canal to look for pre-cancerous changes in a large group of HIV-infected MSM. We found that the Pap smear was moderately accurate and that 1/4 of our group had advanced pre-cancerous growths. These findings are important but more knowledge is needed before formal screening programs can be instituted. In the current project, we intend to evaluate how precancerous anal growths have changed over a 4-year period in the original group of HIV-infected men that we studied. The sexual partners will also be examined to see if they have the same kinds of HPV as the original subjects. These studies will help us determine: a) how often HIV-infected men [have] to be re-checked in order to find advanced pre-cancer, b) how effective their previous treatments have been, and c) whether their partners are at risk for similar conditions. These results will help design screening programs for anal cancer.
Abstract: Recent data show that many men who have sex with men (MSM) and who are HIV positive are unaware of that fact. This shows that MSM are reached only somewhat or not at all by available testing services. In response to these concerns, academic and community researchers have developed the SPOT project, an innovative rapid HIV test provided by community workers who provide pre- and post-test counselling using a motivational interviewing approach, according to the participant's profile. The purpose of the study is to trace the taking of ownership of SPOT by the community by describing the implementation of the intervention, and documenting, from the standpoint of the players involved (community workers, nurses and users), the contextual factors of all kinds affecting implementation. This analysis will bring out the difficulties they encounter, the opportunities they take advantage of, and the strategies they develop to reduce obstacles and adjust the intervention. A three-year participatory study, evaluative and formative in nature, is planned. It corresponds to a case study with nested analysis levels. Several data collection methods will be used: logbooks (coordinator and workers), semi-structured interviews with workers and users (n=4000), and shared evaluation groups. In conjunction with the federal HIV/AIDS strategy, this participatory project builds the capacities of community groups and will generate useful evidence for other front-line organizations (community and others) that are interested in implementing rapid HIV testing. 781b155fdc