We continue to fight to bring gay relationships into the mainstream. We need to keep an eye on Grindr and how it both reflects and affects gay culture. The bathhouse is still around. It’s now open 24/7, accessible from your living room.
Gay Health
Understand important health issues for gay men and men who have sex with men — from sexually transmitted infections to depression — and get tips for taking charge of your health.
To protect yourself from sexually transmitted infections:
- Use a condom or other protection. Use a new condom every time you have sex, especially during anal sex but ideally during oral sex as well. Use only water-based lubricants, not petroleum jelly, body lotion or oils. Oil-based lubricants can weaken latex condoms and cause them to break.
- Be monogamous. Another reliable way to avoid sexually transmitted infections is to stay in a long-term mutually monogamous relationship with a partner who isn’t infected.
- Limit the amount of alcohol you drink, and don’t use drugs. If you’re under the influence, you’re more likely to take sexual risks. If you choose to use injectable drugs, don’t share needles.
- Get vaccinated. Vaccinations can protect you from hepatitis A and hepatitis B, serious liver infections that can spread through sexual contact. Not all sexually transmitted infections are prevented by vaccines, however. Hepatitis C is not covered by any vaccine and can lead to liver failure, liver cancer and death. The human papillomavirus (HPV) vaccine is available to men up to age 26. HPV is associated with anal cancer in men who have sex with men.
- Get tested and have your partner tested. Don’t have unprotected sex unless you’re certain you and your partner aren’t infected with HIV or other sexually transmitted infections. Testing is important because many people don’t know they’re infected, and others might not be honest about their health.
- Pre-exposure prophylaxis (PrEP). PrEP is a way for people who don’t have HIV to prevent HIV infection by taking a pill every day. Use of the combination drug emtricitabine-tenofovir (Truvada) can reduce the risk of sexually transmitted HIV infection in those who are at high risk. Truvada is also used as an HIV treatment along with other medications.
When used to help prevent HIV infection, Truvada is only appropriate if your doctor is certain you don’t already have HIV. Your doctor should also test for hepatitis B infection. If you have hepatitis B, your doctor should test your kidney function before prescribing Truvada. The drug must also be taken daily exactly as prescribed. And it should only be used along with other prevention strategies such as condom use every time you have sex.
This advice means that, unless you have sex with someone within your household, it’s important to find sexual pleasure in other ways
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Healthy people use these kinds of therapies to try to make their immune systems stronger and to make themselves feel better in general. People who have diseases or illnesses, such as HIV, use these therapies for the same reasons. They also can use these therapies to help deal with symptoms of the disease or side effects from the medicines that treat the disease.
Several studies have shown that PrEP reduced the risk of getting HIV infection. Men who have sex with men (MSM) who were given PrEP medication were 44 % overall less likely to get HIV infection compared to those who took no PrEP medication.
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