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10 Things Gay Men Should Discuss

Top 10 Things Lgbtq+ Men Should Discuss with Their Healthcare Provider

Following are the health issues GLMA’s healthcare providers have identified as most commonly of concern for gay men. While not all of these items apply to everyone, it’s wise to be aware of these issues.

1. Come Out to Your Primary Healthcare Provider
In order to provide you with the best concern possible, your primary concern provider should know you are gay. Knowing your sexual orientation and sexual behaviors will help your healthcare provider offer the correct preventative screenings, and order the appropriate tests. If your provider does not seem comfortable with you as a queer man, find another supplier. You can consult the LGBTQ+ Healthcare Directory for assist finding a provider.

2. Reducing the Risk of Getting or Transmitting HIV
Many men who have sex with men are at an increased risk of getting HIV, but the ability to prevent the acquisition and transmission of HIV has improved drastically in recent years. If you are living with HIV, anti-HIV medications can assist you live a normal lifespan and prevent you from transmitting HIV to your sex partners (Trea

Gay men and other men who have sex with men

Abebe- an international learner from Ethiopia, 24-year-old who identifies as male (he/him/they) and has been sexually active for the last five years. Abebe’s appointment is by telehealth. About three months ago, he started exploring his sexuality and has had sex with a few male partners (if asked for more detail – 4/5 partners, both insertive and receptive anal and oral sex, infrequent condom use). Abebe is feeling muddled and uncertain about his sexuality and would never have felt comfortable exploring it further while living with his parents in Ethiopia. He is worried about anyone in his family finding out, particularly his father. Abebe has no significant medical history but has been feeling a little anxious lately. Abebe has never smoked cigarettes but has been experimenting with some recreational drugs since coming to Australia. He drinks alcohol with friends on weekends (4-5 drinks per occasion) and has tried some MDMA. These occasions are also when he started to experiment having sex with men. Harm reduction education is provided regarding drug use and linked into community organisation for ongoing support.

Clinical in

The ins and outs of safer, greater sex.

I’m scared of bottoming

Most gay men will reflect on bottoming at some hour. However, the thought of doing it for the first time can be scary. Don’t let that put you off. 

You may prefer to douche before bottoming, especially if indulging in deep arse participate like fisting or with large dicks/toys. Use plain, clean water, preferably at body temperature. Avoid using shower attachments - the water pressure can be dangerous. You can become douche bulbs online or from any good sex shop. Try not to go overboard and irritate the lining of your arse, as this can make you more vulnerable to STIs.

Get yourself relaxed with lots of foreplay like rimming or fingering. Some men do apply amyl nitrate (poppers) to relax the muscles around their arse but there are two major health warnings. Poppers:

  • have been linked with an increased uncertainty of HIV transmission 
  • don’t mix with erection drugs favor Viagra and may result in a heart attack.

Deep breathing is far safer, helps you to relax and relaxes the arse too.

Find a position that suits the size, angle and curvature of your partner’s dick. Any position where your knees are bent and drawn into your chest, w

Sexual health for queer and bisexual men

Having unprotected penetrative sex is the most likely way to pass on a sexually transmitted infection (STI).

Using a condom helps shield against HIV and lowers the risk of getting many other STIs.

If you’re a man having sex with men (MSM), without condoms and with someone modern, you should have an STI and HIV try every 3 months, otherwise, it should be at least once a year. This can be done at a sexual health clinic (SHC) or genitourinary medicine (GUM) clinic. This is important, as some STIs do not bring about any symptoms.

Hepatitis A

Hepatitis A is a liver infection that's spread by a virus in poo.

Hepatitis A is uncommon in the UK but you can receive it through sex, including oral-anal sex ("rimming") and giving oral sex after anal sex. MSM with multiple partners are particularly at risk. You can also get it through contaminated food and drink.

Symptoms of hepatitis A can materialize up to 8 weeks after sex and add tiredness and feeling sick (nausea).

Hepatitis A is not usually life-threatening and most people make a entire recovery within a couple of months.

MSM can dodge getting hepatitis A by:

  • washing hands after se

    .