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Is Gay Sex Safe?

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I read this somewhere:


Unhealthy sexual behaviors occur among both heterosexuals and homosexuals. Yet the medical and social science evidence indicate that homosexual behavior is uniformly unhealthy. Although both male and female homosexual practices lead to increases in Sexually Transmitted Diseases, the practices and diseases are sufficiently different that they merit separate discussion.

1. Male Homosexual Behavior

Men having sex with other men leads to greater health risks than men having sex with women19 not only because of promiscuity but also because of the nature of sex among men. A British researcher summarizes the danger as follows:

"Male homosexual behaviour is not simply either 'active' or 'passive,' since penile-anal, mouth-penile, and hand-anal sexual contact is usual for both partners, and mouth-anal contact is not infrequent. . . . Mouth-anal contact is the reason for the relatively high incidence of diseases caused by bowel pathogens in male homosexuals. Trauma may encourage the entry of micro-organisms and thus lead to primary syphilitic lesions occurring in the anogenital area. . . . In addition to sodomy, trauma may be caused by foreign bodies, including stimulators of various kinds, penile adornments, and prostheses."20

Although the specific activities addressed below may be practiced by heterosexuals at times, homosexual men engage in these activities to a far greater extent.21

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a. Anal-genital

Anal intercourse is the sine qua non of sex for many gay men.22 Yet human physiology makes it clear that the body was not designed to accommodate this activity. The rectum is significantly different from the vagina with regard to suitability for penetration by a penis. The vagina has natural lubricants and is supported by a network of muscles. It is composed of a mucus membrane with a multi-layer stratified squamous epithelium that allows it to endure friction without damage and to resist the immunological actions caused by semen and sperm. In comparison, the anus is a delicate mechanism of small muscles that comprise an "exit-only" passage. With repeated trauma, friction and stretching, the sphincter loses its tone and its ability to maintain a tight seal. Consequently, anal intercourse leads to leakage of fecal material that can easily become chronic.

The potential for injury is exacerbated by the fact that the intestine has only a single layer of cells separating it from highly vascular tissue, that is, blood. Therefore, any organisms that are introduced into the rectum have a much easier time establishing a foothold for infection than they would in a vagina. The single layer tissue cannot withstand the friction associated with penile penetration, resulting in traumas that expose both participants to blood, organisms in feces, and a mixing of bodily fluids.

Furthermore, ejaculate has components that are immunosuppressive. In the course of ordinary reproductive physiology, this allows the sperm to evade the immune defenses of the female. Rectal insemination of rabbits has shown that sperm impaired the immune defenses of the recipient.23 Semen may have a similar impact on humans.24

The end result is that the fragility of the anus and rectum, along with the immunosuppressive effect of ejaculate, make anal-genital intercourse a most efficient manner of transmitting HIV and other infections. The list of diseases found with extraordinary frequency among male homosexual practitioners as a result of anal intercourse is alarming:

Anal Cancer
Chlamydia trachomatis
Cryptosporidium
Giardia lamblia
Herpes simplex virus
Human immunodeficiency virus
Human papilloma virus
Isospora belli
Microsporidia
Gonorrhea
Viral hepatitis types B & C
Syphilis25

Sexual transmission of some of these diseases is so rare in the exclusively heterosexual population as to be virtually unknown. Others, while found among heterosexual and homosexual practitioners, are clearly predominated by those involved in homosexual activity. Syphilis, for example is found among heterosexual and homosexual practitioners. But in 1999, King County, Washington (Seattle), reported that 85 percent of syphilis cases were among self-identified homosexual practitioners.26 And as noted above, syphilis among homosexual men is now at epidemic levels in San Francisco.27

A 1988 CDC survey identified 21 percent of all Hepatitis B cases as being homosexually transmitted while 18 percent were heterosexually transmitted.28 Since homosexuals comprise such a small percent of the population (only 1-3 percent),29 they have a significantly higher rate of infection than heterosexuals.30

Anal intercourse also puts men at significant risk for anal cancer. Anal cancer is the result of infection with some subtypes of human papilloma virus (HPV), which are known viral carcinogens. Data as of 1989 showed the rates of anal cancer in male homosexual practitioners to be 10 times that of heterosexual males, and growing. 30 Thus, the prevalence of anal cancer among gay men is of great concern. For those with AIDS, the rates are doubled.31

Other physical problems associated with anal intercourse are:

hemorrhoids
anal fissures
anorectal trauma
retained foreign bodies.32

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b. Oral-anal

There is an extremely high rate of parasitic and other intestinal infections documented among male homosexual practitioners because of oral-anal contact. In fact, there are so many infections that a syndrome called "the Gay Bowel" is described in the medical literature.33 "Gay bowel syndrome constitutes a group of conditions that occur among persons who practice unprotected anal intercourse, anilingus, or fellatio following anal intercourse."34 Although some women have been diagnosed with some of the gastrointestinal infections associated with "gay bowel," the vast preponderance of patients with these conditions are men who have sex with men.35

"Rimming" is the street name given to oralanal contact. It is because of this practice that intestinal parasites ordinarily found in the tropics are encountered in the bodies of American gay men. Combined with anal intercourse and other homosexual practices, "rimming" provides a rich opportunity for a variety of infections.

Men who have sex with men account for the lion's share of the increasing number of cases in America of sexually transmitted infections that are not generally spread through sexual contact. These diseases, with consequences that range from severe and even life-threatening to mere annoyances, include Hepatitis A,36 Giardia lamblia, Entamoeba histolytica,37 Epstein-Barr virus,38 Neisseria meningitides,39 Shigellosis, Salmonellosis, Pediculosis, scabies and Campylobacter.40 The U.S. Centers for Disease Control (CDC) identified a 1991 outbreak of Hepatitis A in New York City, in which 78 percent of male respondents identified themselves as homosexual or bisexual.41While Hepatitis A can be transmitted by routes other than sexual, a preponderance of Hepatitis A is found in gay men in multiple states.42 Salmonella is rarely associated with sexual activity except among gay men who have oral-anal and oral-genital contact following anal intercourse.43 The most unsettling new discovery is the reported sexual transmission of typhoid. This water-borne disease, well known in the tropics, only infects 400 people each year in the United States, usually as a result of ingestion of contaminated food or water while abroad. But sexual transmission was diagnosed in Ohio in a series of male sex partners of one male who had traveled to Puerto Rico.44

In America, Human Herpes Virus 8 (called Herpes Type 8 ) is a disease found exclusively among male homosexual practitioners. Researchers have long noted that men who contracted AIDS through homosexual behavior frequently developed a previously rare form of cancer called Kaposi's sarcoma. Men who contract HIV/AIDS through heterosexual sex or intravenous drug use rarely display this cancer. Recent studies confirm that Kaposi's sarcoma results from infection with HHV-8. The New England Journal of Medicine described one cohort in San Francisco where 38 percent of the men who admitted any homosexual contact within the previous five years tested positive for this virus while none of the exclusively heterosexual men tested positive. The study predicted that half of the men with both HIV and HHV-8 would develop the cancer within 10 years.45 The medical literature is currently unclear as to the precise types of sexual behavior that transmit HHV-8, but there is a suspicion that it may be transmitted via saliva.46

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c. Human Waste

Some gay men sexualize human waste, including the medically dangerous practice of coprophilia, which means sexual contact with highly infectious fecal wastes.47 This practice exposes the participants to all of the risks of anal-oral contact and many of the risks of analgenital contact.

d. Fisting

"Fisting" refers to the insertion of a hand or forearm into the rectum, and is far more damaging than anal intercourse. Tears can occur, along with incompetence of the anal sphincter. The result can include infections, inflammation and, consequently, enhanced susceptibility to future STDs. Twenty-two percent of homosexuals in one survey admitted to having participated in this practice.48

e. Sadism

The sexualization of pain and cruelty is described as sadism, named for the 18th Century novelist, the Marquis de Sade. His novel Justine describes repeated rapes and non-consensual whippings.49 Not all persons who practice sadism engage in the same activities. But a recent advertisement for a sadistic "conference" included a warning that participants might see "intentional infliction of pain [and] cutting of the skin with bleeding . . . ." Scheduled workshops included "Vaginal Fisting" (with a demonstration), "Sacred Sexuality and Cutting" with "a demonstration of a cutting with a live subject," "Rough Rope," and a "Body Harness" workshop that was to involve "demonstrating and coaching the tying of erotic body harnesses that involve the genitals, male and female."50 A similar event entitled the "Vicious Valentine" occurred near Chicago on Feb. 15-17, 2002.51 The medical consequences of such activities range from mild to fatal, depending upon the nature of the injuries inflicted.52 As many as 37 percent of homosexuals have practiced some form of sadism.53

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f. Conclusion

The consequences of homosexual activity have significantly altered the delivery of medical care to the population at-large. With the increased incidence of STD organisms in unexpected places, simple sore throat is no longer so simple. Doctors must now ask probing questions of their patients or risk making a misdiagnosis. The evaluation of a sore throat must now include questions about oral and anal sex. A case of hemorrhoids is no longer just a surgical problem. We must now inquire as to sexual practice and consider that anal cancer, rectal gonorrhea, or rectal chlamydia may be secreted in what deceptively appears to be "just hemorrhoids."54 Moreover, data shows that rectal and throat gonorrhea, for example, are without symptoms in 75 percent of cases.55

The impact of the health consequences of gay sex is not confined to homosexual practitioners. Even though nearly 11 million people in America are directly affected by cancer, compared to slightly more than three-quarters of a million with AIDS,56 AIDS spending per patient is more than seven times that for cancer.57 The inequity for diabetes and heart disease is even more striking.58 Consequently, the disproportionate amount of money spent on AIDS detracts from research into cures for diseases that affect more people.

Now plz answer the following questions:

1. Is whatever written above true?

2. Can Anal sex damage my anus muscles(even if I use a lot of lube) because it is not made for sex and will leads to leakage of fecal material ?

3. Can Anal sex cause Anal cancer ?

4. Will Oral sex cause me the diseases mentioned like Hepatitis A, Shigellosis, Human Herpes Virus 8 etc even if the penis is clean?

5. Is fisting so bad as mentioned?
 
The article reads as biased and outdated (particularly re: the reference to 'gay bowel syndrome').

Some of it is true IN CERTAIN CIRCUMSTANCES, i.e. I read the article as quite clearly making an assumption against the use of protection in male-male contact.

No, Anal-sex cannot cause cancer. The argument put forward I believe was that HPV can cause some anal cancer. You should also know the HPV is known to play a causitive role in some cervical and mouth cancers. You can be immunised against certain types of HPV, and if you use a condom - preventing HPV transmission, then again the risks are dramatically reduced. Be aware though, that when they say HPV causes cancer, what they really mean is that HPV has played a causitive role in increasing THE ALREADY EXISTENT RISK of cancer. Think of how many people kiss. Now think of how many people have mouth cancer. Even if you contact HPV, its far from probable that it will cause you cancer.

Question 4, such viruses may occur if you do not use appropriate protection, but ONLY if the other participant has those infections. Use protection, make sure you trust your partners (AND STILL USE PROTECTION), avoid sleeping with every man in the gutter.

Question 2 - wreckless anal sex may cause damage, continued damage may cause incontinence. Go carefully, work your way up, learn to relax, and use lube and protection, and it will likely be a non-issue. I saw my Gastro doctor this week, and I have an inflammatory condition of the bowel, he issued no blanket condemnation of anal sex, and from what I could tell, he seemed pretty smart.

5. Fistings is CONSIDERABLY more dangerous than anal sex. The larger the object inserted, and the deeper it goes, the higher the chances something can go wrong. Personally, not my thing, but if its something you want to pursue, there are people out there who seem to do it safely. Educate yourself as to the risks and the methods, speak to your doctor if you have any further concerns, do it with someone you trust and who is mindful and experienced.

In a blanket conclusion, anything is possible. You protect yourself with knowledge of the risks and the methods to mitigate those risks. Some risk will always be present. You can go around barebacking and engaging in scat play (and i would recommend you shouldnt), similarly you could live in a hermetically sealed room for the rest of your life. Weigh up the risks and the benefits, and find the position in between that you are comfortable with and that makes you happy.

And strongly consider disregarding anyone who puts forward "Gay Bowel" as a considered medical opinion.
 
I read this somewhere:

Hmmm... For something that you read "somewhere", you managed to quote it verbatim.

I'm going to assume that your post is serious, though.


Now plz answer the following questions:

1. Is whatever written above true?

2. Can Anal sex damage my anus muscles(even if I use a lot of lube) because it is not made for sex and will leads to leakage of fecal material ?

3. Can Anal sex cause Anal cancer ?

4. Will Oral sex cause me the diseases mentioned like Hepatitis A, Shigellosis, Human Herpes Virus 8 etc even if the penis is clean?

5. Is fisting so bad as mentioned?

  1. No, it's been around for a while and has its origin in Christian anti-gay propaganda.
  2. No. There's a sticky that discusses this misconception.
  3. No but human papilloma virus can cause all sorts of cancers, including anal cancer.
  4. Shigella and hepatitis A are most commonly contracted from water or food in areas that have poor hygeine. Contact with a person who has these illnesses can result in infection with another person. Sex is one type of contact, so this would be true... but only if the sex was with a person who was infected.
  5. Fisting can cause injury- whether it's done by a straight person or a gay person. But the statistics quoted in the "one study" that is quoted is more of the anti-gay propanganda.
 
I read this somewhere:

REDACTED

Can I request a source for the quoted article so that we can see the entire article if we so wish which would also include the references. However, as mentioned by KaraBulut I suspect that this article is anti-gay propaganda.
 
I have seen this elsewhere before, but never the original source. In another forum someone pointed out that if anal sex causes anal cancer, vaginal intercourse courses cervix/vaginal cancer :) The OP then called him a liar, bitch fight started, a mod banned him :D
 
The source of the "white paper" is the Corporate Resource Council (http://www.corporateresourcecouncil.org/), a "pro-traditional marriage" group that is fighting against partner benefits and marriage equality in the US.

The author of the white paper is Dr. John R. Diggs MD, who is an evangelical who likes to write what on the surface looks like a scholarly paper but is based upon misinterpretation of other writings.

There's a good summary of Dr Diggs and his ilk here.
 
not reallys safe sex is safe i was infected even if i was always playing safe
 
Yes, I read it from a Catholic health website and is certainly a biased

Source: catholiceducation.org/articles/homosexuality/ho0075.html

Plz put www. before Catholic (as I am not entilted to post URLs right now).
 
I was laughing when they mentioned Shigellosis from rimming someone's ass.

I'd think that if it does happen, it will probably be written up as a case report for some medical journal somewhere. I don't think anyone in their right mind would rim someone with dysentery. And I don't think the dude with dysentery will be really up for sex. "Yes dear, you can rim my ass right after this bout of bloody diarrhoea." Seriously.

I'm currently a 4th year medical student and today was the first time in my life I've heard of "gay bowel syndrome"...

As for your question on oral sex... It depends on where you put your mouth.

Hep A is faecal-oral, so if you're giving someone a blowjob, Hep A isn't your biggest worry. In theory, the contraction of Hep B is possible. So just get your Hep B vaccine...

Fisting, I'd think, wouldn't be that good an idea, but different strokes for different folks really.

As for anal sex and incontinence, I've yet to read up on anything to support that. However, I've been told by a couple of registrars during my various rotations that it does happen. But I don't really put much stock into anecdotal evidence.
 
I'm currently a 4th year medical student and today was the first time in my life I've heard of "gay bowel syndrome"...

Next time you have a patient with PID, write "straight vagina syndrome" on the chart. ;)
 
Everything in life involves risks. Nothing is safe. Just degrees.
 
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