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Male-with-male

Gay men and other men who have sex with men

Abebe- an international trainee 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 bewildered 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

  • 3-monthly testing for STIs is recommended in all men who have had any type of sex with another man in the previous 3 months.
  • HIV self-testing is also available
  • Patients who are not sexually active or in a monogamous relationship may be tested less frequently, but at least annually.

Site/Specimen

Test

Consideration

Oropharyngeal swab

NAAT/PCR gonorrhoea/chlamydia

NAAT/PCR gonorrhoea/chlamydia

NAAT/PCR gonorrhoea/chlamydia

Self -collected

First pass urine

Self-collected

Anorectal swab

Self-collected

Blood

HIV antibody/antigen

If not HIV positive

Blood

Syphilis serology

 
Blood

Hepatitis C 

Test once a year in people living with HIV, on PrEP or with history of injecting drug use.

Blood

Hepatitis A antibody

Test if not vaccinated. Vaccinate if antibody negative.

Blood

Hepatitis B 

Surface antigen (HBsAg)          Core antibody (Anti-HBc)          Surface antibody (Anti-HBs)

Test if not vaccinated. Vaccinate if no history or no documentation of full vaccination course.

Consider offering first immunisation when

About gay male sexuality

Many men report that they had experiences with people of the same sex when they were young. This is often a normal part of exploring their sexuality. Men who travel on to describe themselves as ‘same-sex attracted’ or ‘gay’ have a tough physical and emotional attraction to men that they don’t usually feel for women.

Being a gay male is natural

There is a lot of pressure from society for young men to be heterosexual or ‘straight’. This can often cause feelings of isolation for young men who are gay and build them scared to display their sexuality.

It’s crucial to remember:

  • There are same-sex attracted men in every society and every country.
  • Being queer is just a develop of sexuality.

Why some men are gay

There is no real explanation as to why some men are gay and others are not. Although there is no right or incorrect answer to the scrutinize, a possible reason suggested by researchers is that we are born with our sexual orientation.

Knowing whether you’re gay

There is no test or questionnaire you can complete that will answer this question for you. If you assume you might be same-sex attracted, it’s important that you:

  • Don’t deny your feelings.
  • Take your time to explore your sexuality
    male-with-male

    Male to Male Sexual Feeling Across the Boundaries of Identity

    Explore the feelings of men toward other men without the pigeonholing found in terms appreciate “gay” and “straight”!Male to Male: Sexual Feeling Across the Boundaries of Individuality starts with the evidence that most studies on male sexuality have ignored--the same-sex feelings of men whose identities are heterosexual. Of the more than fifty men in this book, almost half were aware of some degree of same-sex feeling. But beyond percentages, the central focus of Male to Male is the exploration--through their own words--of how these men experienced gay feelings, what these feelings meant to them, the fears surrounding them, and the consequences of the collision between their heterosexual identities and their gay feelings.In addition to comparative data on women's lgbtq+ feelings, as well as on what men declare in regard to their feelings about women, Male to Male includes material from two in-depth case studies. The first is on Clark, an African-American man who moved into sex with men in prison. His story shows that the need to see gay men as feminine is really a cultural defense against the powerful pull towar

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