Having an STD (like gonorrhea) makes it easier to get HIV or give it to others, so it’s important that you get tested to protect your health and the health of your partner. The only way to know your STD status is to get tested (you can search for a testing site). There are a number of tests you can get to help you know your status and, if you have HIV or an STD, get treatment.Īll sexually active gay and bisexual men should be tested regularly for STDs. Top of Page Which tests are recommended to help ensure the sexual health of gay and bisexual men? If you are HIV-positive, being on the top without a condom is riskier for giving HIV to your partner. However, if you are HIV-negative, bottoming without a condom puts you at much greater risk for getting HIV than topping. During anal sex, it’s possible for either partner-the insertive (top) or the receptive (bottom) to get HIV. Most gay, bisexual, and other men who have sex with men get HIV by having anal sex, which is the riskiest type of sex for getting or spreading HIV. Too many men don’t know their HIV or STD status (if they have a disease or not), which means they may not get medical care and are more likely to unknowingly spread these diseases to their sexual partners. The large percentage of gay, bisexual, and other men who have sex with men who have HIV and STDs means that, as a group, they have a higher chance of being exposed to these diseases. In 2012, 75% of reported syphilis cases were among gay and bisexual men. Further, young gay, bisexual, and other men who have sex with men 13-24 had over 72% of the estimated new HIV infections in 2010. In fact, gay, bisexual, and other men who have sex with men make up more than half of the people living with HIV in the United States and experience two thirds of all new HIV infections each year. These reasons and others may prevent you from seeking testing, prevention and treatment services, and support from friends and family. Fear of talking about your sexual practices or orientation.Heightened concerns about confidentiality.Lack of access to culturally- and orientation-appropriate medical and support services.Discrimination (unfairly treating a person or group of people differently).Stigma (negative and usually unfair beliefs).Other factors that can negatively impact your health and ability to receive appropriate care: Gay, bisexual, and other men who have sex with men on average have a greater number of lifetime sexual partners.Receptive anal sex is 18 times more risky for HIV acquisition than receptive vaginal sex.Prevalence of HIV among sexual partners of gay, bisexual, and other men who have sex with men is 40 times that of sexual partners of heterosexual men.There are many reasons why gay, bisexual, and other men who have sex with men may have higher rates of HIV and STDs. Higher rates of HIV and other sexually transmitted diseases (STDs).However, compared to other men, gay, bisexual and other men who have sex with men are additionally affected by:
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For all men, heart disease and cancer are the leading causes of death.
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