Male-with-male
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 formidable 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 demonstrate their sexuality.
It’s essential to remember:
- There are lgbtq+ men in every customs and every country.
- Being queer is just a build 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 false 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 ponder you might be queer , it’s important that you:
- Don’t deny your feelings.
- Take your time to explore your sexuality
- 3-monthly testing for STIs is recommended in all men who have had any type of sex with another dude 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
Gay men and other men who hold sex with men
Abebe- an international scholar 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 several male partners (if asked for more detail – 4/5 partners, both insertive and receptive anal and oral sex, infrequent condom use). Abebe is feeling confused and uncertain about his sexuality and would never have felt easy 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. Impair reduction education is provided regarding drug use and linked into community organisation for ongoing support.
Clinical in
Male to Male Sexual Feeling Across the Boundaries of Identity
Explore the feelings of men toward other men without the pigeonholing found in terms like “gay” and “straight”!Male to Male: Sexual Feeling Across the Boundaries of Identity 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 novel, almost half were aware of some degree of same-sex feeling. But beyond percentages, the principal focus of Male to Male is the exploration--through their have words--of how these men experienced same-sex 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 statistics on women's same-sex feelings, as well as on what men say 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 deserve to see gay men as feminine is really a cultural defense against the powerful yank towar