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However, gay men and men who have sex with men have some specific health concerns. Although your individual risks are shaped by many factors beyond your sexual orientation and practices including family history and age its important to understand common health issues for gay men and steps you can take to stay healthy. Introduction back in the early 1980s, while working at beth israel hospital, i vividly remember seeing healthy young gay men dying of a mysterious disease that researchers only later identified as a sexually transmitted disease aids. practicing safer anal sex is the best way to protect against hiv, stis, and other infections. For safer anal sex, use condoms or other barrier protection and lots of lube. Receptive anal sex is 18 times more risky for hiv acquisition than receptive vaginal sex gay, bisexual, and other men who have sex with men on average have a greater number of lifetime sexual partners. There are a number of health risks with anal sex, and anal intercourse is the riskiest form of sexual activity for several reasons, including the following the anus lacks the natural lubrication. Before having anal sex for the first time, make sure you are prepared. Find out the anal sex health risks and dangers, as well as how to prevent painful anal sex. A survey of gay and bisexual men by stonewall revealed that 1 in 3 men had never had an hiv test, and 1 in 4 had never been tested for any sti. Men who have sex with men (msm) should have a check-up at least every 6 months at a sexual health or genitourinary medicine (gum) clinic. anal sex can lead to orgasm, but that doesnt have to be the intended outcome. Definition the receptive partner in same-sex anal sex for cisgender gay men or transgender gay men, or vaginal sex with transgender gay men.