Gay & Bisexual Men Sex
What are gay relationships like?
Just as heterosexual relationships vary greatly so too do gay relationships. There are many stereotypes
surrounding gay relationships, fueling homophobia. 1Not only are stereotypes harmful, but they are largely
inaccurate. 2 3 As with heterosexual couples, gay relationships can be short-lived or long-term, and although
gay men can have multiple sexual partners, many choose to be in monogamous relationships. 4 5 6 Regardless
of sexual orientation, everyone has their own preferences when it comes to sex, and a person's sexual and
emotional needs may alter over time. 7 8
hands or in any way touched each other, other than to turn each other on to have an orgasm" Jason
someone who they were with .. someone special." Dean
These same notions, however, do not protect young men from being infected with HIV. In reality these
Both heterosexual and homosexual men can enjoy a wide range of sexual activities, including kissing,
massaging and rubbing each other, masturbation and mutual masturbation, giving and receiving oral sex,
using sex aids, penetrating with fingers, and anal intercourse. The common perception that gay relationships
always involve anal sex is incorrect and many men in gay relationships do not have anal sex at all.
In heterosexual relationships, it is a common expectation that it is the male role to push for penetrative sex
and the female role to resist until she is ready. Young people naturally believe that there must be equivalent
roles in gay relationships; that one man is dominant and the other submissive. In fact, this need be no more
true of gay relationships than it is of heterosexual relationships.
Anal sex in gay relationships
Some people presume that sex between men will involve anal penetration. This is often not the case and many
gay men don't see anal sex as a necessary part of their sexual relationship. A national study carried out in
Britain in the 1990s discovered that between a quarter and a third of homosexual men have never had anal
sex as either the penetrative or receptive partner. 9between a quarter and a third of
homosexual men have never had anal sex.
Research with young gay men carried out in the UK in the early 1990s 10revealed a strong belief that anal sex
would be a large element of any gay relationship. However, many of the participants said that this was not what
they wanted, and found that it was not necessarily an expectation of the other person.
new partner, you'd think, oh f**k, here we go ... I didn't think that men actually kissed each other or held"I definitely thought that anal sex would be a big element of a gay relationship. Every time you met a
hands or in any way touched each other, other than to turn each other on to have an orgasm" Jason
However whilst many of the gay men participating in the study were pleased to discover that anal sex wasn't an
expectation in their early relationships, they were usually very clear about the particular circumstances under
which they would agree to penetrative sex. Much of this seemed to be based around a concept of the 'right'
time and included notions of trust, respect, 'saving it', sharing yourself and 'doing it with someone special'.
Anal intercourse appears to be seen by many young gay men (at least before they start having penetrative sex)
as a similar marker of a 'committed' loving relationship that is encouraged in young people when there is
discussion of (vaginal) sexual intercourse.
and not just anyone. Like losing your virginity, say. A lot of people would want to lose their virginity to"If I was to have anal intercourse I would want to have it with someone who I really appreciated and liked,
someone who they were with .. someone special." Dean
These same notions, however, do not protect young men from being infected with HIV. In reality these
notions can directly contradict safer sex messages, which may be vital for young men to act on:
who actually wanted me. A man who wanted me. But this was pure fantasy. It was almost like I couldn't
be so rude as to suggest that anyone else was like me. This lowest form of life. Which is why it was such
a shock when people were openly gay. It doesn't bother you?!!"Luke
amount of time. Or if you've been seeing somebody for quite a while, that if you insist on using condoms,"I think there is almost a sense that sex is safe as long as you've been with a person for a certain
then you don't really love them. You're letting them down somehow and it's not as close." Rob
Perceptions of gay relationships
In Britain, in the United States, in Australia, and in European countries such as Norway, the Netherlands and
among the first to be affected by HIV. For many people in Britain the reporting of HIV and the prevailing climate
towards gay people only served to reinforce assumptions about gay men and their sex lives.
As a result of this many young gay men grew up with strongly held preconceptions of gay relationships. 11
"I couldn't relate to two men having a relationship. You think that's only sex" Michael
concept of a man having a relationship with another man ... I sort of fantasised about meeting someone"I really had no concept of what gay was. I had this idea that it was a sodomite or something. I had no
who actually wanted me. A man who wanted me. But this was pure fantasy. It was almost like I couldn't
be so rude as to suggest that anyone else was like me. This lowest form of life. Which is why it was such
a shock when people were openly gay. It doesn't bother you?!!"Luke
I'd end up friends with a whole lot of people." Daniel"I thought that the minute I started seeing someone I would have to leap into bed ... I never thought that
Gay men and HIV/AIDS
In many countries, men who have sex with men have been heavily affected by HIV and AIDS. HIV prevalence
among men who have sex with men has been found to be as high as 25% in Ghana, 30% in Jamaica, 43% in
coastal Kenya and 25% in Thailand. 12In the USA, Canada, Australia, New Zealand and many parts of Western
Europe, more people have become infected with HIV through male-male sex than through any other transmission
route. 13
On the basis of these figures gay men have been stigmatised for being promiscuous and taking unnecessary
sexual risks. However, evidence suggests that on the contrary gay men have been very sensitive and responsive
in regard to safer sex promotion, which has been shown to significantly increase condom use among men who
have sex with men. 14 15The high rate of infection reflects a complex relationship between a lack of information,
particularly in the early days of the epidemic, patterns of sexual activity, the risk of infection and prevalence of
the virus among gay men.
In response to the global AIDS epidemic and increased awareness about the high HIV risks of anal sex, many
gay men who previously had penetrative sex altered their behaviour. 16 17However, HIV infection rates among
men who have sex with men in many Western countries have increased in recent years, which can be attributed
partly to increases in high risk sexual behaviours such as anal sex. 18 19Maintaining safer sex practices requires
the continued reinforcement of HIV prevention messages and services, which are failing to reach a great number
of gay men around the world. 20It is also suggested that the availability and effectiveness of antiretroviral drugs
has led many gay men to underestimate the consequences of HIV infection. 21The urgent need for HIV
prevention among men who have sex with men is not just apparent in Western countries; sex between men is
a primary HIV transmission route in Latin America, and there is growing evidence that male-male HIV
transmission is a significant problem in Eastern Europe, Asia and Africa.
Problems with practicing safer sex
The primary mode of transmission of HIV between men is through anal sex without a condom (sometimes
called "bare back sex"). For young gay men there may be particular problems with trying to practice safer sex.
Some young gay men may not feel secure about obtaining or using extra strong condoms for anal sex because
if they are seen purchasing or in possession of them it might be interpreted as a disclosure of gay identity. They
also rarely have the benefit of sex educationin school in which sexual behaviour between same-sex partners is
discussed. This can make it very hard for young gay men to feel comfortable about negotiating safer sex.
left it at that, and I discovered that going to toilets, cottaging, that I could meet people, which is what I
wanted." Tim
put a condom on." Matt
people who were young. Because they've not had any experience, they don't know about safe sex and
stuff like that." Mark
And that was it! That was the first time I'd heard of it." Tariq"The only passing comment was men and women do it up the vagina and gay men do it up the arsehole!
education. Maybe some information that could help me. But I got nothing. There was nothing. So I just"I was waiting and expecting to hear something on homosexuality, safe sex and different things in sex
left it at that, and I discovered that going to toilets, cottaging, that I could meet people, which is what I
wanted." Tim
Some young gay men believe that having fewer partners and being monogamous is adequate protection against
HIV. 22 Research in the UK 23suggests that significantly more young gay men are in closed or monogamous
relationships than older men. This may explain why some young men are getting infected because it's within
these relationships that some of them are having unprotected anal sex. This is often on the basis of assumed
negative HIV status.
The young gay men participating in the study were also asked whether they associated AIDS more with older
men. They were almost unanimous in their dismissal of the idea that they were less vulnerable to HIV than older
people. A number of the young men suggested that they were at greater risk than their older counterparts,
perhaps reflecting a different version of the same stereotypes about youthful recklessness.
the case. But ... younger people may, I don't know, sleep around, or, in the heat of the moment forget to"You seem to assume that younger people have more sex than older people. Which isn't necessarily
put a condom on." Matt
Many of them were also aware that young people miss out on the information which encourages safer behaviour
and this was also used to explain why younger men might be at greater risk.
penetrated them, without a condom. Because you're young and naive. So I would assume it would affect"I think it would affect younger people because when I first come out I went with someone in the toilet,
people who were young. Because they've not had any experience, they don't know about safe sex and
stuff like that." Mark
Problems with sticking to safer sex
The status of a relationship can affect gay men's commitment to having protected anal sex. For young gay
men there is often a shift from a situation where there was a great fear associated with having anal sex
(and little information available about safer sex), to a position where once people are 'out', the information
available reassured them about having penetrative sex. A decision never to have anal sex often changes
to a decision to always have protected sex. Once in relationships this position changes again such that at
certain times with certain people unprotected anal intercourse may take place. What is clear is that an overriding
determination always to have protected anal sex does not always translate into action when in relationships.
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