By Mayo Clinic Staff
Understand important health issues for gay men and men who have sex with men — from sexually transmitted infections to depression — and get tips for taking charge of your health.
All men face certain health risks. 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 — it's important to understand common health issues for gay men and steps you can take to stay healthy.
Protect yourself from sexually transmitted infections
Men who have sex with men are at increased risk of contracting HIV, the virus that causes AIDS, as well as other sexually transmitted infections, including hepatitis, human papillomavirus (HPV), herpes simplex, gonorrhea, chlamydia and syphilis.
To protect yourself from sexually transmitted infections:
Use only water-based lubricants, not petroleum jelly, hand lotion, cold cream or oils. Oil-based lubricants can weaken latex condoms and cause them to break. Don't share sex toys, and keep them safe by protecting them with a condom and cleaning them before and after every use.
Not all sexually transmitted infections are prevented by vaccines, however. Hepatitis C is not covered by any vaccine and can lead to liver failure, liver cancer and death. The HPV vaccine is available to men up to age 26. HPV is associated with anal cancer in men who have sex with men.
Testing is important because many people don't know they're infected, and others might not be honest about their health.
Different types of tests have a different "window period," the period of time between HIV infection and when signs of the infection show up on a test. Being tested during this time might result in a false negative. It is possible to transmit the HIV infection to someone during this period.
When used to help prevent HIV infection, Truvada is only appropriate if your doctor is certain you don't already have an HIV or hepatitis B infection. The drug must also be taken daily exactly as prescribed. And it should only be used along with other prevention strategies such as condom use every time you have sex.
Gay men and men who have sex with men might be at higher risk of depression and anxiety. In addition, youth who identify themselves as lesbian, gay, bisexual or transgender might have a higher risk of depression and attempted suicide.
Contributing factors could include social alienation, discrimination, and rejection by loved ones, abuse and violence. The problem might be more severe for men who try to hide their sexual orientation and those who lack social support.
Left untreated, depression can lead to risky sexual behavior and a downward spiral of emotional, behavioral, health, and even legal and financial problems. If you think you might be depressed, talk to your doctor or seek help from a mental health provider.
If you're reluctant to seek treatment, confide in a trusted friend or loved one. Sharing your feelings might be the first step toward getting treatment.
Address body image concerns
Gay men are more likely to experience body image problems and eating disorders, such as anorexia and bulimia nervosa, than are their straight counterparts.
One potential explanation is that gay men identify with the cultural value placed on an ideal — yet often unattainable — body image. Gay men might also be more likely to view their bodies as sexual objects, which can lead to dissatisfaction and poor body image.
If you're struggling with body image concerns or an eating disorder, get help. Talk to your doctor or a mental health provider about treatment options.
Seek help for substance abuse
Gay and bisexual men might face unique risk factors for substance abuse, such as:
Recognize domestic violence
Domestic violence can affect anyone in an intimate relationship. Warning signs specific to gay men might include a partner who:
Staying in an abusive relationship might leave you depressed, anxious or hopeless. If you don't want to disclose your sexual orientation, you might be less likely to seek help after an assault. Still, the only way to break the cycle of domestic violence is to take action — the sooner the better.
If you're a target of domestic violence, tell someone about the abuse, whether it's a friend, loved one, health care provider or other close contact. Consider calling a domestic violence hotline and creating a plan to leave your abuser.
Make routine health care a priority
Don't let fear of homophobia or the stigma associated with homosexuality prevent you from seeking routine health care. Instead, take charge of your health.
Look for a doctor who puts you at ease. Identify yourself as gay or bisexual, and ask about routine screenings recommended for men in your age group — such as blood pressure and cholesterol measurements and screenings for prostate, testicular and colon cancer.
If you're not in a long-term, mutually monogamous relationship, schedule regular screenings for sexually transmitted infections. Share any other health concerns you might have with your doctor as well. Early diagnosis and treatment help promote long-term health.