Transcript gay sexual health and slang

Sexual Health OSCE
Gay Men’s Sexual Health
And a bit about Gay Females
Aims & Objectives
• Understand the distinction between the terms
"gay" and "men who have sex with men"
• Have appreciated why gay men are reluctant to
use primary care services, and considered how
you can make your practice more "gay friendly"
• Know what health issues are particularly
important to men who have sex with men
• Have considered how to tackle difficult issues
sensitively and without prejudice.
Sexual Practices
• Fisting
• Rimming
• Oral sex
• Anal/Thigh intercourse
• S&M – sadomasochism, leather
• Sex Toys - CloneZone
• Water sports/Skat
Notes:
• Handkerchiefs - outdated
• Clones – the new clone?
• Bars & Clubs, Saunas, Toilets, Cruising Parks, laybys, INTERNET
(gay.com, gaydar)
SIMILAR STUFF TO STRAIGHTS REALLY
Route of Exposure to HIV
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Route
New Diag 2002 Cumulative
Heterosexual sex
3,305( 58%) 19,995 ( 33%)
Sex between men
1,691 ( 30%) 30,465 ( 51%)
Mother to baby
100 ( 2%)
1,023 ( 2%)
Injecting drug use
104 ( 2%)
4,028 ( 7%)
Blood transf.
25 ( 0%)
1,740 ( 3%)
Undetermined/other
485 ( 8%)
2,246 ( 4%)
TOTAL
5,711
59,497
Ethnicity Numbers
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White
Black African
Other/Mixed
Black-Caribbean
Black-Other
Indian/Pakistani/
Bangladeshi/Asian or Oriental
• Other Asian/ Oriental
• Not Known
16,159 (53%)
9,640 (32%)
1,110 (4%)
878 (3%)
463 (1%)
334 (1%)
337 (1%)
1,360 (5%)
Gay Slang
QUIZ
Bear – a type some men go for
Clones – usually men with
moustaches
Clone 2 – the modern clone, no
moustache, skin head, slim, tight t-shirt
Cottage = toilet
Cruising in parks
Cub – a young bear who is typically thinner and
more cute (often they go for bears)
Diva
Drag king/butch/dyke
Drag queen
Metrosexual – str8 man who looks
gay
Muscle Mary – muscled gay bloke
Queen – need I say more?
Stromo – homosexual who acts
and dresses str8
Tranny = transvestite
Twink = young pretty gay man
Woman to Woman
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Woman to woman sexual activity is not risk free
Allergic Vaginitis
Bacterial Vaginosis (BV)
Trichomoniasis
Genital Warts
Pubic Lice (Crabs)
Yeast Infections (Thrush)
Pelvic Inflammatory Disease (PID)
Chlamydia
Gonorrhoea
Hepatitis
Herpes
HIV/AIDS
Syphilis
Good links
• www.tht.org.uk
• http://www.playingsafely.co.uk/