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BARRIER METHODS FOR MEN WHO HAVE SEX WITH OTHER MEN
Depending on the study consulted, between 2 and 10 percent of the general population of men in the United States have sex with other men. They may be homosexual (have sex only with other men) or bisexual (have sex with both men and women). Some men may see themselves as heterosexual (have sex only with women) but occasionally have sex with male partners as well. As have lesbian women, men who have sex with other men have often had to evolve as sexual beings in an environment that has told them that what they are doing is wrong or immoral. That social pressure—along with the HIV epidemic, which in the United States and Europe initially hit the homosexual population the hardest—has made life difficult for many gay men in the last two decades.
Many men who have sex with other men have felt marginalized because of prejudice and excluded from traditional health care settings because of homophobia or the unvoiced assumption on the part of their health care providers that they are heterosexual. Health care providers do, unfortunately, sometimes bring their own prejudices into the work setting. Many health care providers do not receive education about STDs, let alone sensitivity training in dealing with sexual minority groups. This is not an excuse, but rather an unfortunate reality— one that is changing slowly.
For issues of sexual health, men who have sex with other men may choose to seek health care providers other than their regular providers, with whom they may feel uncomfortable being open about their sexuality. Clinics that provide health care primarily to men in same-sex relationships have come into existence since the 1980s for just this reason. Some men may feel more comfortable seeking sexual health care in county or city STD clinics, or in other settings where anonymity can be guaranteed. It is important for any person, irrespective of sexual orientation, to have a relationship with a nonjudgmental health care provider with whom he or she feels comfortable discussing these issues.
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