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The range of sexual dysfunctions encountered in gay men and lesbians is the same as that found in men and women in general, and the skills needed to help them are the same. That said, there are areas of concern, both for patients and doctors, that merit particular consideration. People may encounter problems when they become aware of their homosexual orientation and try to match it to their view of an ideal self. If this occurs in adolescence it may be useful to offer counselling to help with the readjustment in life that may be required. However tolerant our society may become, being openly gay still has major implications for future career and family life.
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Health issues for gay men and men who have sex with men - Mayo Clinic

You can use this work for any purpose, as long as it is not primarily intended for or directed to commercial advantage or monetary compensation. You should also provide attribution to the original work, source and licence. Credit: A naked man lies on a bed with two further smaller photographs of two men having anal sex representing a warning about the dangers of HIV infection to the gay male community from the AIDS Council of New South Wales. Colour lithograph.
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The Biggest Myth About Gay Sex

Men who have sex with men MSM , also known as males who have sex with males , are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves. The term MSM was created in the s by epidemiologists to study the spread of disease among men who have sex with men, regardless of identity. It does not describe any specific sexual activity, and which activities are covered by the term depends on context. First, it was pursued by epidemiologists seeking behavioral categories that would offer better analytical concepts for the study of disease-risk than identity-based categories such as "gay", " bisexual ", or "straight" , because a man who self-identifies as gay or bisexual is not necessarily sexually active with men, and someone who identifies as straight might be sexually active with men.
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A total of 23 articles met our inclusion criteria. Despite limited focus in the extant literature, this review notes the important role contextual factors masculinity stereotypes, power, partner type, and HIV status likely play in influencing sexual positioning identity and practices. Through this review we offer an initial synthesis of the literature describing sexual positioning identities and practices and conceptual model to provide insight into important areas of study through future research.
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