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Sexual trauma associated with fisting and recreational drugs

C E Cohen1, A Giles, M Nelson

  • 1Department of HIV Medicine, Kobler Outpatient Clinic, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK. cemcohen@hotmail.com

Sexually Transmitted Infections
|December 2, 2004
PubMed

Insights

High-risk sexual behaviors, including fisting and unprotected sex, are increasing among men who have sex with men (MSM), often with recreational drug use. This trend is linked to serious health complications in HIV-positive individuals.

Area of Science:

  • Sexual health
  • Public health
  • Infectious disease epidemiology

Background:

  • Rising incidence of high-risk sexual behaviors among men who have sex with men (MSM).
  • Concomitant use of recreational drugs alongside sexual activities.
  • Increased risk of sexually transmitted infections (STIs), including HIV.

Observation:

  • Three case studies of HIV-positive MSM presenting with complications.
  • Complications were directly linked to fisting practices.
  • These individuals engaged in unprotected anal intercourse with HIV-serodiscordant or unknown status partners.

Findings:

  • Fisting, a high-risk sexual behavior, can lead to severe health complications.
  • Recreational drug use may contribute to engaging in risky sexual practices.
  • HIV-positive MSM engaging in these behaviors face significant health risks.

Implications:

  • Need for targeted sexual health interventions for MSM.
  • Importance of harm reduction strategies addressing recreational drug use and sexual practices.
  • Enhanced clinical awareness and management protocols for complications arising from specific sexual behaviors are crucial.

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