"It was with a couple of guys I'd met before. Those using PrEP are confident they are safe having unprotected sex. At 45, I'm slowing down and feel glad in that I'm not so often infected, but sad that I'm more lonely and isolated." "I've been addicted to sex for years so have had hundreds of partners and regularly got STIs. "I rarely use condoms, but I have the conversation," says James, 45, from Edinburgh. Sexual health advocates say safer sex tools need to be made available to the community to negotiate the environment when communication is less possible. Anonymous hookups mean often that gay and bisexual men do not have conversations about their sexual health beforehand. The use of dating apps like Grindr has also had an effect on risk. HIV-negative men on PrEP, and HIV-positive men who have an undetectable viral load-meaning they cannot pass on the infection due to their HIV treatment-can have condomless sex without risk.
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The advent of the HIV-prevention drug PrEP, pre-exposure prophylaxis, means that gay and bisexual hookup culture, which previously relied solely on protection to avoid HIV (the only other option being abstinence), has changed. For others, risk is measured by rejection for not being sexy enough, fit enough or interesting enough," he added. "Some only associate risk with HIV others consider all STIs to be a potential risk. "We all measure risk differently," said David Stuart, well-being program curator for 56 Dean Street, a London-based health clinic specializing in services for gay and bisexual men. Same-sex couples who are married or in committed long-term relationships may choose not to use condoms when having sex with each other. Related: Cancer and sex: Why is nobody talking about it?ĭespite the majority admitting their last sexual encounter was without a condom, this did not always indicate unprotected sex was necessarily dangerous. Twenty-seven percent consider themselves to throw caution to the wind in their sex lives. The numbers, collected by the U.K.-based gay men's health charity Gay Men Fight Aids (GMFA), surveyed 500 gay and bisexual men, asking them about the risk involved in their sex lives. In a new survey of sexual behavior, two-thirds (65 percent) of gay and bisexual men said they didn't use a condom the last time they had anal sex, with more than a quarter considering themselves to have a "risky sex life," including sex with partners who are HIV-positive.