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Gay Health

Stacy P Rubin, MD Reviewed 04/2024
 


BASICS

  • Men who have sex with men, or MSM, is a clinical term that refers to sexual behavior alone, regardless of sexual orientation, as MSM may include men who identify as gay, bisexual, or heterosexu...

DIAGNOSIS

  • Sexually transmitted infections (STI)

    • Taking a detailed sexual history is of paramount importance in LGBTQ individuals. The CDC suggest the 5Ps approach (partners, practices, protection from ...

ONGOING CARE

  • Establish with patients that information related to sexual orientation is asked confidentially of all patients to assist in providing them the best care.

  • Take an inclusive and complete sex...

REFERENCES

1
Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR. Recommendations and Reports. 2021;70(4):1–187. doi:10.15585/mmwr.rr7004a1
2
Ce...

ADDITIONAL READING

  • Compton WM, Jones CM. Substance Use among Men Who Have Sex with Men. N Engl J Med. 2021;385(4):352-356.

  • PEP to prevent HIV infection. AIDS Institute Cl...

SEE ALSO

CODES

ICD10

  • Z11.59 Encounter for screening for other viral diseases

  • Z11.4 Encounter for screening for human immunodeficiency virus

  • Z72.52 High risk homosexual behavior

  • Z20.2 Contact w and exposure to infe...

CLINICAL PEARLS

  • Provide MSM patients with the same comprehensive primary care delivered to all patients.

  • All sexually active MSM should be offered annual screening for HIV, syphilis, rectal and urethra...

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