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Gay Health

Jorge Finke, MD Reviewed 06/2022
 


BASICS

  • Men who have sex with men (MSM) are estimated to comprise 4% of the U.S. population, but this number is likely higher because many men don't disclose male-male sexual activity.

  • MSM are less like...

DIAGNOSIS

  • STIs

    • STIs among MSM are increasing. In 2018, MSM accounted for approximately 64% of reported primary and secondary syphilis cases. Behaviors that increase risk of non-HIV STIs also increase r...

ONGOING CARE

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

  • Individualize ...

REFERENCES

1
Workowski  KA, Bolan  GA; for Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep.  2015;64(R...

ADDITIONAL READING

  • Chou R, Evans C, Hoverman A, et al.  Pre-Exposure Prophylaxis for the Prevention of HIV Infection: A Systematic Review for the U.S. Preventive Services Task For...

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 gay, bisexual, and MSM with the same comprehensive primary care delivered to all patients.

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

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