1. Sexual Health OSCE Gay Mens Sexual Health And a bit about Gay Females

2. Aims & Objectives Understand the distinction between the terms "gay" and "men who have sex with men" Have appreciated why gay men are reluctant to use primary care services, and considered how you can make your practice more "gay friendly" Know what health issues are particularly important to men who have sex with men Have considered how to tackle difficult issues sensitively and without prejudice.

3. Sexual Practices Fisting Rimming Oral sex Anal/Thigh intercourse S&M – sadomasochism, leather Sex Toys - CloneZone Water sports/Skat Notes: Handkerchiefs - outdated Clones – the new clone? Bars & Clubs, Saunas, Toilets, Cruising Parks, laybys, INTERNET (gay.com, gaydar) SIMILAR STUFF TO STRAIGHTS REALLY

4. Route of Exposure to HIV Route New Diag 2002 Cumulative Heterosexual sex3,305( 58%)19,995 ( 33%) Sex between men 1,691 ( 30%)30,465 ( 51%) Mother to baby100 ( 2%)1,023 ( 2%) Injecting drug use104 ( 2%)4,028 ( 7%) Blood transf. 25 ( 0%)1,740 ( 3%) Undetermined/other485 ( 8%)2,246 ( 4%) TOTAL5,71159,497

5. Ethnicity Numbers White16,159 (53%) Black African9,640 (32%) Other/Mixed1,110 (4%) Black-Caribbean878 (3%) Black-Other463 (1%) Indian/Pakistani/ Bangladeshi/Asian or Oriental334 (1%) Other Asian/ Oriental337 (1%) Not Known1,360 (5%)

6. Gay Slang QUIZ

7. Bear – a type some men go for

8. Clones – usually men with moustaches

9. Clone 2 – the modern clone, no moustache, skin head, slim, tight t-shirt

10. Cottage = toilet

11. Cruising in parks

12. Cub – a young bear who is typically thinner and more cute (often they go for bears)

13. Diva

14. Drag king/butch/dyke

15. Drag queen

16. Metrosexual – str8 man who looks gay

17. Muscle Mary – muscled gay bloke

18. Queen – need I say more?

19. Stromo – homosexual who acts and dresses str8

20. Tranny = transvestite

21. Twink = young pretty gay man

22. Woman to Woman Woman to woman sexual activity is not risk free Allergic Vaginitis Bacterial Vaginosis (BV) Trichomoniasis Genital Warts Pubic Lice (Crabs) Yeast Infections (Thrush) Pelvic Inflammatory Disease (PID) Chlamydia Gonorrhoea Hepatitis Herpes HIV/AIDS Syphilis

23. Good links www.tht.org.uk http://www.playingsafely.co.uk/