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Patients may need to give written consent for testing after counseling has been provided, which includes discussion of the ramifications of a positive test such as deportation of non-US citizens. Abstract Men who have sex with men have special health-care issues and are at high risk for sexually transmitted infections. Many MSM will have experienced a past history of psychological or physical abuse as a result of their sexuality. Author information Copyright and License information Disclaimer. Sitting in your office, a patient may seem at ease with his sexuality—until you tell him that he has an STI. Had these patients not been screened for STIs, most infections would have been missed.

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Danica. Age: 27.
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While they might be symptom-free during bowel movements, their sex life is affected.

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Kalani. Age: 31.
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Or you may prefer to preface this portion of the history by informing the patient that you need to ask personal questions—questions that you ask all your patients. It is not uncommon for MSM to use and occasionally abuse enemas for hygiene or autoerotic activity. Screening in this population for HIV, gonorrhea, chlamydia, and syphilis should occur on an at least annual basis and possibly more frequently if the situation warrants.

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