Healthy Sex in the LGBTQ+ Community: What You Need to Know About STIs
Sex is a normal part of life. Taking care of your sexual health should not be a source of shame or fear.
For men who have sex with men, some sexually transmitted infections (STIs) are more common, which makes regular testing and prevention especially important. The World Health Organization recommends a comprehensive approach that includes condoms and lubricants, testing, PrEP/PEP, vaccination, and access to treatment as important components of prevention. (World Health Organization)
Which infections are common?
Common sexually transmitted infections include:
- HIV
- Syphilis
- Gonorrhea
- Chlamydia
- Hepatitis B and C
- HPV (human papillomavirus)
- Herpes
It is important to remember that having no symptoms does not mean there is no infection. Many STIs can be asymptomatic, which is why testing is important even when you feel completely healthy. (CDC)
Condoms and lubricant
Condoms are one of the most effective ways to reduce the risk of most STIs, including HIV. During anal sex, using enough suitable lubricant is especially important because it can help reduce tissue damage and the risk of condom breakage. The World Health Organization recommends water- or silicone-based lubricants. (World Health Organization)
However, condoms do not provide 100% protection against every infection. Some infections can also be transmitted through contact with areas of skin that are not covered by a condom. (World Health Organization)
PrEP and PEP: HIV prevention
PrEP is preventive medication for people who do not have HIV that reduces the risk of acquiring the virus.
It is important to remember that PrEP protects against HIV, but not against other STIs. Testing and other prevention methods therefore remain important. (World Health Organization)
PEP is emergency preventive treatment following a possible exposure to HIV. It should be started as soon as possible and no later than 72 hours after a possible exposure. The course usually lasts 28 days. (CDC)
What about Doxy-PEP?
Doxy-PEP is a relatively new strategy for preventing some bacterial STIs by taking doxycycline after sex.
According to current CDC guidance, healthcare providers should discuss Doxy-PEP primarily with gay, bisexual, and other men who have sex with men, as well as transgender women, who have been diagnosed with a bacterial STI during the previous 12 months. Studies have found that Doxy-PEP can reduce the risk of syphilis and chlamydia, and some studies have also found an effect against gonorrhea. (CDC)
Do not take this medication on your own. The decision to use Doxy-PEP should be made together with a healthcare professional, taking into account your individual circumstances, other medications, and the need for regular testing.
Vaccination is also part of sexual health
Effective vaccines are available against some infections that can be sexually transmitted, particularly hepatitis B and HPV. Depending on your age, vaccination history, and other individual factors, a healthcare professional may also recommend additional vaccines. (World Health Organization)
How often should you get tested?
There is no single testing schedule that works for everyone. How often you should get tested depends on your sexual activity, number of partners, types of sexual activity, and other factors.
Current CDC guidance for men who have sex with men recommends testing for syphilis, gonorrhea, and chlamydia at least once a year. For people who have multiple or anonymous partners, testing more frequently — for example, every 3–6 months — may be appropriate. HIV testing is also recommended at least annually, and more frequently for some people. (CDC)
It is important to tell your healthcare provider what types of sex you have. After oral or anal sex, throat or rectal swabs may be needed — a blood or urine test alone is not sufficient to detect every infection. (CDC)
Where can you get tested in Israel?
The Israeli Ministry of Health publishes a list of recognized HIV testing centers and clinics that provide testing related to sexually transmitted infections.
According to the Ministry of Health, STI testing is available free of charge at the clinics listed, and the first HIV test is performed anonymously. Before visiting, it is recommended to check the latest opening hours and service requirements. (Israel Ministry of Health)
The bottom line
Healthy sex does not mean there is zero risk. It means understanding the risks and managing them consciously.
Condoms. Lubricant. PrEP and PEP. Vaccination. Regular testing. Open conversations with partners and healthcare professionals. And timely treatment when an infection is detected.
STIs are a medical issue — they do not define a person. It is okay to get tested. It is okay to get treatment. And it is okay to talk about sexual health.
GAYIL — for sex without shame, more information, and taking care of ourselves and our community.
This article provides general information and does not replace medical advice. Specific prevention methods, testing, and treatment should be determined according to your individual circumstances and the latest medical guidance in Israel.