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As I think back on the past 24 years of providing couples counseling for gay male relationships, I sometimes get asked what the differences are that I see in general in gay male relationships that are again, in general , different from straight relationships. These are the issues that come up repeatedly in couples counseling sessions:.
Men who have sex with men MSM , also known as males who have sex with males , are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves; many such men do not sexually identify as gay , homosexual or bisexual. The term was created in the s by epidemiologists to study the spread of disease among men who have sex with men, regardless of identity.
In the popular discussion of gay sexuality, anal sex looms large. It is used to categorically ban them from donating blood.
For example, straight lady Sharon, who you've met on a night out and is adamant her one gay friend Jerry is a perfect match for you, wondering, like, what you actually do in the bedroom. Before we continue, I solemnly swear that this is all factually correct and not at all a made-up account playing off the stereotypes I have encountered when asked these questions.
A married man of 21 years is sitting across from me in my office. His wife is horribly upset and has threatened to leave him.
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