Sexual activities involving men who have sex with men (MSM), regardless of their sexual orientation or sexual identity, [1] can include anal sex, non-penetrative sex, and oral sex. Evidence shows that sex between men is significantly underreported in surveys. [2] [3]
Various sex positions may be performed during sexual activity between men. Evidence shows that sex between men is significantly underreported in surveys due to social desirability bias. [2] [3]
Historically, anal sex has been popularly associated with male homosexuality. Many MSM, however, do not engage in anal sex, and may engage in oral sex, frottage or frot, and/or mutual masturbation instead. [4] [5] [6]
Among men who have anal sex with other men, the partner who inserts his penis may be referred to as the top , the one being penetrated may be referred to as the bottom , and those who enjoy either role may be referred to as versatile . [7] When MSM engage in anal sex without using a condom, this is referred to as bareback sex. Pleasure, pain, or both may accompany anal sex. While the nerve endings in the anus can provide pleasurable feelings, an orgasm may be achieved through receptive anal penetration by indirect stimulation of the prostate. [8] [9] A study by the National Survey of Sexual Health and Behavior (NSSHB) indicated that men who self-report taking a receptive position during anal sex in their last encounter were at least as likely to have reached orgasm as men who adopted an insertive role. [10] A study sampling single people in the U.S. indicated that orgasm rates are similar among men across sexual orientations. [11] With regard to pain or being uncomfortable during anal sex, [12] some research indicates that, for 24% to 61% of gay or bisexual men, painful receptive anal sex (known as anodyspareunia) is a frequent lifetime sexual difficulty. [12]
Reports pertaining to the prevalence of anal sex among MSM have varied over time, with some percentages higher than others. [7] [13] [14] [15] A large percentage of gay and bisexual men self-report lifetime participation in anal sex. [7] Studies among gay men have indicated that percentages are similar when comparing men who prefer to penetrate their partners to those who prefer to be the receptive partner. [7] [16] Some men who have sex with men, however, believe that being a receptive partner during anal sex questions their masculinity. [17] [18]
There are a variety of non-penetrative sex practices. Frot is a sexual activity between men that usually involves penis-to-penis contact. [19] It is a form of frottage. Frot can be enjoyable because it mutually and simultaneously stimulates the genitals of both partners as it tends to produce pleasurable friction against the frenulum nerve bundle on the underside of each man's penile shaft, just below the urinary opening (meatus) of the penis head (glans penis). Intercrural sex is another form of non-penetrative sex that can be practiced between MSM. Docking (the insertion of one man's penis into another man's foreskin) is also practiced.
Manual sex is another non-penetrative sex act that can occur between men. This includes handjobs, which is the use of one's hands to stimulate someone else's penis or scrotum, and anal fingering, which is the use of one's fingers to stimulate someone's anus.
MSM may use sex toys. According to an online survey of 25,294 men who self-reported a homosexual or bisexual orientation, 49.8% have used vibrators. Most men who had used a vibrator in the past reported use during masturbation (86.2%). When used during partnered interactions, vibrators were incorporated into foreplay (65.9%) and intercourse (59.4%). [20]
MSM may engage in oral sex, including fellatio, which is using the mouth to stimulate another person's penis or scrotum, and anilingus, which is stimulating someone else's anus using the tongue and lips. Wellings et al. reported that "the equation of 'homosexual' with 'anal' sex among men is common among lay and health professionals alike," whereas an online survey of 18,000 MSM in Europe "showed that oral sex was most commonly practised, followed by mutual masturbation, with anal intercourse in third place." [4] A 2011 survey by The Journal of Sexual Medicine found similar results for U.S. gay and bisexual men. Kissing a partner on the mouth (74.5%), oral sex (72.7%), and partnered masturbation (68.4%) were the three most common behaviors, with 63.2% of the sample self-reporting five to nine different sexual behaviors during their last encounter. [21]
A variety of sexually transmitted infections (STIs) can result from sexual activity. [22] A 2007 study reported that two large population surveys found "the majority of gay men had similar numbers of unprotected sexual partners annually as straight men and women." [23] [24]
Some or all sexual acts between men are currently or were formerly classified as crimes in jurisdictions of some countries. In its December 2020 report, International Lesbian, Gay, Bisexual, Trans and Intersex Association (ILGA) found that certain sexual acts between men are criminalized in 67 of 193 UN member states and one non-independent jurisdiction, the Cook Islands, while two UN member states, Iraq and Egypt, criminalize it de facto but not in legislation. [25] [26] [27] In Egypt, there is no law against homosexuality but gay and bisexual men are prosecuted under other laws, most famously the Cairo 52. [28] [29] [30] In at least six UN member states—Brunei, Iran, Mauritania, Nigeria (only northern Nigeria), Saudi Arabia and Yemen—it is punishable by death. [25] [31] In 2007, five countries executed someone as a penalty for homosexual acts. [28] In 2020, ILGA named Iran and Saudi Arabia as the only countries in which executions for same-sex activity have reportedly taken place. [25] [32] [33] In other countries, such as Yemen and Iraq, extrajudicial executions are carried out by militias such as Islamic State or Al-Qaeda. [25] Many other countries had such laws in the past, but they were repealed, especially since 1945. [34] [35] Such laws are inherently difficult to enforce; [36] more often than not, they are not commonly enforced. [35]
Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure. Other forms of anal sex include anal fingering, the use of sex toys, anilingus, pegging, as well as electrostimulation and erotic torture such as figging. Although anal sex most commonly means penile–anal penetration, sources sometimes use anal intercourse to exclusively denote penile–anal penetration, and anal sex to denote any form of anal sexual activity, especially between pairings as opposed to anal masturbation.
Orgasm or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region characterized by sexual pleasure. Experienced by males and females, orgasms are controlled by the involuntary or autonomic nervous system. They are usually associated with involuntary actions, including muscular spasms in multiple areas of the body, a general euphoric sensation, and, frequently, body movements and vocalizations. The period after orgasm is typically a relaxing experience, attributed to the release of the neurohormones oxytocin and prolactin as well as endorphins.
Sexual intercourse is sexual activity involving the insertion and thrusting of the male penis inside the female vagina for sexual pleasure, reproduction, or both. This is also known as vaginal intercourse or vaginal sex. Sexual penetration has been known by humans since the dawn of time, and has been an instinctive form of sexual behaviour and psychology among humans. Other forms of penetrative sexual intercourse include anal sex, oral sex, fingering and penetration by use of a dildo, and vibrators. These activities involve physical intimacy between two or more people and are usually used among humans solely for physical or emotional pleasure. They can contribute to human bonding.
A sex toy is an object or device that is primarily used to facilitate sexual pleasure, such as a dildo, artificial vagina or vibrator. Many popular sex toys are designed to resemble human genitals, and may be vibrating or non-vibrating. The term sex toy can also include BDSM apparatus and sex furniture such as sex swings; however, it is not applied to items such as birth control, pornography, or condoms. Alternative terms for sex toy include adult toy and the dated euphemism marital aid. Marital aid also has a broader meaning and is applied to drugs and herbs marketed to enhance or prolong sex.
Frot or frotting is a gay sexual practice that usually involves direct penis-to-penis contact. The term was popularized by gay male activists who disparaged the practice of anal sex, but has since evolved to encompass a variety of preferences for the act, which may or may not imply particular attitudes towards other sexual activities. This can also be used as some type of foreplay.
Men who have sex with men (MSM) refers to all men who engage in sexual activity with other men, regardless of their sexual orientation or sexual identity. The term was created by epidemiologists in the 1990s, to better study and communicate the spread of sexually transmitted infections such as HIV/AIDS between all sexually active males, not strictly those identifying as gay, bisexual, pansexual or various other sexualities, but also for example male prostitutes. The term is often used in medical literature and social research to describe such men as a group. It does not describe any specific kind of sexual activity, and which activities are covered by the term depends on context. An alternative term, males who have sex with males is sometimes considered more accurate in cases where those described may not be legal adults.
Anal masturbation is an autoerotic practice in which a person masturbates by sexually stimulating their own anus and rectum. Common methods of anal masturbation include manual stimulation of the anal opening and the insertion of an object or objects. Items inserted may be sex toys such as anal beads, butt plugs, dildos, vibrators, or specially designed prostate massagers or enemas.
Obtaining precise numbers on the demographics of sexual orientation is difficult for a variety of reasons, including the nature of the research questions. Most of the studies on sexual orientation rely on self-reported data, which may pose challenges to researchers because of the subject matter's sensitivity. The studies tend to pose two sets of questions. One set examines self-report data of same-sex sexual experiences and attractions, while the other set examines self-report data of personal identification as homosexual or bisexual. Overall, fewer research subjects identify as homosexual or bisexual than report having had sexual experiences or attraction to a person of the same sex. Survey type, questions and survey setting may affect the respondents' answers.
Bareback sex is physical sexual activity, especially sexual penetration, without the use of a condom. The topic primarily concerns anal sex between men without the use of a condom, and may be distinguished from unprotected sex because bareback sex denotes the deliberate act of forgoing condom use.
Homosexuality is a sexual attraction, romantic attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" exclusively to people of the same sex or gender. It "also refers to a person's sense of identity based on those attractions, related behaviors, and membership in a community of others who share those attractions."
A vibrator, sometimes described as a massager, is a sex toy that is used on the body to produce pleasurable sexual stimulation. There are many different shapes and models of vibrators. Most modern vibrators contain an electric-powered device which pulsates or throbs. Vibrators can be used for both solo play and partnered play by one or more people. Devices exist to be used by couples to stimulate the genitals of both partners. They can be applied to erogenous zones, such as the vulva, vagina, penis, scrotum, or anus, for sexual stimulation, for the release of sexual frustration and to achieve orgasm. Vibrators may be recommended by sex therapists for women who have difficulty reaching orgasm through masturbation or intercourse.
A G-spot vibrator is a sex toy with female and male varieties. The female version of the device is built to massage the G-spot, described as a bean-shaped area of the vagina. Some women report that it is an erogenous zone which, when stimulated, can lead to strong sexual arousal, powerful orgasms and female ejaculation. The male version of the G-spot vibrator is used for massaging the prostate for both sexual and health-related reasons.
A double penetration dildo or double dildo is a type of sex toy used for double penetration, the simultaneous entry of two body orifices at the same time, belonging to either one or two people. It is a dildo designed in the form of two penetrative stimulators that are either separate or fixed on a single shaft. Some double penetration dildos include a vibrating motor that allows them to be used as double penetration vibrators.
In human sexuality, top, bottom, and versatile are roles during sexual activity, especially between two men. A top is usually a person who penetrates, a bottom is usually one who receives penetration, and someone who is versatile engages in either or both roles. These terms may be elements of self-identity that indicate an individual's usual preference and habits, but might also describe broader sexual identities and social roles.
Non-penetrative sex or outercourse is sexual activity that usually does not include sexual penetration. It generally excludes the penetrative aspects of vaginal, anal, or oral sex, but includes various forms of sexual and non-sexual activity, such as frottage, manual sex, mutual masturbation, kissing, or cuddling. Some forms of non-penetrative sex, particularly when termed outercourse, include penetrative aspects, such as penetration that may result from forms of fingering or oral sex.
Sexual activities involving women who have sex with women (WSW), regardless of their sexual orientation or sexual identity, can include oral sex, manual sex, or tribadism.
A same-sex relationship is a romantic or sexual relationship between people of the same sex. Same-sex marriage refers to the institutionalized recognition of such relationships in the form of a marriage; civil unions may exist in countries where same-sex marriage does not.
Human female sexuality encompasses a broad range of behaviors and processes, including female sexual identity and sexual behavior, the physiological, psychological, social, cultural, political, and spiritual or religious aspects of sexual activity. Various aspects and dimensions of female sexuality, as a part of human sexuality, have also been addressed by principles of ethics, morality, and theology. In almost any historical era and culture, the arts, including literary and visual arts, as well as popular culture, present a substantial portion of a given society's views on human sexuality, which includes both implicit (covert) and explicit (overt) aspects and manifestations of feminine sexuality and behavior.
The following outline is provided as an overview of and topical guide to human sexuality:
Since reports of emergence and spread of the human immunodeficiency virus (HIV) in the United States between the 1970s and 1980s, the HIV/AIDS epidemic has frequently been linked to gay, bisexual, and other men who have sex with men (MSM) by epidemiologists and medical professionals. It was first noticed after doctors discovered clusters of Kaposi's sarcoma and pneumocystis pneumonia in homosexual men in Los Angeles, New York City, and San Francisco in 1981. The first official report on the virus was published by the Center for Disease Control (CDC) on June 5, 1981, and detailed the cases of five young gay men who were hospitalized with serious infections. A month later, The New York Times reported that 41 homosexuals had been diagnosed with Kaposi's sarcoma, and eight had died less than 24 months after the diagnosis was made.
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