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Diagnosis and Treatment |

Sexually Transmitted Diseases and Traumatic Problems in Homosexual Men

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▸Requests for reprints should be addressed to William F. Owen, Jr., M.D.; 1580 Valencia Street, Suite 202; San Francisco, CA 94110.

San Francisco, California

Ann Intern Med. 1980;92(6):805-808. doi:10.7326/0003-4819-92-6-805
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In addition to gonorrhea and syphilis, both of which may develop primarily at anorectal or pharyngeal sites, a number of conditions, including Neisseria meningitidis urethritis, nonspecific urethritis, anorectal herpes, condyloma acuminatum, amebiasis, giardiasis, shigellosis, typhoid fever, enterobiasis, and hepatitis A and B, have been identified as being transmitted by male homosexual contact. Proctologic complications of anal intercourse include allergic reactions to anal lubricants, prolapsed hemorrhoids, anal fistulas, and fissures. Rectosigmoid tears may result from fist, forearm, and foreign body penetration of the bowel. Physicians can best help their homosexual patients by accepting them and their relationships nonjudgmentally and by understanding their special health needs.





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