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Top of Page What other steps can I take to protect my health? If you have HIV, the Treatment Works-Get In Care page also has useful information. CDC’s Lesbian, Gay, Bisexual and Transgender Health Services page has resources that can help you find health care providers that are skilled in providing health services to gay and bisexual men. You should have a doctor or provider you are comfortable with. Talk with your doctor about getting vaccinations for Hepatitis A and B, and HPV. Your doctor can offer you the best care if you discuss your sexual history openly. If you have more than one partner or have had casual sex with people you don’t know, you should be screened more often for STDs and may benefit from getting tested for HIV more often (for example, every 3 to 6 months). Sometimes your doctor or health care provider may suggest a herpes blood test.
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However, if you are HIV-negative, bottoming without a condom puts you at much greater risk for getting HIV than topping. During anal sex, it’s possible for either partner-the insertive (top) or the receptive (bottom) to get HIV. Most gay, bisexual, and other men who have sex with men get HIV by having anal sex, which is the riskiest type of sex for getting or spreading HIV. Too many men don’t know their HIV or STD status (if they have a disease or not), which means they may not get medical care and are more likely to unknowingly spread these diseases to their sexual partners. The large percentage of gay, bisexual, and other men who have sex with men who have HIV and STDs means that, as a group, they have a higher chance of being exposed to these diseases. In 2012, 75% of reported syphilis cases were among gay and bisexual men. Further, young gay, bisexual, and other men who have sex with men 13-24 had over 72% of the estimated new HIV infections in 2010. In fact, gay, bisexual, and other men who have sex with men make up more than half of the people living with HIV in the United States and experience two thirds of all new HIV infections each year. These reasons and others may prevent you from seeking testing, prevention and treatment services, and support from friends and family.
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Just like all other men, gay, bisexual, and other men who have sex with men need to know how to protect their health throughout their life.