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===Gonorrhea and Proctitis===
 
===Gonorrhea and Proctitis===
 
Gonorrhea and proctitis are both maladies associated with gay bowel syndrome as noted earlier.<ref>[http://www.ncbi.nlm.nih.gov/pubmed/946385 The gay bowel syndrome: clinico-pathologic correlation in 260 cases.]</ref>  Gonorrhea can be a cause of proctitis and the disease significantly increases the probability of HIV infection as was mentioned previously.<ref>http://www.mayoclinic.com/health/proctitis/DS00705/DSECTION=3</ref><ref>[http://www.medscape.com/viewarticle/470936_4 Medscape - New Look at "Gay Bowel Syndrome"]</ref>  
 
Gonorrhea and proctitis are both maladies associated with gay bowel syndrome as noted earlier.<ref>[http://www.ncbi.nlm.nih.gov/pubmed/946385 The gay bowel syndrome: clinico-pathologic correlation in 260 cases.]</ref>  Gonorrhea can be a cause of proctitis and the disease significantly increases the probability of HIV infection as was mentioned previously.<ref>http://www.mayoclinic.com/health/proctitis/DS00705/DSECTION=3</ref><ref>[http://www.medscape.com/viewarticle/470936_4 Medscape - New Look at "Gay Bowel Syndrome"]</ref>  
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In 2017, the abstract for the medical journal article ''Frequent Transmission of Gonorrhea in Men Who Have Sex with Men'' published in the medical journal ''Emerging Infectious Diseases'' indicated:
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{{Cquote|The rate of gonorrhea is much higher in men who have sex with men than in heterosexuals. Because of unique behavioral characteristics, asymptomatic sites of infection, mainly the pharynx, are principal drivers of gonorrhea prevalence in men who have sex with men. On the basis of this observation, we call for interventions.
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The rates of sexually transmitted infections are rising rapidly in men who have sex with men (MSM). Gonorrhea is of particular concern because rising rates will increase the probability of antimicrobial drug resistance. In response, the Centers for Disease Control and Prevention has recommended reducing the prevalence of gonorrhea as a key strategy to mitigate against antimicriobial resistance. However, reducing prevalence requires understanding why gonorrhea is so common in MSM. We suggest that specific sexual practices of MSM result in them having a high prevalence of asymptomatic infection in particular anatomic sites and that these infections are the primary drivers of transmission.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5176237/ Frequent Transmission of Gonorrhea in Men Who Have Sex with Men], Christopher K. Fairley,corresponding author Jane S. Hocking, Lei Zhang, and Eric P.F. Chow, Emerg Infect Dis. 2017 Jan; 23(1): 102–104. doi: 10.3201/eid2301.161205</ref>}}
    
In 2006, the American Association of Family Physicians reported: "Men who have sex with men (MSM) have high rates of gonococcal infection. In [[San Francisco]], more than one half of these infections occur in MSM, and previous cross-sectional studies have reported a prevalence of up to 15.3 percent in this group."<ref>Pharyngeal Gonorrhea Is Underdiagnosed in MSM, Am Fam Physician. 2007 Jun 15;75(12):1860-1862</ref>  
 
In 2006, the American Association of Family Physicians reported: "Men who have sex with men (MSM) have high rates of gonococcal infection. In [[San Francisco]], more than one half of these infections occur in MSM, and previous cross-sectional studies have reported a prevalence of up to 15.3 percent in this group."<ref>Pharyngeal Gonorrhea Is Underdiagnosed in MSM, Am Fam Physician. 2007 Jun 15;75(12):1860-1862</ref>  
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