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Homosexuality and proctitis (view source)
Revision as of 22:12, February 5, 2019
, 22:12, February 5, 2019→Gay bowel syndrome and proctitis
The Medscape article on gay bowel syndrome declared:
The Medscape article on gay bowel syndrome declared:
{{cquote|There were multiple studies of the newly recognized "[[gay bowel syndrome]]" in the late 1970s and early 1980s. However, subsequent attention and study has been sparse, in part attributed to reduced frequency thought to reflect changing practices by gay men in response to the [[HIV]] epidemic. This study clearly indicates that it is still an issue, since the cases were studied in 2001-2002. Also, the etiology is about the same as previously, although [[HSV]] is newly recognized as an important component. This finding not only affects management but also has HIV prevention implications. The authors note that two thirds of the participants were HIV negative and that proctitis increases the risk of HIV by up to 9-fold.<ref>[http://www.medscape.com/viewarticle/470936_4 Medscape - New Look at "Gay Bowel Syndrome"]</ref>}}
{{cquote|There were multiple studies of the newly recognized "[[gay bowel syndrome]]" in the late 1970s and early 1980s. However, subsequent attention and study has been sparse, in part attributed to reduced frequency thought to reflect changing practices by gay men in response to the [[HIV]] epidemic. This study clearly indicates that it is still an issue, since the cases were studied in 2001-2002. Also, the etiology is about the same as previously, although [[HSV]] is newly recognized as an important component. This finding not only affects management but also has HIV prevention implications. The authors note that two thirds of the participants were HIV negative and that proctitis increases the risk of HIV by up to 9-fold.<ref>[http://www.medscape.com/viewarticle/470936_4 Medscape - New Look at "Gay Bowel Syndrome"]</ref>}}
In 2014, the medical journal ''Current Opinion in Infectious Disease'' published a journal article entitled '''Gay bowel syndrome': relic or real (and returning) phenomenon?'' whose abstract indicated:
{{Cquote|Purpose of Review: This article aims to review the term 'gay bowel syndrome', including the recent research looking at increased rates of bowel infections in men who have sex with men (MSM), particularly in light of the recent Shigella outbreaks in MSM in London and New York, and considers whether 'gay bowel syndrome' is a syndrome that really exists and is worthy of further research and specific treatment, or whether the term continues to be obsolete and not useful.
Recent findings: ...there seems to be a clustering of diseases in certain high-risk groups, especially those in urban areas with multiple sexual partners, recreational drug use, and possible concomitant HIV infection.
Summary: All healthcare practitioners (including non-sexual health/HIV specialists) need to consider careful and thorough history taking (including sexual history) to identify those at risk.<ref>[https://www.ncbi.nlm.nih.gov/pubmed/24335755 'Gay bowel syndrome': relic or real (and returning) phenomenon?] by Cooper F1, Barber T., ''Current Opinion in Infectious Disease'', 2014 Feb;27(1):84-9. doi: 10.1097/QCO.0000000000000032.</ref>}}
===Proctitis and HIV Infection Further Elaborated===
===Proctitis and HIV Infection Further Elaborated===
As noted earlier proctitis is one of the maladies associated with gay bowel syndrome and greatly increases the chance of HIV infection.<ref>[https://web.archive.org/web/20081120130223/http://www.hopkins-hivguide.org/literature_review/02-2004/new_look_at_gay_bowel_syndrome.html Johns Hopkins HIV Guide, review of the literature - essentially duplicate of Medscape's New Look at Gay Bowel Syndrome], 2004, Wayback machine</ref><ref>[http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=946385&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus The gay bowel syndrome: clinico-pathologic correlation in 260 cases.]</ref><ref>[http://www.medscape.com/viewarticle/470936_4 Medscape - New Look at "Gay Bowel Syndrome"]</ref> In 2004, Jeffrey D. Klausner, Robert Kohn, and Charlotte Kent reported in the journal ''Clinical Infectious Diseases'' the following: "[[Proctitis]], or inflammation of the rectum, is a condition that is not uncommon among men who have sex with men (MSM), and, in HIV-negative men, greatly increases the risk of acquiring [[HIV]] infection. With the recent increases in bacterial sexually transmitted diseases ([[STD]]s) among MSM in the [[United States]] and [[Europe]], there has been a concomitant increase in the number of cases of clinical proctitis."<ref>[http://cid.oxfordjournals.org/content/38/2/300.full.pdf Klausner JD, Kohn R, Kent C. Etiology of Clinical Proctitis among Men Who Have Sex with Men. Clinical Infectious Diseases 2004;38:300-302]</ref>
As noted earlier proctitis is one of the maladies associated with gay bowel syndrome and greatly increases the chance of HIV infection.<ref>[https://web.archive.org/web/20081120130223/http://www.hopkins-hivguide.org/literature_review/02-2004/new_look_at_gay_bowel_syndrome.html Johns Hopkins HIV Guide, review of the literature - essentially duplicate of Medscape's New Look at Gay Bowel Syndrome], 2004, Wayback machine</ref><ref>[http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=946385&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus The gay bowel syndrome: clinico-pathologic correlation in 260 cases.]</ref><ref>[http://www.medscape.com/viewarticle/470936_4 Medscape - New Look at "Gay Bowel Syndrome"]</ref> In 2004, Jeffrey D. Klausner, Robert Kohn, and Charlotte Kent reported in the journal ''Clinical Infectious Diseases'' the following: "[[Proctitis]], or inflammation of the rectum, is a condition that is not uncommon among men who have sex with men (MSM), and, in HIV-negative men, greatly increases the risk of acquiring [[HIV]] infection. With the recent increases in bacterial sexually transmitted diseases ([[STD]]s) among MSM in the [[United States]] and [[Europe]], there has been a concomitant increase in the number of cases of clinical proctitis."<ref>[http://cid.oxfordjournals.org/content/38/2/300.full.pdf Klausner JD, Kohn R, Kent C. Etiology of Clinical Proctitis among Men Who Have Sex with Men. Clinical Infectious Diseases 2004;38:300-302]</ref>