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The CDC also reported:
The CDC also reported:
{{cquote|"CDC conducted sentinel surveillance in 28 cities and found the proportion of cases resistant to fluoroquinolone antibiotics (a first-line treatment for [[gonorrhea]]) increased from 4.1 percent in 2003 to 6.8 percent in 2004. Resistance is especially worrisome in men who have sex with men, where it was eight times higher than among heterosexuals (23.8 percent vs. 2.9 percent). In April 2004, CDC recommended that fluoroquinolones no longer be used as treatment for gonorrhea among men who have sex with men. These [[antibiotic]]s were also not recommended to treat the disease in anyone in [[California]] or [[Hawaii]], where resistance has been widespread for years. Outside of these states, the prevalence of fluoroquinolone resistance among heterosexuals remains low at 1.3 percent."<ref>http://www.cdc.gov/od/oc/media/pressrel/r051108.htm</ref>}}
{{cquote|"CDC conducted sentinel surveillance in 28 cities and found the proportion of cases resistant to fluoroquinolone antibiotics (a first-line treatment for [[gonorrhea]]) increased from 4.1 percent in 2003 to 6.8 percent in 2004. Resistance is especially worrisome in men who have sex with men, where it was eight times higher than among heterosexuals (23.8 percent vs. 2.9 percent). In April 2004, CDC recommended that fluoroquinolones no longer be used as treatment for gonorrhea among men who have sex with men. These [[antibiotic]]s were also not recommended to treat the disease in anyone in [[California]] or [[Hawaii]], where resistance has been widespread for years. Outside of these states, the prevalence of fluoroquinolone resistance among heterosexuals remains low at 1.3 percent."<ref>http://www.cdc.gov/od/oc/media/pressrel/r051108.htm</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>http://www.aafp.org/afp/20070615/tips/4.html</ref>
In 2007, the medical journal ''Sexually Transmitted Diseases'' published an article entitled ''Sexually Transmitted Infections in Western Europe Among HIV-Positive Men Who Have Sex With Men'' which stated the following regarding homosexuality and gonorrhea:
In 2007, the medical journal ''Sexually Transmitted Diseases'' published an article entitled ''Sexually Transmitted Infections in Western Europe Among HIV-Positive Men Who Have Sex With Men'' which stated the following regarding homosexuality and gonorrhea: