November 3, 2003

LIVE AND LET DIE?:

The Health Risks of Gay Sex: As a physician, it is my duty to assess behaviors for their impact on health and wellbeing. When something is beneficial, such as exercise, good nutrition, or adequate sleep, it is my duty to recommend it. Likewise, when something is harmful, such as smoking, overeating, alcohol or drug abuse, and homosexual sex, it is my duty to discourage it. (JOHN R. DIGGS, JR. M.D., Catholic Education)

Physical Health

Unhealthy sexual behaviors occur among both heterosexuals and homosexuals. Yet the medical and social science evidence indicate that homosexual behavior is uniformly unhealthy. Although both male and female homosexual practices lead to increases in Sexually Transmitted Diseases, the practices and diseases are sufficiently different that they merit separate discussion.

1. Male Homosexual Behavior

Men having sex with other men leads to greater health risks than men having sex with women not only because of promiscuity but also because of the nature of sex among men. A British researcher summarizes the danger as follows:

"Male homosexual behaviour is not simply either 'active' or 'passive,' since penile-anal, mouth-penile, and hand-anal sexual contact is usual for both partners, and mouth-anal contact is not infrequent. . . . Mouth-anal contact is the reason for the relatively high incidence of diseases caused by bowel pathogens in male homosexuals. Trauma may encourage the entry of micro-organisms and thus lead to primary syphilitic lesions occurring in the anogenital area. . . . In addition to sodomy, trauma may be caused by foreign bodies, including stimulators of various kinds, penile adornments, and prostheses."

Although the specific activities addressed below may be practiced by heterosexuals at times, homosexual men engage in these activities to a far greater extent.

a. Anal-genital

Anal intercourse is the sine qua non of sex for many gay men. Yet human physiology makes it clear that the body was not designed to accommodate this activity. The rectum is significantly different from the vagina with regard to suitability for penetration by a penis. The vagina has natural lubricants and is supported by a network of muscles. It is composed of a mucus membrane with a multi-layer stratified squamous epithelium that allows it to endure friction without damage and to resist the immunological actions caused by semen and sperm. In comparison, the anus is a delicate mechanism of small muscles that comprise an "exit-only" passage. With repeated trauma, friction and stretching, the sphincter loses its tone and its ability to maintain a tight seal. Consequently, anal intercourse leads to leakage of fecal material that can easily become chronic.

The potential for injury is exacerbated by the fact that the intestine has only a single layer of cells separating it from highly vascular tissue, that is, blood. Therefore, any organisms that are introduced into the rectum have a much easier time establishing a foothold for infection than they would in a vagina. The single layer tissue cannot withstand the friction associated with penile penetration, resulting in traumas that expose both participants to blood, organisms in feces, and a mixing of bodily fluids.

Furthermore, ejaculate has components that are immunosuppressive. In the course of ordinary reproductive physiology, this allows the sperm to evade the immune defenses of the female. Rectal insemination of rabbits has shown that sperm impaired the immune defenses of the recipient.23 Semen may have a similar impact on humans.

The end result is that the fragility of the anus and rectum, along with the immunosuppressive effect of ejaculate, make anal-genital intercourse a most efficient manner of transmitting HIV and other infections. The list of diseases found with extraordinary frequency among male homosexual practitioners as a result of anal intercourse is alarming:

Anal Cancer
Chlamydia trachomatis
Cryptosporidium
Giardia lamblia
Herpes simplex virus
Human immunodeficiency virus
Human papilloma virus
Isospora belli
Microsporidia
Gonorrhea
Viral hepatitis types B & C
Syphilis

Sexual transmission of some of these diseases is so rare in the exclusively heterosexual population as to be virtually unknown. Others, while found among heterosexual and homosexual practitioners, are clearly predominated by those involved in homosexual activity. Syphilis, for example is found among heterosexual and homosexual practitioners. But in 1999, King County, Washington (Seattle), reported that 85 percent of syphilis cases were among self-identified homosexual practitioners.26 And as noted above, syphilis among homosexual men is now at epidemic levels in San Francisco.27

A 1988 CDC survey identified 21 percent of all Hepatitis B cases as being homosexually transmitted while 18 percent were heterosexually transmitted.28 Since homosexuals comprise such a small percent of the population (only 1-3 percent), they have a significantly higher rate of infection than heterosexuals.

Anal intercourse also puts men at significant risk for anal cancer. Anal cancer is the result of infection with some subtypes of human papilloma virus (HPV), which are known viral carcinogens. Data as of 1989 showed the rates of anal cancer in male homosexual practitioners to be 10 times that of heterosexual males, and growing. Thus, the prevalence of anal cancer among gay men is of great concern. For those with AIDS, the rates are doubled.

Other physical problems associated with anal intercourse are:
hemorrhoids
anal fissures
anorectal trauma
retained foreign bodies.32

b. Oral-anal

There is an extremely high rate of parasitic and other intestinal infections documented among male homosexual practitioners because of oral-anal contact. In fact, there are so many infections that a syndrome called "the Gay Bowel" is described in the medical literature. "Gay bowel syndrome constitutes a group of conditions that occur among persons who practice unprotected anal intercourse, anilingus, or fellatio following anal intercourse."34 Although some women have been diagnosed with some of the gastrointestinal infections associated with "gay bowel," the vast preponderance of patients with these conditions are men who have sex with men.

"Rimming" is the street name given to oralanal contact. It is because of this practice that intestinal parasites ordinarily found in the tropics are encountered in the bodies of American gay men. Combined with anal intercourse and other homosexual practices, "rimming" provides a rich opportunity for a variety of infections.

Men who have sex with men account for the lion's share of the increasing number of cases in America of sexually transmitted infections that are not generally spread through sexual contact. These diseases, with consequences that range from severe and even life-threatening to mere annoyances, include Hepatitis A, Giardia lamblia, Entamoeba histolytica, Epstein-Barr virus, Neisseria meningitides, Shigellosis, Salmonellosis, Pediculosis, scabies and Campylobacter. The U.S. Centers for Disease Control (CDC) identified a 1991 outbreak of Hepatitis A in New York City, in which 78 percent of male respondents identified themselves as homosexual or bisexual. While Hepatitis A can be transmitted by routes other than sexual, a preponderance of Hepatitis A is found in gay men in multiple states. Salmonella is rarely associated with sexual activity except among gay men who have oral-anal and oral-genital contact following anal intercourse. The most unsettling new discovery is the reported sexual transmission of typhoid. This water-borne disease, well known in the tropics, only infects 400 people each year in the United States, usually as a result of ingestion of contaminated food or water while abroad. But sexual transmission was diagnosed in Ohio in a series of male sex partners of one male who had traveled to Puerto Rico.

In America, Human Herpes Virus 8 (called Herpes Type 8 or HHV-8) is a disease found exclusively among male homosexual practitioners. Researchers have long noted that men who contracted AIDS through homosexual behavior frequently developed a previously rare form of cancer called Kaposi's sarcoma. Men who contract HIV/AIDS through heterosexual sex or intravenous drug use rarely display this cancer. Recent studies confirm that Kaposi's sarcoma results from infection with HHV-8. The New England Journal of Medicine described one cohort in San Francisco where 38 percent of the men who admitted any homosexual contact within the previous five years tested positive for this virus while none of the exclusively heterosexual men tested positive. The study predicted that half of the men with both HIV and HHV-8 would develop the cancer within 10 years. The medical literature is currently unclear as to the precise types of sexual behavior that transmit HHV-8, but there is a suspicion that it may be transmitted via saliva. [...]

f. Conclusion

The consequences of homosexual activity have significantly altered the delivery of medical care to the population at-large. With the increased incidence of STD organisms in unexpected places, simple sore throat is no longer so simple. Doctors must now ask probing questions of their patients or risk making a misdiagnosis. The evaluation of a sore throat must now include questions about oral and anal sex. A case of hemorrhoids is no longer just a surgical problem. We must now inquire as to sexual practice and consider that anal cancer, rectal gonorrhea, or rectal chlamydia may be secreted in what deceptively appears to be "just hemorrhoids." Moreover, data shows that rectal and throat gonorrhea, for example, are without symptoms in 75 percent of cases.

The impact of the health consequences of gay sex is not confined to homosexual practitioners. Even though nearly 11 million people in America are directly affected by cancer, compared to slightly more than three-quarters of a million with AIDS, AIDS spending per patient is more than seven times that for cancer. The inequity for diabetes and heart disease is even more striking. Consequently, the disproportionate amount of money spent on AIDS detracts from research into cures for diseases that affect more people.


Other than that it's entirely natural though, right?

Posted by Orrin Judd at November 3, 2003 8:55 AM
Comments

Giardia an STD? Wait until my wife hears about this! I had a run-in with Giardia when we were in the Peace Corps, though it was aquired through contaminated food like all of the other intestinal parasites we picked up.

Incedentally, giardia is not uncommon among backpackers who drink from "pure" mountain streams and lakes, and is known colloquially as the beaver fever. This article rather changes the connotation.

Posted by: Jason Johnson at November 3, 2003 9:49 AM

You are correct-- it used to be that to get giardia, you had to drink contaminated water. Giarida is listed after the statement "sexually transmitted infections that are not generally spread through sexual contact." Which means that it is becoming an STD due to certain behaviors. Notice also that they list good ol' salmonella, too. I guess you can no longer assume it was bad mayonaise any more.

We are told that it is of utmost importatnce that smoking should be banned because of "second-hand smoke", despite privacy and private property rights, because of health concerns. Articles like this are indictments of "second-hand sex", and an argument against the sanctitiy of the bedroom that Leftists are so concerned about.

Posted by: Raoul Ortega at November 3, 2003 10:57 AM

WC Fields' great line comes to mind:

"Water? Never touch the stuff: fish [expletive] in it."

Posted by: oj at November 3, 2003 11:00 AM

If the behavior is the result of natural processes, it is natural, regardless of the consequences.

Depending, of course, on what the meaning of the word "is" is.

Posted by: Jeff Guinn at November 3, 2003 12:07 PM

Yes, everything is natural in that sense, because we're part of nature and nothing we do can be unnatural up to and including destroying the planet and our own species along with it. That would seem an overbroad definition of what is Natural to Man, no?

Posted by: oj at November 3, 2003 12:20 PM

Murder, rape, robbery, incest, bestiality... If it happens, must be "natural".

Posted by: Tom C., Stamford,Ct. at November 3, 2003 1:47 PM

Tom:

Which is why morality can not be derived from beliefs like those of Jeff and Harry.

Posted by: oj at November 3, 2003 2:03 PM

From the tone of all Orrin's posts on this subject, you would think that no heterosexual couples ever resort to anal sex as a form of birth control.

They do, and it is notably common among certain Catholic groups; but for some reason, that does not attract his wrath.

You can get giardia here in paradise; or, better yet, from the public water supply in St. Petersburg, Russia, which was blown up by the Germans and never quite fixed.

Posted by: Harry Eagar at November 3, 2003 6:22 PM

I've never differentiated based on the sex of couple. And, in fact, find lesbianism relatively harmless because it does not involve such.

Posted by: oj at November 3, 2003 6:52 PM

Jeff:

I don't believe for one minute you believe what you posted above.

Harry:

"you would think that no heterosexual couples ever resort to anal sex as a form of birth control. They do, and it is notably common among certain Catholic groups; but for some reason, that does not attract his wrath."

Do I dare, repeat dare, ask for your authority here? I guess my grandmother's dark warnings about those Catholics were spot on.

Posted by: Peter B at November 3, 2003 7:34 PM

Harry-

If you're implying anal intercourse is a method of avoiding the sin of condom use among "certain Catholic groups" you have got to supply your sources. What you are saying sounds a bit far-fetched and I would characterize it as symptomatic of old fashioned, fever swamp, red-neck, anti-catholic silliness. If you cite the habits of some third-world, animal sacrificing, voodoo influenced "Catholic" cult as some sort of "proof" it is a revealing comment.

Posted by: Tom C., Stamford,Ct. at November 3, 2003 9:11 PM

Peter:

Having a gay brother, and, through him, having met many gay men, I am absolutely certain of one thing:

They were born that way.

Just like you, and OJ, and Tom C, were born with the orientation you have.

It is no more a matter of choice than cleft palate, meaning it is every bit as natural as cleft palate. Of course, at least one religion in the world treats cleft palate sufferers as if they are the Devil's serpents. Why not gays, too?

That you are so willing to deny the humanity of people who have done absolutely nothing to hurt you, whose activities don't involve you in the least, gives me all the reason I need to put your lectures about morality on complete disregard.

It's telling that the first place some of you go is bestiality. Which isn't a crime, is practiced by heterosexual men, and isn't a barrier to marriage. It may not even be grounds for divorce.

One of the finest moral statements ever made was "... all men are created equal...endowed by their Creator with certain inalienable rights, that among these are Life, Liberty, and the Pursuit of Happiness."

Some of you don't seem to take that very seriously.

Posted by: Jeff Guinn at November 3, 2003 9:45 PM

Jeff:

What that phrase means is that all Men are capable of conforming equally to moral standards.

Posted by: oj at November 3, 2003 9:48 PM

Jeff-

A little preachy, no? If you want to have a contest on the number of interactions with the gay community or the number of gay friends I think you may lose, although my brothers are not gay.

Moral choices are the issue rather than justifying the all too human tendency to succumb to apetite and desire whatever the cost.Since the article speaks about what may be some of those costs, the question seems to be, why the need to equate normal, healthy heterosexuality with an activity that results in the problems discussed in the article?

Posted by: Tom C., Stamford,Ct. at November 3, 2003 10:17 PM

My reaction to this post is, "what's the point? What does this gain us, the non-medical community?"

Yes, homosexual behavior may increase STDs. Its a shame that their choices lead to that. The doctors of homosexual men are in a fine position to warn them about it. So too are well-intentioned public health workers, who place signs on buses and broadcast warnings on the radio. Let them, and those directly associated with homosexuals, do the warning and chastising.

Otherwise, I say, live and let live.

What else are we do to about this? Walk around with signs saying that gays are condemned to Hell? Spit on them? Curse at them? Lock them up, and pray over them??? What does the Gospel teach us about treating our fellow man? You may enjoy sneering at others from your oh-so-moral position, but I think you're just a hypocrite unless you act on it. Go ahead, I dare you: Go tell a gay man that he's a sinner because of what he does in his bedroom.

Posted by: Bradley Cooke at November 3, 2003 10:37 PM

Mr. Cooke-

Are we looking at the same post and comments? Man, this topic brings out some, uh...hysterics?

If your attitude is "live and let live", I believe you're kind of preaching to the choir here.

Posted by: Tom C., Stamford,Ct. at November 3, 2003 11:03 PM

Bradley:

The question isn't so much what they do in their bedrooms, but that they now insist society accept it and treat those actions as morally acceptable.

Posted by: oj at November 3, 2003 11:10 PM

Bradley:

We are discussing ideas here, not running for office. What one approves of and what one would do if he were king for a day are very different issues. This whole debate is being conducted in the context of angry, assertive demands from the gay activist community to the effect that gay and hetero sex are morally and socially equivalent and to be celebrated and sanctified equally. Don't pretend we are slinking around peeping through windows looking for candidates for an auto-da-fe.

Jeff:

So, they were born that way. I was born naked, demanding and completely selfish. From that we conclude...

Posted by: Peter B at November 4, 2003 5:05 AM

Tom:

The contest isn't over the number of interactions, it is coming to terms with the notion that homosexuality, just like heterosexuality, is not a moral choice. Rather, for some people, homosexuality is every bit as much a part of their humanity as heterosexuality is of yours.

So the question becomes: on what basis do you deny those people's humanity without also negating the Declaration of Independence?

Clearly, homosexuality incurs some health risks that heterosexuality doesn't. What is the moral component there that deserves your opprobrium? (BTW, the list completely failed to discuss heterosexually transmitted diseases, which is not short) I somehow doubt that if, tomorrow, all those diseases were to disappear, that your prejudice would follow in their wake.

The question you have to answer is why monogamous sex of one type is morally inferior to monogamous sex of another.

Monogamy is the moral standard. Sex is an act. There is a difference.

Posted by: Jeff Guinn at November 4, 2003 7:35 AM

No one denies their humanity. We acknowledge their humanity when we hold them to exactly the same moral standard as everyone else. Key to that morality is the treatment of every being as bearing inviolable dignity. To treat them instead, or yourself, like the Beta baboon submitting to the Alpha male is obviously completely violative of that standard. Buggery is incompatible with love.

Posted by: oj at November 4, 2003 7:40 AM

Negating the Declaration of Independence? Jeff, you are frothing.

Seeing as how you seem to believe every human activity or characteristic is innately caused or determined by non-human, purposeless forces, the Declaration must say a lot more than anyone ever imagined.

What is next--civil rights for psychopaths?

Posted by: Peter B at November 4, 2003 8:09 AM

Peter:

That's no joke. For folk like Jeff, who believe such human pathologies as homosexuality to be biologically determined, there is no coherent argument why such should be a bar to full equality. Naturalism of this sort denies the possibility of morality.

Posted by: oj at November 4, 2003 8:18 AM

Peter:

Every? Surely you are the one frothing.

I am talking about this specific one, and asserting that morality is about the context within which the act takes place, not the act itself.

When homosexuality takes place within a monogamous context, the one which you hold moral for heterosexuality, the impact upon those outside the relationship is zero.

Which is what I mean when I assert you are putting the DoI on disregard. If the pursuit of their happiness in no way impinges upon yours, then on what basis may you limit their civil options? In short, what dog do you have in the fight?

You do in fact deny their humanity, in asserting the only moral choice they may make is precisely the same one you would never impose upon yourselves: celibacy and a life without the security of marriage.

My approach actually does search for morality, of a kind where people are free to live their lives to the extent they don't detract from others to live theirs (this is where you strike murder, sociopathology, rape, incest from your list of strawman objections).

Your approach, on the other hand, is typified by OJ's continued arrogant imposition upon others feelings which they themselves do not hold. If that doesn't deny their humanity, I don't know what does.

Posted by: Jeff Guinn at November 4, 2003 12:05 PM

Jeff:

I am beginning to understand why your ideal secular society is full of religious people. It would implode if it weren't.

I love your Norman Rockwell image of sober, discreet married gays minding their own business while they walk the puppy, having no effect whatsoever on the society around them and taking the greatest care not to impose on anyone else. Yup, that's the typical modern gay community, all right. Zero impact.

Posted by: Peter B at November 4, 2003 1:03 PM

Peter:

Remember, I'm talking about context while you are wrapped around the biological detail axle.

I said absolutely nothing about how many gays would adopt that kind of lifestyle, only that the morality of their sexuality is determined by the lifestyle they choose.

Even if only one gay couple chooses monogamy, their lives are just as moral as all the heterosexual couples who choose monogamy.

And all the gays who choose promiscuity are no more immoral than all the heterosexuals who do the same.

Posted by: Jeff Guinn at November 4, 2003 7:52 PM


Jeff:

"I said absolutely nothing about how many gays would adopt that kind of lifestyle, only that the morality of their sexuality is determined by the lifestyle they choose."

Let me get this straight. The morality of what we do is determined by what we choose to do? And if we are born with innate characteristics like gayness, we really have no choice about what we choose? So, whatever we choose to do, even if we are really not choosing, because we have no choice, is moral because we choose to do it?

Am I close? Jeff, tell me I'm close, please.

Posted by: Peter B at November 4, 2003 8:13 PM

Peter:

This really isn't so hard. Read the last two sentences of my previous post.

If a monogamous heterosexual relationship is moral, why isn't a monogamous homosexual one?

Posted by: Jeff Guinn at November 4, 2003 10:07 PM

Jeff:

Anal sex

Posted by: oj at November 4, 2003 10:10 PM

Jeff:

"Even if only one gay couple chooses monogamy, their lives are just as moral as all the heterosexual couples who choose monogamy.

And all the gays who choose promiscuity are no more immoral than all the heterosexuals who do the same."

You mean these two? Forgive me, but they sound more like thunderous pronouncements of revealed truth from the mountain top than rational, scientific deductions.

Posted by: Peter B at November 5, 2003 4:57 AM

Peter B:

I'd love to see you try to prove, in a logical manner, that Jeff's two statements are not true.

oj:

Your concept of "love" seems, at best, incomplete.

If your decision that homosexual sex is immoral, is based on the health risk, combined with the dominance issue, then you cast a wide net, indeed.
One third of Americans, 90 million, are morbidly obese. All straight couples, according to you, are at their core based on dominance and submission.

So, what's the difference ? Why are fat people and straight people moral, and gays immoral ?

Posted by: Michael Herdegen at November 5, 2003 6:23 AM

Peter:

They are not thunderous pronouncements--they are trial balloons.

After all, if the criteria were disease, despair, turmoil and death, vaginal sex would fit the description just as well as anal sex.

So maybe, just maybe, the morality of sexuality is not in the biological details, but rather contained within the act's context.

Certainly that is true for other things. Killing can be moral. Certainly drinking, dancing, and gambling are not always immoral.

So help me with this Peter. Is the morality of gay sex situationally dependent? And if not, why not?

Posted by: Jeff Guinn at November 5, 2003 7:47 AM

Michael:

Morality isn't based on the health risk. The incompatability of anal sex with health merely demonstrates it to be unnatural and abti-Darwinian, the latter being an impossibility if Darwinism is true. The post is anti-Darwin, not anti-gay.

Posted by: OJ at November 5, 2003 7:59 AM

Peter:

They are not thunderous pronouncements, they are trial balloons.

If one were to use disease, disruption, despair, and death as criteria of morality, then vaginal sex is also immoral.

Well, of course not. The morality of heterosexual sex is completely dependent upon context.

So if that is true for heterosexual sex, then is it also true for homosexual sex? And if not, why not?

Posted by: Jeff Guinn at November 5, 2003 8:04 AM

OJ:

Shall I start listing all the diseases associated with vaginal sex?

The only basis on which to decide homosexuality's unnaturalness is on whether they are born that way.

If they are, it is natural. Period.

And there is no reason to believe they aren't.

Posted by: Jeff Guinn at November 5, 2003 10:09 PM

Oscar Lewis is my published, academic source.

I have some unpublished information tending to confirm his findings.

Posted by: Harry Eagar at November 6, 2003 1:45 AM

oj:

As you've noted before, humans are no longer entirely bound by natural selection.

Which is a good reason to believe that gays are, by and large, born that way. Otherwise, they'd have died out by now, eh ?

Posted by: Michael Herdegen at November 6, 2003 4:09 PM

Michael:

The opposite. They'd have doied out if it was genetic. It's merely a social pathology.

Posted by: oj at November 6, 2003 9:21 PM

OJ:

If everything we are is genetic, there would be no XY women.

But there are.

So your assertion it is merely a social pathology is far less certain than you portray.

Posted by: Jeff Guinn at November 7, 2003 7:12 AM

That is one persistent social pathology.

What other social pathologies have been so widespread, long-lasting, oppressed and persecuted ?

Posted by: Michael Herdegen at November 7, 2003 7:50 AM

Murder, rape, incest, pedophilia, genocide, etc., etc., etc.--Man is Fallen.

Posted by: oj at November 7, 2003 8:05 AM
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