Fitness and Wellness: A Personalized Program. January Learn how and when to remove this template message. In some countries, homosexual relationships may be illegal or taboo, making MSM difficult to reach. Unprotected anal sex is a risk factor for formation of antisperm antibodies ASA in the recipient. Female sex partners of men who have sex with men may not donate blood; Permanent deferral. Though not commonly classified as an STI, giardiasis can be transmitted between gay men,  and it can be responsible for severe weight loss and death for individuals who have compromised immune systems, especially HIV. Most national standards require direct questioning regarding a donor's sexual history, but the length of deferral varies. It does not describe any specific sexual activity, and which activities are covered by the term depends on context. A study reported that two large population surveys found "the majority of gay men had similar numbers of unprotected sexual partners annually as straight men and women.
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