Crystal Meth, GBL and Mephedrone are being used by increasing numbers of gay men to have sex, with a myriad of sexual health consequences; many are also finding it a rare or difficult thing to have sober sex at all. Click here to read more about how to play more safely or make changes.
Click here to read about CODE clinic, our sexual health clinic for gay men who use drugs for sex.
Click here to read about emergency care (PEP) if you may have been exposed to HIV.
Click here to download a document about HIV medicines' interaction with recreational drugs.
LGB and T people, including lesbian and bisexual women, use three times more drugs and alcohol than non-LGBT people. So it’s important to be aware of how this use can affect our sexual health.
As a depressant, alcohol affects sensitivity, including the nerve endings in our genitalia; this can decrease the feelings of pleasure and sexual arousal, making orgasm more difficult to achieve. Alcohol can also affect our ability to produce lubrication. All this may result in a frustrating or less satisfactory or sexual experience.
Drugs too, can interfere with our sexual pleasure; cocaine in particular can be responsible for a lack of natural lubrication of the vagina, making it more vulnerable to damage and infection, so the use of a lubricant is important.
Both drugs and alcohol impede our judgment, can be responsible for us choosing inappropriate partners or having rougher sex without appropriate precautions. Being heavily intoxicated can also minimize our ability to provide consent.
Drugs can also affect hormones and menstrual cycles (sometimes stopping our cycles altogether). Fertility is also lowered with the use of drugs and alcohol.
Alcohol and drugs can also affect our relationships, by making us less stable in our emotional sensitivity, and ability to empathise.
If you want to address your drug/alcohol use, please contact our Antidote team, who will be happy to discuss these issues with you.
Though many Trans or gender-diverse people enjoy healthy and happy sexual experiences/relationships, others may experience difficulties around sex due to many factors; shame around genitalia or appearance, fear of rejection, or sex with partners who may not understand the complexity of the Trans experience.
Having a healthy self-esteem, or to enjoy one’s own body during sex can sometimes be a challenge, and some may find that drugs or alcohol can serve a purpose during sex. It’s important to be aware that drugs and alcohol can interfere with hormone levels, impair our judgment, decrease sensitivity, and sometimes lead us to make poor choices around safer sex. Our ability to provide consent can even be impaired.
Click here to download a sexual health booklet for Trans Women, from THT.
Click here to download a sexual health booklet for Trans Men from THT.