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However, gay men and men who have sex with men have some specific health concerns. Although your individual risks are shaped by many factors beyond your sexual orientation and practices including family history and age its important to understand common health issues for gay men and steps you can take to stay healthy. If having anal sex was as easy as it appears in gay porn, id probably do it every day. However, there is more to it and gay men (women too) need to understand how to have anal sex. Historically, anal sex has been popularly associated with male homosexuality and msm. Many msm, however, do not engage in anal sex, and may engage in oral sex, frottage or frot, or mutual masturbation instead. Among men who have anal sex with other men, the insertive partner may be referred to as the top, the one being penetrated may be referred to as the bottom, and those who enjoy either. I am gay and found your answers to be very appropriate and right on the money. Perhaps when you respond to further questions about homosexuality, you could mention this all gays do not engage in anal sex. I dont think enjoying anal sex is synonymous with homosexuality. The gay world anal championship (gay, gay sekai anaru-ky za) is an inactive professional wrestling championship in the japanese promotion ddt pro-wrestling.