According to the latest report from the CDC, “Neisseria gonorrhoeae Antimicrobial Susceptibility Surveillance — The Gonococcal Isolate Surveillance Project, 27 Sites, United States, 2014,” “gay” and bisexual men are over-represented in the number of those being infected with antibiotic resistant strains of gonorrhea. At the most, gay and bisexual men represent about 4% of the US population, but, in some instances, they account for over 50% of those being infected with antibiotic resistant gonorrhea.
This situation is critical, because, as the CDC, and other medical professionals and researchers have warned, that “gonorrhea has progressively developed resistance to the antibiotic drugs prescribed to treat it.” Since 1986, the United States Gonococcal Isolate Surveillance Project (GISP) has been monitoring antibiotic resistance to gonorrhea. According to GISP, by 2010, 27% of all of the gonorrhea samples were resistant to penicillin, tetracycline, and ciprofloxacin, or some combination of these drugs.
Gay men are especially susceptible as gonorrhea is easily passed through fellatio. According to Dr. Jerome Groopman, an early pioneer in AIDS research: “A driving factor behind the rise in gonorrhea infections, as well as the trend toward total antibiotic resistance, is our complacent attitude toward oral sex.”
After the initial horror of the AIDS epidemic, “gay” men often curtailed their participation in anal sex, only to sublimate that change in activity with an increase in oral sex; in addition, it became routine for men, even those who regimented their sex lives around the concepts of “safe sex,” to use condoms during anal sex, but not when in engaging in oral sex. This phenomenon was encapsulated in “gay” porn, where every sort of sexual act would take place, then, just before anal sex – the insertive partner would slip on a condom.
Legendary porn director, Chi Chi LaRue, who is probably responsible for molding young gay male sexual tastes more than anyone else in the post-AIDS era, recently admitted in an interview: “I love having sex, I love meeting people, I love s***ing off guys in bathrooms – at bars…” This exposes a pervasive Achilles heel in the world of gay “safe sex” as LaRue maintains a strict condom policy on all his porn sets, in terms of anal intercourse, except not with oral sex or the incredibly dangerous practice of analingus.
Some of the findings from the CDC report:
The percentage of isolates resistant to tetracycline, ciprofloxacin, penicillin, or all three antimicrobials, was greater in isolates from MSM [men who have sex with men] than from MSW [men who have sex with women.]
When stratified by sex of sex partner, the percentage of Azi-RS isolates increased in 2004 among MSM and MSMW, [men who have sex with men and women] then decreased. During 2013–2014, the percentage increased among all categories of sex of sex partner: MSW (0.4% to 1.4%), MSM (0.9% to 4.3%), and MSMW (1.4% to 3.2%). Of men whose isolates exhibited Azi-RS in 2014 and for whom data were available (96.8%), 45.2% were white, 35.5% were black, 57.4% were MSM, 36.1% were MSW, and 6.6% were MSMW.
Since 2004, Cfx-RS prevalence has been higher in isolates from MSM or MSMW than MSW. In 2014, the percentage of Cfx-RS isolates was 1.3% among MSM, 1.2% among MSMW, and 0.4% among MSW.
Penicillin resistance was common in isolates from MSM (22.1%), MSMW (21.9%), and MSW (12.5%).
Tetracycline resistance was common in isolates from MSM (38.0%), MSMW (31.5%), and MSW (18.2%).