i wrote this because i have read an article that male to male anal sex with not using safe protection (condom) there is a posibility of geting syphilis, even if the two male are free of STD. That is because of the bacteria inside the anal.
Is this right article or not?
Sorry doc you're definately right. Its amazing how much bad information there is about sexuality floating around. Thanks for all you do. Cheers
I find it difficult to visualize anal-to-anal sex. However, STDs probably can be transmitted from one person's rectum to another's by contaminated sex toys and hands. This is especially likely in settings like bathhouses, sex clubs, and circuit parties, where men may have sex with many partners in a very short time.
Perhaps what you read wasn't about syphilis at all, but the uncommon STD called lymphogranuloma venereum (LGV). LGV is caused by particularly virulent strains of chlamydia. There have been recent reports of an increase in cases of rectal LGV in gay men. (The increase may or may not be real. Diagnosis of LGV is easier than in the past, so part of the increase may be just better recognition of the problem and improved diagnosis.) LGV has some features in common with syphilis, and I can understand how it could get mis-reported. Because genital LGV has not been diagnosed among MSM in the same communities where rectal LGV has been been reported, there has been speculation about rectal-rectal transmission via hands or sex toys. At the moment, this is speculation only, but it has been reported in the media, especially the gay press in some cities.
The other part of your question definitely is not correct: normal rectal bacteria do not cause syphilis or any other STD.
HHH, MD
Don't be too hard on him (or her). It's amazing how many people believe infections can be created de novo, especially young persons and people from non-western cultures. This hasn't been helped when, over the years, doctors often gave their STD patients magical explanations other than sex.
HHH, MD
Another brilliant question. What does common sense tell you?
No. These infections don't come out of the blue; i.e., sex per se does not create the infection. If person A catches an infection from person B, person B had to have caught it from someone else. The gender of one's partners makes no difference.
Best wishes-- HHH, MD