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The Kinsey's Heterosexual—Homosexual Rating Scale was used to determine if the participants identify themselves as heterosexual, bisexual, or homosexual [ 13 ]. In other words, gays and lesbians are just "born that way" and that's that. Many men who have sex with men MSM do not engage in anal sex, whereas heterosexual couples often do [ 1 ]. Retrieved March 24, Sexual behaviour in Britain.

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Anal sex is not by necessity painful, but at least a significant number of the MSM appear to struggle with some degree of AD, making it an important issue in their sexual health.

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Share any other health concerns you might have with your doctor as well. All men face certain health risks. J Sex Med.

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