Although most homosexuals live with a relatively permanent partner, a number of homosexual men have transient, ‘one-night stand’ relationships. As the number of sexual partners increases, so does the chance of acquiring a sexually transmitted disease. Reports from England and the U.S.A. indicate that both gonorrhoea and syphilis are increasing among homosexuals and heterosexuals. Over 50 per cent of heterosexual women infected with gonorrhoea have no signs or symptoms, and the women constitute a ‘hidden reservoir’ of infection so that the disease is spreading among heterosexual men. It is now evident that among homosexual men, gonorrhoea of the throat (following fellatio with an infected partner) or of the anal canal is often symptomless and, because of the transience of some homosexual relationships, the spread of gonorrhoea is increasing.
Syphilis is also increasing, although to a much lesser extent than gonorrhoea. What is disturbing, according to reports from the U.S.A., is that a homosexual man with syphilis names, on average, ten contacts, while a heterosexual man or woman with syphilis names four. This makes control of the disease much more difficult.
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