• FOREWORD • PREFACE • INTRODUCTION: WHY BE CONCERNED about HOMOSEXUALITY? A Public Health Crisis • The Need to Address Homosexuality Chapter 1 • SEXUAL ORIENTATION, the “BORN GAY” MYTH, and POPULATION ESTIMATES Attempts to Define “Sexual Orientation” • The “Born “Gay” Myth • U.S. Population Statistics: How Many Are Gay-Lesbian-Bisexual? Chapter 2 • GAY-LESBIAN-BISEXUAL HEALTH ISSUES Agreement on GLB Health Disparities • Shortened Lifespan • Why We Don’t Hear More about GLB Health Hazards Chapter 3 • GLB MENTAL HEALTH DISORDERS Anxiety, Depression, Suicidality, Substance Abuse • Suicidal Thinking and Behaviors • Eating Disorders and Self-Image Insecurities • Causes of Psychological Distress • Politicization of the APA Chapter 4 • GLB PARTNER ABUSE Partner Abuse a Huge Problem • Homosexual Men • Lesbian and Bisexual Women • LGBT Groups Note Same-Sex Homicides • New Forms of LGBT Partner Abuse Chapter 5 • BDSM: Bondage, Dominance, Sexual Sadomasochism Consent, Sexual Aggression, Abuse • BDSM Is Common in GLB Community • BDSM Practice Is Spreading Chapter 6 • MSM: “Men Who Have Sex with Men” “MSM” Definition • How Today’s “Gay” Subculture Is Different • Unstable Lifestyle, Risky Sexual Practices, Disproportionate Disease among MSM Chapter 7 • MSM LIFESTYLE and DISEASE RISK Promiscuity • Pornography Use and Addiction • Prostitution • High Levels of Partner Abuse • Substance Abuse: Tobacco, Alcohol, Drugs Chapter 8 • MSM SEXUAL PRACTICES Anal Intercourse (penis in rectum) • Barebacking (anal intercourse without condoms) • Bestiality • Breath Control, Suffocation, Erotic Asphyxiation • Body Modifications: Tattoos, Piercings, Branding, Scarring • BDSM • Catheters and Sounds • CBT: “Cock and Ball Torture” • Corporal Punishment • Electric Shock Play • Enemas and Douching • Felching • Fisting • Leather and Kink • Mutual Masturbation • Oral Sex, Fellatio, Sucking, Blow Job • Rimming, Anilingus, Oral-Anal Sex • Saline Injections • Scat Play, Coprophilia, Pig Sex • “Sex Toys” • Teabagging, Scrotum Sucking • Tit Torture • Watersports, Piss Play, Golden Showers Chapter 9 • DISEASE RESULTING from MSM LIFESTYLE and SEXUAL PRACTICES Overview: Disease among MSM • HIV/AIDS • HPV (Human Papillomavirus) • Cancers in MSM • Genital Herpes • Molluscum • Viral Hepatitis • Chlamydia and LGV • Gonorrhea • Syphilis • Tuberculosis and HIV Co-Infection • Typhoid Fever • Urethritis • Epididymitis • Prostatitis • Gay Bowel Syndrome • Rectal Incontinence • Other Damage to Anus and Bowels • Penis and Scrotum Injuries • Aging Issues: Cardiovascular, Diabetes, Physical Disability, Psychological Distress, Impotence Chapter 10 • HIV/AIDS EPIDEMIC What Is HIV/AIDS? • HIV/AIDS Symptoms • HIV as Part of MSM Syndemic • Grim Outlook for HIV-Positive Person • Shortened Lifespan Related to HIV/AIDS • HIV/AIDS Transmission • MSM Risk of Acquiring HIV/AIDS • HIV a “Re-emergent Epidemic” among MSM • CDC’s HIV/AIDS Prevention Strategies Chapter 11 • HIV/AIDS EXCEPTIONALISM: Public Health Measures Not Taken No Strategy for Notification of Sex Partners • Western Libertarian Sexual Ideology Driving Public Health • New Threat to the Blood Bank? • Suggestions for Change of Direction at CDC • Outside US: Reducing Number of Partners Successful Chapter 12 • HIV/AIDS IS a “GAY” DISEASE: A Closer Look at CDC Statistics Great Majority of New HIV Infections in MSM • MSM Only Category with HIV Increasing • MSM Need to “Own It to End It” • Women and HIV/AIDS Chapter 13 • BISEXUALS: MEN and WOMEN Definition of “Bisexual” • How Many Are Bisexual? • Bisexuals Lead All “Sexual Orientations” in Incidence of Pathologies • “Safer Sex” for Bisexuals • Bisexual Men Act as Disease Bridge to Women Chapter 14 • HETEROSEXUAL ANAL INTERCOURSE Chapter 15 • LESBIANS and BISEXUAL WOMEN Population Statistics: How Many Women Identify as Lesbian or Bisexual? • Many Lesbians Have Sex with Men – But Do Not Identify as Bisexual Chapter 16 • LESBIAN and BISEXUAL WOMEN: LIFESTYLE and DISEASE RISK Mental Health Disorders • Substance Abuse: Tobacco, Alcohol, Drugs • Lesbian Partner Abuse • Promiscuity, Short-lived Relationships • Online Dating, Casual Sex, Non-monogamy • No Pregnancies; Abortions • Obesity, Lack of Fitness, Poor Diet • Pornography Use • BDSM • Prostitution Chapter 17 • LESBIAN SEXUAL PRACTICES Oral Sex, Cunnilingus, “Eating Out” • Tribadism, Tribbing, Scissoring, Dry Humping • Fingering, Hand Job, Digital-Vaginal Contact • Anal Sex (Various Practices) • Rimming, Anilingus, Oral-Anal • Fisting: Vaginal and Anal • “Sex Toys” • Urine and Menstrual Discharge Fetishes • Artificial Fellatio • Packing Chapter 18 • DISEASE RESULTING from LESBIAN LIFESTYLE and SEXUAL PRACTICES Overview • Bacterial Vaginosis • Syphilis, Chlamydia, Gonorrhea • HPV (Human Papillomavirus) • Trichomoniasis • Viral Hepatitis • Herpes, Types 1 and 2 • HIV/AIDS among WSW • Yeast Infections • Polycystic Ovary Syndrome • Cancers • Heart Disease • Chronic Health Issues: Arthritis, Asthma, Disability, Type 2 Diabetes, General Poor Health Chapter 19 • GLB ELDERS: SOCIAL and HEALTH ISSUES Chapter 20 • TRANSGENDERISM Transgender: Definition and Population Estimates • Transgender Campaign Is Decades Old • At War with Biological Reality • Transgenderism Is a Mental Disorder • Transgender Physical Health Issues • Child Abuse: Puberty-Blocking Drugs for “Transgender” Children • Cross-Dressing, Transvestism Chapter 21 • PUBLIC HEALTH COSTS of STD and HIV/AIDS EPIDEMICS • ENDNOTES •