CHEMSEX AND HIV
CHEMSEX & HIV BY LOYCE KNIGHT OKUTA
Chemsex is also known as chemfun, party and play or PNP. It involves using one or more drugs to enhance sex; it can last for many hours at a time, and often with multiple sexual partners
Chemsex is a term used for people having sex while on drugs. Although the practice is most common among groups of gay men, between couples or in larger party settings, it’s becoming increasingly common among straight people too.
Taking drugs for chemsex is different to drinking alcohol or taking drugs recreationally. This is because the associated drugs, or “chems”, which are used to deliberately enhance sexual experiences also induce a different kind of sexual disinhibition among users.
Usually people do it to alter the physical sensations they have during sex (increased pleasure and ability to have sex for longer), or to change their psychological experiences (increasing their confidence or removing inhibitions or embarrassment).
Drugs used for chemsex
There are three popular drugs used during chemsex:
- gammahydroxybutyrate/gammabutyrolactone (also known as GHB/GBL, G or Gina)
- mephedrone (meph or meow)
- crystal methamphetamine (crystal meth)
They are sometimes taken on their own or together with alcohol or other drugs (such as cocaine or ecstasy).
Risks of chemsex
Chemsex drugs are mind-altering substances, so if you mix them with sex you’re increasing your risk of HIV and sexually transmitted infections (STIs) in a number of different ways:
- with less physical inhibitions you’re less likely to use condoms, even if you intend to beforehand.
- you may not remember what activities you’ve taken part in and whether you used condoms.
- if you’re involved in a long session, you might forget to take your pre-exposure prophylaxis (PrEP) medication, increasing your vulnerability to HIV if you’re not using condoms
- if you’re living with HIV, you might forget to take your HIV medication, which helps to keep you undetectable and uninfectious to your partners
- you may have sex with a number of people, who may or may not be HIV positive, increasing your chances of exposure to HIV
- you may have more forceful sex than you’re used to, because of the anaesthetic effects of drugs like GHB. The thin lining of the anus can be easily damaged or torn through forceful, unlubricated anal sex, increasing the risk of HIV infection and other STIs, including Hepatitis C.
- you can 'lose time' as a result of long lasting sex sessions – this may affect your chances of preventing HIV transmission with emergency post-exposure prophylaxis treatment (PEP), which needs to be taken within 72 hours of infection to be effective
- if you inject mephedrone or crystal meth with shared needles (otherwise known as slamming), you’re increasing your risk of both HIV and hepatitis C infection
- Participating in chemsex is never 100% safe, but there are precautions you can take to stay safe and protect yourself from HIV.
The potency of drugs like GHB also affects your wider health and safety. GHB increases your chances of ‘passing out’, leaving you more vulnerable to sexual assault. Whatever the circumstances, and whatever drugs you may have taken prior to sexual activity, remember that sexual assault is never acceptable and is never your fault.
Exhaustion or crashing is also common after a drug session (also known as a comedown), as well as psychological dependence or, with the overconsumption of substances, an overdose which can be fatal.
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