समलैंगिकता और समलैंगिक सम्बन्ध क़ानून का विषय न होकर हमारी सामाजिकता ,नीति शाश्त्र और धर्म सम्मत आचरण से जुड़े विषय हैं । शाश्त्रों ने इस विषय को गहन वैज्ञानिक अध्ययन के आधार पर नीति कथाओं , बोध कथाओं की मार्फ़त आम जन तक पहुंचाया था। पति -पत्नी के बीच मैथुन को धर्म सम्मत बतलाया गया है गृहस्थ आचरण का तप है मैथुन केवल विषय तृप्ति का विषय नहीं है।
हम आज भी किसी विषय को आँख मूँद कर स्वीकार नहीं करते हैं। उसके अनेक पहलुओं पर मंथन करते हैं। वैज्ञानिक पक्ष को भी देखते हैं। सामाजिक पक्ष को भी। एनीमल बिहेविअर भी हमारा दिशा निर्देशन करता है। कमोबेश पशु जगत में मोनोगेमी है। सम-लैंगिकता भी नहीं के बराबर ही है।
फिर हम इस सामान्य व्यवहार का अतिक्रमण करने पर क्यों उतारूं हैं।
ऐसा क्या उच्चतम न्यायालय ने कर दिया ?अंग्रेजी के चंद रिसालों में इतनी बे -चैनी क्यों है ?क्या आज यह समलैंगिकता देश के सामने केंद्रीय मुद्दा है ?
२००९ में जब उच्च न्यायालय ने धारा ३७७ को बेअसर कर दिया था गे -लेस्बियन -बाइसेक्स्युअल -ट्रांस -सेक्स्युअल सेक्स को (जो दो वयस्कों के बीच की सहमति का परिणाम रहा हो )अपराध के दायरे से खारिज कर दिया था। हमने इसका समर्थन किया था।
तब हमारा तर्क था मनो -विज्ञान इसे आमान्य नहीं मानता। वैयक्तिक दायरा और चयन मानता है व्यक्ति विशेष का। आज हमारा तर्क है अपवाद को नियम नहीं माना जा सकता है। वैज्ञानिक मान्यताएं बारहा प्रयोग की कसौटी से गुज़रती हैं। मनो -विज्ञान तो आत्मा के अस्तित्व को भी नहीं मानता। कहता है अगर आत्मा है तो लाओ उसे लेब में। जबकि मनोविज्ञान की सबसे पहली परिभाषा कहती है -मनोविज्ञान आत्मा के अध्ययन का विज्ञान है। उस मनोविज्ञान को हम अंतिम सत्य क्यों और कैसे मान लें जिसका स्वरूप प्रायोगिक है।
नैतिक आचरण ,और जीवों का मूल स्वभाव (धर्म )समलैंगिकता का पक्ष धर है इति। हम इस विषय पर परम्परा के साथ हैं।
Health issues for gay men: Prevention first
Understand important health issues for gay men — from sexually transmitted infections to depression — and get tips for taking charge of your health.
All men have certain health risks. Gay men and men who have sex with men face an increased risk of specific health concerns, however. Although your individual risks are shaped by many factors beyond your sexual orientation and practices — including family history and age — it's important to understand common health issues for gay men and steps you can take to stay healthy.
Protect yourself from sexually transmitted infections
Men who have sex with men are at increased risk of contracting HIV, the virus that causes AIDS, as well as other sexually transmitted infections, including gonorrhea, chlamydia and syphilis.
To protect yourself from sexually transmitted infections:
- Get tested and have your partner tested. Don't have unprotected sex unless you're certain you and your partner aren't infected with HIV or other sexually transmitted infections. Testing is important because many people don't know they're infected, and others might not be honest about their health.
- Use a condom or other protection. Use a new latex or polyurethane condom every time you have sex — especially during anal sex, but ideally during oral sex as well. Use only water-based lubricants, not petroleum jelly, hand lotion, cold cream or oils. Oil-based lubricants can weaken latex condoms and cause them to break. Don't share sex toys, and keep them safe by protecting them with a condom and cleaning them before and after every use.
- Be monogamous. Another reliable way to avoid sexually transmitted infections is to stay in a long-term mutually monogamous relationship with a partner who isn't infected.
- Consider the drug Truvada. In July 2012, the Food and Drug Administration (FDA) approved the use of the drug Truvada to reduce the risk of sexually transmitted HIV infection in those who are at high risk. Truvada is also used as an HIV treatment along with other medications.When used to help prevent HIV infection, Truvada is only appropriate if your doctor is certain you don't already have an HIV or hepatitis B infection. The drug must also be taken daily, exactly as prescribed. And it should only be used along with other prevention strategies such as condom use every time you have sex.Truvada isn't for everyone. If you're interested in Truvada, talk with your doctor about the potential risks and benefits and whether it's right for you.
- Limit the amount of alcohol you drink and don't use drugs. If you're under the influence, you're more likely to take sexual risks. If you choose to use injectable drugs, don't share needles.
- Know the risks associated with sexual venues. Sexual venues such as bathhouses, sex parties and the Internet can facilitate multiple sexual partnerships and anonymous sexual encounters, as well as higher risk sexual behaviors.
- Get vaccinated. Vaccinations can protect you from hepatitis A and hepatitis B, serious liver infections that can spread through sexual contact.
- Remain vigilant. There's no cure for HIV/AIDS and many sexually transmitted infections, such as human papillomavirus (HPV) and genital herpes. The best way to stay healthy is to protect yourself.
Gay men and men who have sex with men might be at higher risk of depression and anxiety. In addition, youth who identify themselves as lesbian, gay, bisexual or transgender might have a higher risk of depression and attempted suicide. Contributing factors could include social alienation, discrimination, rejection by loved ones, abuse and violence. The problem might be more severe for men who try to hide their sexual orientation and those who lack social support.
Left untreated, depression can lead to risky sexual behavior and a downward spiral of emotional, behavioral, health, and even legal and financial problems. If you think you might be depressed, talk to your doctor or seek help from a mental health provider. If you're reluctant to seek treatment, confide in a trusted friend or loved one. Sharing your feelings might be the first step toward getting treatment.
Address body image concerns
Gay men are more likely to experience body image problems and eating disorders, such as anorexia and bulimia nervosa, than are their straight counterparts. One potential explanation is that gay men identify with the cultural value placed on an ideal — yet often unattainable — body image. Gay men might also be more likely to view their bodies as sexual objects, which can lead to dissatisfaction and poor body image.
If you're struggling with body image concerns or an eating disorder, get help. Talk to your doctor or a mental health provider about treatment options.
Health issues for gay men: Prevention first
Seek help for substance abuse
Gay and bisexual men might face unique risk factors for substance abuse, such as:
- Relying on bars and clubs for socializing and peer support
- Stress related to passing as a heterosexual or coming out
- Trauma due to bullying, violence, abuse or self-abuse
- Impact of sexism and discrimination
If you have a substance abuse concern, remember that help is available. Local lesbian, gay, bisexual and transgender health, mental health or community centers often provide substance abuse treatment. Organizations such as the Gay and Lesbian Medical Association also may provide referrals.
Recognize domestic violence
Domestic violence can affect anyone in an intimate relationship. Warning signs specific to gay men might include a partner who:
- Threatens to tell friends, loved ones, colleagues or community members your sexual orientation or gender identity
- Tells you that authorities won't help a homosexual, bisexual or transgendered person
- Tells you that leaving the relationship means you're admitting that homosexual relationships are deviant
- Tells you that domestic violence is a normal part of homosexual relationships or that men are naturally violent
Staying in an abusive relationship might leave you depressed, anxious or hopeless. If you don't want to disclose your sexual orientation, you might be less likely to seek help after an assault. Still, the only way to break the cycle of domestic violence is to take action — the sooner the better. If you're a target of domestic violence, tell someone about the abuse, whether it's a friend, loved one, health care provider or other close contact. Consider calling a domestic violence hotline and creating a plan to leave your abuser.
Make routine health care a priority
Don't let fear of homophobia or the stigma associated with homosexuality prevent you from seeking routine health care. Instead, take charge of your health. Look for a doctor who puts you at ease. Identify yourself as gay or bisexual, and ask about routine screenings recommended for men in your age group — such as blood pressure and cholesterol measurements and screenings for prostate, testicular and colon cancer. If you're not in a long-term, mutually monogamous relationship, schedule regular screenings for sexually transmitted infections. Share any other health concerns you might have with your doctor as well. Early diagnosis and treatment help promote long-term health.
You might also take heart in a plan unveiled in June 2011 by the Department of Health and Human Services to improve the collection of data that tracks the health and experiences of people who identify themselves as lesbian, gay, bisexual or transgender. The collection of such information is expected to help address the unique health needs of the lesbian, gay, bisexual and transgender community.
The Health Risks of Gay Sex
JOHN R. DIGGS, JR., M.D.
As a physician, it is my duty to assess behaviors for their impact on health and wellbeing. When something is beneficial, such as exercise, good nutrition, or adequate sleep, it is my duty to recommend it. Likewise, when something is harmful, such as smoking, overeating, alcohol or drug abuse, and homosexual sex, it is my duty to discourage it.
Sexual relationships between members of the same sex expose gays, lesbians and bisexuals to extreme risks of Sexually Transmitted Diseases (STDs), physical injuries, mental disorders and even a shortened life span. There are five major distinctions between gay and heterosexual relationships, with specific medical consequences. They are:
- Levels of Promiscuity
Prior to the AIDS epidemic, a 1978 study found that 75 percent of white, gay males claimed to have had more than 100 lifetime male sex partners: 15 percent claimed 100-249 sex partners; 17 percent claimed 250-499; 15 percent claimed 500- 999; and 28 percent claimed more than 1,000 lifetime male sex partners. Levels of promiscuity subsequently declined, but some observers are concerned that promiscuity is again approaching the levels of the 1970s. The medical consequence of this promiscuity is that gays have a greatly increased likelihood of contracting HIV/AIDS, syphilis and other STDs.
Similar extremes of promiscuity have not been documented among lesbians. However, an Australian study found that 93 percent of lesbians reported having had sex with men, and lesbians were 4.5 times more likely than heterosexual women to have had more than 50 lifetime male sex partners. Any degree of sexual promiscuity carries the risk of contracting STDs.
- Physical HealthCommon sexual practices among gay men lead to numerous STDs and physical injuries, some of which are virtually unknown in the heterosexual population. Lesbians are also at higher risk for STDs. In addition to diseases that may be transmitted during lesbian sex, a study at an Australian STD clinic found that lesbians were three to four times more likely than heterosexual women to have sex with men who were high-risk for HIV.
- Mental HealthIt is well established that there are high rates of psychiatric illnesses, including depression, drug abuse, and suicide attempts, among gays and lesbians. This is true even in the Netherlands, where gay, lesbian and bisexual (GLB) relationships are far more socially acceptable than in the U.S. Depression and drug abuse are strongly associated with risky sexual practices that lead to serious medical problems.
- Life SpanThe only epidemiological study to date on the life span of gay men concluded that gay and bisexual men lose up to 20 years of life expectancy.
- MonogamyMonogamy, meaning long-term sexual fidelity, is rare in GLB relationships, particularly among gay men. One study reported that 66 percent of gay couples reported sex outside the relationship within the first year, and nearly 90 percent if the relationship lasted five years.
Encouraging people to engage in risky sexual behavior undermines good health and can result in a shortened life span. Yet that is exactly what employers and governmental entities are doing when they grant GLB couples benefits or status that make GLB relationships appear more socially acceptable.