Men who have sex with men (MSM), also known as males who have sex with males, are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves; many such men do not sexually identify as gay, homosexual or bisexual.
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The abundance of nerve endings in the anal region and rectum can make anal sex pleasurable for men or women. The internal and external sphincter muscles control the opening and closing of the anus; these muscles, which are sensitive membranes made up of many nerve endings, facilitate pleasure or pain during anal sex.
Homosexual acts are in more than a third of countries, preventing men who have sex with men (MSM) from accessing HIV services.
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At the end of 2014, states the CDC, “an estimated 615,400 gay and bisexual men were living with HIV. Of those, 17.3% were unaware of their infection.”
