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Fitness Diet and Exercise Problems with body image are more common among gay men than their straight counterparts, and gay men are much more likely to experience an eating disorder such as bulimia or anorexia nervosa. While regular exercise is very good for cardiovascular health and in other areas, too much of a good thing can be harmful.

The use of substances such as anabolic steroids and certain supplements can adversely affect health. At the opposite end of the spectrum, heaviness and obesity are problems that also affect a large subset of the gay community. This can cause a number of health problems, including diabetes, high blood pressure and heart disease. Anal Papilloma Human Papilloma virus infections — which cause anal and genital warts — are often thought to be little more than an unsightly inconvenience.

However, these infections may play a role in the increased rates of anal cancers in gay men. Some health professionals now recommend routine screening with anal pap smears, similar to the tests done for women to detect early cancers. Safer sex should be emphasized. Treatments for HPV do exist, but recurrences of the warts are very common, and the rate at which the infection can be spread between partners is very high. It is important to be honest and up front with your health provider and to get screened accordingly. Certainly, there are other health concerns that gay men and MSM face.

And there are other cultural competence issues — gender identity, race, ethnicity, economic status, for example. Every physician and every health care professional — gay or straight — should know these things. And they should provide an open, comfortable environment in which these issues can be discussed. Public health means prevention. To help make it easier, the vaccines are free. They are very effective at protecting against Hepatitis A and B, and have minimal side effects.

Persons who are eligible for this program include men who have sex with men and persons who already have or are at risk for Hepatitis C. Contact the Montana Hepatitis Program at to see if this program is offered in your community. Hepatitis refers to inflammation of the liver.

Classic signs of hepatitis include darkening of urine, lighter colored feces, yellowing of the whites of the eyes and skin jaundice. Many people who have hepatitis do not have these classic symptoms.

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Some just have vague complaints such as stomach pain, poor appetite, or nausea. What is Hepatitis A? Hepatitis A is caused by a specific virus. About Americans die each year from hepatitis A. Hepatitis A does not cause chronic infection. How does Hepatitis A spread? It is very contagious: When an infected person makes food or beverages, they may inadvertently contaminated items they prepare. Sex also spreads the virus easily. The virus is hardy and survives outside the body. What is Hepatitis B? Often this causes no symptoms, but it can lead to cirrhosis, liver failure, or liver cancer.

Every year, over , people die worldwide from hepatitis B-associated diseases.

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In the US, over 1 million people carry hepatitis B chronically. About 5, Americans die each year from hepatitis B. People with chronic hepatitis B may also spread the infection to others. How does Hepatitis B spread?

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Hepatitis B in blood, sexual secretions, and saliva spread to other people via household or sexual contact. Hepatitis B virus is very resistant to air and light. It remains infectious outside the body for a long time. As a group, men who engage in same sex contact have historically had higher rates of infection with Hepatitis A and B. Hep A spreads through sex as well as the fecal-oral route, so rimming-oral-anal contact-is especially risky.

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Montana also has higher than average hepatitis A case reports. Hep B spreads easily through sex, especially anal sex.

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The more of the behaviors and the more persons any individual is exposed to, the greater their individual risk. What is the Montana Hepatitis Prevention Program? The Montana Hepatitis Prevention Program is a prevention program for Missoula area residents who have higher risks for hepatitis A and B. Vaccines are provided by the Montana Department of Public Health and Human Services through a statewide effort to reach persons are greater risk.

How effective are the vaccines? Hepatitis A vaccine produced protective antibodies in Hepatitis B vaccine produced protective antibodies in How safe are the vaccines? What side effects are likely? The vaccines are well tolerated. Serious problems occur in less than 1. Persons who should not receive the vaccines are those who have a serious yeast allergy or who have had a serious reaction to earlier doses.

The most common side effects are soreness at the injection site, headache and tiredness. More information about side effects and adverse reactions is available online at: Your sex life is your business, not ours.