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Ask Dr. K

I feel very healthy and happened to have a yearly check up after getting fucked the day before. Some blood showed up on a swab test. The doctor recommended a colonoscopy not knowing I'm gay and because she recommends it for a 50-year-old anyway. The colonoscopy sounds risky and unpleasant. I prefer to do more swabs if they are available in the store. What's your advice? Thanks.

Blood on a swab test should always be looked into further. Though it could be from minor trauma during the fuck session the day before, it could also be a sign of a rectal infection like gonorrhea or chlamydia. Hemorrhoids are the most common cause of rectal or anal bleeding. Additionally, it could be an early sign of colon cancer, and this is the reason your doctor is making the recommendation for a colonoscopy. A colonoscopy is recommended as routine medical care (whether or not you are gay) for those 50 and older, earlier if you have a family history of colon cancer or have bleeding from the anus. Colonoscopies are safe; thousands of Americans undergo them every day without incident.

For the future, remember to use plenty of lube during anal sex to help prevent injuries to the rectum. These injuries can cause bleeding and make getting and passing HIV more likely.

Also, in order to get the best medical care possible, it's important to be honest with your medical providers about who you have sex with and what types of sex you have. Sexually active gay men can stay healthy with routine STD checks every 3 months and HIV checks at least every 6 months.

To your health,
Dr. K

Last modified on Thursday, November 19, 2009.
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