We recommend that sexually active gay men and other men who have sex with men be tested for HIV and STDs (gonorrhea, chlamydia, and syphilis) every three months. Testing for syphilis usually involves a quick physical exam and a blood test. Testing for gonorrhea and chlamydia involves a urine sample if you perform insertive oral sex or anal sex (i.e. if you “top”), a swab of your throat if you perform oral sex on other guys, and a rectal swab if you practice receptive anal sex (i.e. if you “bottom”).  If you are not getting tested every three months ask your provider if you can be. You can ask your provider what your syphilis infection status is; whether you have gonorrhea or chlamydia in your butt, throat or penis; and talk with your provider about ways to reduce your risk for getting STDs and HIV. If you're not on PrEP, you could talk with your provider about whether PrEP makes sense for you.  

There are a number of vaccines that can protect you against STDs - ask your provider if you need vaccines against Hepatitis A, Hepatitis B, HPV or meningococcus. You should also ask about anal cancer screening and your risks; and what warts look like and how they are treated.  Your provider should be thinking about all aspects of your health including use of tobacco, alcohol and recreational drugs; and what you do for exercise and your diet.