Sexual activities involving
men who have sex with men
Men who have sex with men (MSM) are men who engage in sexual activity with other men, regardless of their sexual orientation or sexual identity. The term was created by epidemiologists in the 1990s, to better study and communicate the spre ...
(MSM), regardless of their
sexual orientation
Sexual orientation is an enduring personal pattern of romantic attraction or sexual attraction (or a combination of these) to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. Patterns ar ...
,
can include
anal sex
Anal sex or anal intercourse principally means the insertion and pelvic thrusting, thrusting of the Erection, erect human penis, penis into a person's Human anus, anus, or anus and rectum, for sexual pleasure.Sepages 270–271for anal sex inform ...
,
non-penetrative sex
Non-penetrative sex or outercourse is Human sexual activity, sexual activity that usually does not include sexual penetration, but some forms, particularly when termed ''outercourse'', include penetrative aspects, that may result from forms of ...
, and
oral sex
Oral sex, sometimes referred to as oral intercourse, is sexual activity involving the stimulation of the genitalia of a person by another person using the mouth (including the lips, tongue, or teeth). Cunnilingus is oral sex performed on the vu ...
. Evidence shows that sex between men is significantly underreported in surveys.
Behaviors
Various
sex position
A sex position is a positioning of the bodies that people use to engage in sexual intercourse or other sexual activities. Sexual acts are generally described by the positions the participants adopt in order to perform those acts. Though sexua ...
s may be performed during sexual activity between men. Evidence shows that sex between men is significantly underreported in surveys due to
social desirability bias
In Social research, social science research social-desirability bias is a type of response bias that is the tendency of survey methodology, survey respondents to answer questions in a manner that will be viewed favorably by others. It can take the ...
.
Anal sex

Historically,
anal sex
Anal sex or anal intercourse principally means the insertion and pelvic thrusting, thrusting of the Erection, erect human penis, penis into a person's Human anus, anus, or anus and rectum, for sexual pleasure.Sepages 270–271for anal sex inform ...
has been popularly associated with
male homosexuality. Many MSM, however, do not engage in anal sex, and may engage in
oral sex
Oral sex, sometimes referred to as oral intercourse, is sexual activity involving the stimulation of the genitalia of a person by another person using the mouth (including the lips, tongue, or teeth). Cunnilingus is oral sex performed on the vu ...
,
frottage or
frot, and/or
mutual masturbation
Non-penetrative sex or outercourse is sexual activity that usually does not include sexual penetration, but some forms, particularly when termed ''outercourse'', include penetrative aspects, that may result from forms of fingering or oral sex ...
instead.
Among men who have anal sex with other men, the partner who inserts his
penis
A penis (; : penises or penes) is a sex organ through which male and hermaphrodite animals expel semen during copulation (zoology), copulation, and through which male placental mammals and marsupials also Urination, urinate.
The term ''pen ...
may be referred to as the ''
top
Top most commonly refers to:
* Top, a basic term of orientation, distinguished from bottom, front, back, and sides
* Spinning top, a ubiquitous traditional toy
* Top (clothing), clothing designed to be worn over the torso
* Mountain top, a moun ...
'', the one being penetrated may be referred to as the ''
bottom'', and those who enjoy either role may be referred to as ''
versatile''.
When MSM engage in anal sex without using a condom, this is referred to as
bareback sex. Pleasure, pain, or both may accompany anal sex. While the
nerve
A nerve is an enclosed, cable-like bundle of nerve fibers (called axons). Nerves have historically been considered the basic units of the peripheral nervous system. A nerve provides a common pathway for the Electrochemistry, electrochemical nerv ...
endings in the
anus
In mammals, invertebrates and most fish, the anus (: anuses or ani; from Latin, 'ring' or 'circle') is the external body orifice at the ''exit'' end of the digestive tract (bowel), i.e. the opposite end from the mouth. Its function is to facil ...
can provide pleasurable feelings, an
orgasm
Orgasm (from Greek , ; "excitement, swelling"), sexual climax, or simply climax, is the sudden release of accumulated sexual excitement during the sexual response cycle, characterized by intense sexual pleasure resulting in rhythmic, involu ...
may be achieved through receptive anal penetration by indirect stimulation of the
prostate
The prostate is an male accessory gland, accessory gland of the male reproductive system and a muscle-driven mechanical switch between urination and ejaculation. It is found in all male mammals. It differs between species anatomically, chemica ...
.
A study by the
National Survey of Sexual Health and Behavior (NSSHB) indicated that men who self-report taking a receptive position during anal sex in their last encounter were at least as likely to have reached orgasm as men who adopted an insertive role. A study sampling single people in the U.S. indicated that orgasm rates are similar among men across sexual orientations.
With regard to pain or being uncomfortable during anal sex,
some research indicates that, for 24% to 61% of gay or
bisexual
Bisexuality is romantic attraction, sexual attraction, or sexual behavior toward both males and females. It may also be defined as the attraction to more than one gender, to people of both the same and different gender, or the attraction t ...
men, painful receptive anal sex (known as anodyspareunia) is a frequent lifetime sexual difficulty.
Reports pertaining to
the prevalence of anal sex among MSM have varied over time, with some percentages higher than others.
A large percentage of gay and
bisexual
Bisexuality is romantic attraction, sexual attraction, or sexual behavior toward both males and females. It may also be defined as the attraction to more than one gender, to people of both the same and different gender, or the attraction t ...
men self-report lifetime participation in anal sex.
Studies among gay men have indicated that percentages are similar when comparing men who prefer to penetrate their partners to those who prefer to be the receptive partner.
Some men who have sex with men, however, believe that being a receptive partner during anal sex questions their
masculinity
Masculinity (also called manhood or manliness) is a set of attributes, behaviors, and roles generally associated with men and boys. Masculinity can be theoretically understood as Social construction of gender, socially constructed, and there i ...
.
Non-penetrative sex and masturbation

There are a variety of non-penetrative sex practices.
Frot is a sexual activity between men that usually involves penis-to-penis contact.
It is a form of frottage. Frot can be enjoyable because it mutually and simultaneously stimulates the genitals of both partners as it tends to produce pleasurable friction against the
frenulum
A frenulum or frenum (: frenula or frena, from the Latin ''frēnulum'', "little bridle", the diminutive of ''frēnum'') is a small fold of tissue that secures the motion of a mobile organ in the body.
In human anatomy
Frenula on the human ...
nerve bundle on the underside of each man's penile shaft, just below the
urinary opening (meatus) of the penis
head
A head is the part of an organism which usually includes the ears, brain, forehead, cheeks, chin, eyes, nose, and mouth, each of which aid in various sensory functions such as sight, hearing, smell, and taste. Some very simple ani ...
(glans penis).
Intercrural sex
Intercrural sex, which is also known as coitus interfemoris, thigh sex, thighing, thighjob and interfemoral sex, is a type of non-penetrative sex in which the penis is placed between the receiving partner's thighs and friction is generated via ...
is another form of non-penetrative sex that can be practiced between MSM.
Docking (the insertion of one man's penis into another man's
foreskin
In male Human body, human anatomy, the foreskin, also known as the prepuce (), is the double-layered fold of Human skin, skin, Mucous membrane, mucosal and Muscle tissue, muscular tissue at the distal end of the human penis that covers the glans ...
) is also practiced.
Manual sex is another non-penetrative sex act that can occur between men. This includes
handjob
A handjob (also spelled hand job) is a manual sex act involving a person stimulating the penis or scrotum of another by using the hand. This is done to induce an erection for sexual pleasure, sexual arousal and may result in orgasm and ejaculat ...
s, which is the use of one's hands to stimulate someone else's penis or scrotum, and
anal fingering, which is the use of one's fingers to stimulate someone's anus.
MSM may use
sex toys
A sex toy is an object or device that is primarily used to facilitate Sexual stimulation, sexual pleasure, such as a dildo, artificial vagina or Vibrator (sex toy), vibrator. Many popular sex toys are designed to resemble human genitals, and ma ...
. According to an online survey of 25,294 men who self-reported a
homosexual
Homosexuality is romantic attraction, sexual attraction, or sexual behavior between people of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" exc ...
or bisexual orientation, 49.8% have used
vibrators. Most men who had used a vibrator in the past reported use during masturbation (86.2%). When used during partnered interactions, vibrators were incorporated into foreplay (65.9%) and intercourse (59.4%).
Oral sex

MSM may engage in oral sex, including
fellatio
Fellatio (also known as fellation, and in slang as blowjob, BJ, giving head, or sucking off) is an oral sex act consisting of the stimulation of a human penis, penis by using the mouth. Oral stimulation of the scrotum may also be termed ''fellat ...
, which is using the mouth to stimulate another person's penis or scrotum, and
anilingus
Anilingus (also spelled analingus) is an oral sex, oral and anal sex act (anal–oral contact or anal–oral sex) in which one person stimulates the human anus, anus of another by using their tongue or lips.
The anus has a relatively high conc ...
, which is stimulating someone else's anus using the tongue and lips. Wellings et al. reported that "the equation of 'homosexual' with 'anal' sex among men is common among lay and health professionals alike," whereas an
online survey With the application of probability Sampling (statistics), sampling in the 1930s, surveys became a standard tool for empirical research in social sciences, marketing, and official statistics.
The methods involved in survey data collection are any o ...
of 18,000 MSM in Europe "showed that oral sex was most commonly practised, followed by mutual masturbation, with anal intercourse in third place."
A 2011 survey by ''
The Journal of Sexual Medicine'' found similar results for U.S. gay and bisexual men. Kissing a partner on the mouth (74.5%), oral sex (72.7%), and partnered masturbation (68.4%) were the three most common behaviors, with 63.2% of the sample self-reporting five to nine different sexual behaviors during their last encounter.
Health risks
A variety of
sexually transmitted infection
A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is Transmission (medicine), spread by Human sexual activity, sexual activity, e ...
s (STIs) can be transmitted through sexual activity, including between men. Infections are more easily transmitted during receptive anal sex compared to other forms of sex.
Legality
Some or all sexual acts between men are currently or were formerly classified as crimes in jurisdictions of some countries. In its December 2020 report,
International Lesbian, Gay, Bisexual, Trans and Intersex Association
The International Lesbian, Gay, Bisexual, Trans and Intersex Association (ILGA, Spanish: ''Asociación internacional de lesbianas, gays, bisexuales, trans e intersexuales'') is a LGBTQ+ rights organization.
It participates in a multitude of a ...
(ILGA) found that certain sexual acts between men are criminalized in 67 of 193
UN member states
The United Nations comprise sovereign states and the world's largest intergovernmental organization. All members have equal representation in the UN General Assembly.
The Charter of the United Nations defines the rules for admission of ...
and one non-independent jurisdiction, the
Cook Islands
The Cook Islands is an island country in Polynesia, part of Oceania in the South Pacific Ocean. It consists of 15 islands whose total land area is approximately . The Cook Islands' Exclusive Economic Zone (EEZ) covers of ocean. Avarua is its ...
, while two UN member states,
Iraq
Iraq, officially the Republic of Iraq, is a country in West Asia. It is bordered by Saudi Arabia to Iraq–Saudi Arabia border, the south, Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq border, the east, the Persian Gulf and ...
and
Egypt
Egypt ( , ), officially the Arab Republic of Egypt, is a country spanning the Northeast Africa, northeast corner of Africa and Western Asia, southwest corner of Asia via the Sinai Peninsula. It is bordered by the Mediterranean Sea to northe ...
, criminalize it ''
de facto'' but not in legislation.
In Egypt, there is no law against homosexuality but gay and bisexual men are prosecuted under other laws, most famously the
Cairo 52.
In at least six UN member states—
Brunei
Brunei, officially Brunei Darussalam, is a country in Southeast Asia, situated on the northern coast of the island of Borneo. Apart from its coastline on the South China Sea, it is completely surrounded by the Malaysian state of Sarawak, with ...
,
Iran
Iran, officially the Islamic Republic of Iran (IRI) and also known as Persia, is a country in West Asia. It borders Iraq to the west, Turkey, Azerbaijan, and Armenia to the northwest, the Caspian Sea to the north, Turkmenistan to the nort ...
,
Mauritania
Mauritania, officially the Islamic Republic of Mauritania, is a sovereign country in Maghreb, Northwest Africa. It is bordered by the Atlantic Ocean to the west, Western Sahara to Mauritania–Western Sahara border, the north and northwest, ...
,
Nigeria
Nigeria, officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of Guinea in the Atlantic Ocean to the south. It covers an area of . With Demographics of Nigeria, ...
(only
northern Nigeria
Northern Nigeria (or Arewa, Arewancin Nijeriya) was an autonomous division within Nigeria, distinctly different from the southern part of the country, with independent customs, foreign relations and security structures. In 1962, it acquired t ...
),
Saudi Arabia
Saudi Arabia, officially the Kingdom of Saudi Arabia (KSA), is a country in West Asia. Located in the centre of the Middle East, it covers the bulk of the Arabian Peninsula and has a land area of about , making it the List of Asian countries ...
and
Yemen
Yemen, officially the Republic of Yemen, is a country in West Asia. Located in South Arabia, southern Arabia, it borders Saudi Arabia to Saudi Arabia–Yemen border, the north, Oman to Oman–Yemen border, the northeast, the south-eastern part ...
—it is
punishable by death.
[ In 2007, five countries executed someone as a penalty for homosexual acts.][ In 2020, ILGA named Iran and Saudi Arabia as the only countries in which executions for same-sex activity have reportedly taken place.][ In other countries, such as Yemen and Iraq, extrajudicial executions are carried out by militias such as ]Islamic State
The Islamic State (IS), also known as the Islamic State of Iraq and the Levant (ISIL), the Islamic State of Iraq and Syria (ISIS) and Daesh, is a transnational Salafi jihadism, Salafi jihadist organization and unrecognized quasi-state. IS ...
or Al-Qaeda
, image = Flag of Jihad.svg
, caption = Jihadist flag, Flag used by various al-Qaeda factions
, founder = Osama bin Laden{{Assassinated, Killing of Osama bin Laden
, leaders = {{Plainlist,
* Osama bin Lad ...
.[ Many other countries had such laws in the past, but they were repealed, especially since 1945.] Such laws are inherently difficult to enforce; more often than not, they are not commonly enforced.[
]
See also
*Gay pornography
Gay pornography is the representation of Sexual practices between men, sexual activity between males with the primary goal to sexual arousal, sexually arouse its audience. Softcore pornography, Softcore gay pornography also exists; which at o ...
*Homosexuality
Homosexuality is romantic attraction, sexual attraction, or Human sexual activity, sexual behavior between people of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexu ...
* LGBTQ sex education
* Outline of LGBTQ topics
*Same-sex relationship
A same-sex relationship is a romantic or sexual relationship between people of the same sex. ''Same-sex marriage'' refers to the institutionalized recognition of such relationships in the form of a marriage; civil unions may exist in countries ...
* Sexual practices between women
*Terminology of homosexuality
Terms used to describe homosexuality have gone through many changes since the emergence of the first terms in the mid-19th century. In English, some terms in widespread use have been ''Sodomy, sodomite'', ''Sapphism, Sapphic'', ''Uranian (sexol ...
References
Bibliography
* Steven Gregory Underwood(2003): Gay Men and Anal Eroticism Tops, Bottoms, and Versatiles. Harrington Park Press. 978-1-56023-375-6
* Ahmady, Kameel Et al 2020: Forbidden Tale (A comprehensive study on lesbian, gay, bisexuals (LGB) in Iran). AP Lambert Academic Publishing, Germany.
External links
*
*
{{Authority control
Male homosexuality
Sexual acts
Anal sex