When “Chems” Meet Sex: A Rising Phenomenon Called “ChemSex”

Title:When “Chems” Meet Sex: A Rising Phenomenon Called “ChemSex”

Volume: 15 Issue: 5

Author(s): Raffaele Giorgetti*, Adriano Tagliabracci, Fabrizio Schifano, Simona Zaami, Enrico Marinelli and Francesco Paolo Busardò

Affiliation:

• Section of Legal Medicine, Universita Politecnica delle Marche, Ancona,Italy

Keywords: Chemsex, GHB, mephedrone, crystal meth, erectile dysfunction agents, viagra, poppers

Abstract: Background: The term “chemsex” was coined to indicate the voluntary intake of psychoactive and non psychoactive drugs in the context of recreational settings to facilitate and/or to enhance sexual intercourses mostly among men who have sex with other men (MSM).

Objective: The authors aimed to review the mechanisms of action, the toxicity and the pattern of use and abuse of substances involved in “chemsex” practice together with the sociocultural background underlying it and the health-related consequences that they may have.

Results: Gamma-hydroxybutyrate, gamma-butyrolactone,1,4-butanediol, mephedrone, methamphetamine, sildenafil, tadalafil, vardenafil and alkyl nitrites have been described in their role of “chemsex drugs” including pharmacological action and in their implication to impair capacities to chose sexual partners and consensual sex. Moreover, it has been demonstrated that sexual activity over protracted length of time under the influence of chemsex drugs can result in rectal trauma or penile abrasions and a significant increase of the risk of transmission of sexual transmitted diseases, especially in case of condomless intercourses, which are frequent in this context, representing therefore a serious health threat.

Conclusion: One of the major problems to establish health policy priority interventions for chemsex is the lack of available epidemiological data on the issue. Finally, social actions should be taken in order to break down the barriers that currently exist among chemsex drug users in accessing services, including the shame and stigma often associated with drug use. In conclusion, more specific resources to face high risks of infections and HIV transmission are required in bisexual and homosexual individuals having SUID: sex under the influence of drugs.

Cite this article as:

Giorgetti Raffaele*, Tagliabracci Adriano, Schifano Fabrizio, Zaami Simona, Marinelli Enrico and Busardò Paolo Francesco, When “Chems” Meet Sex: A Rising Phenomenon Called “ChemSex”, Current Neuropharmacology 2017; 15 (5) . https://dx.doi.org/10.2174/1570159X15666161117151148

DOI https://dx.doi.org/10.2174/1570159X15666161117151148	Print ISSN 1570-159X
Publisher Name Bentham Science Publisher	Online ISSN 1875-6190