Compared with other sexually active adults, men who have sex with men MSM are more frequently infected with several pathogens including cytomegalovirus, hepatitis B virus, and Kaposi sarcoma-associated herpesvirus. Because one common element between these organisms is their presence in saliva, we evaluated saliva exposure among MSM in a heretofore relatively unrecognized route—via use of saliva as a lubricant in anal sex. MSM in a San Francisco population—based cohort were interviewed regarding use of saliva by the insertive partner as a lubricant in various anal sexual practices. Saliva use as a lubricant was more common among younger men and among HIV-infected men when with HIV-infected partners.
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In one of the most memorable scenes of the film Brokeback Mountain, Heath Ledger's character uses his own spit to lube up his dick before he penetrates Jake Gyllenhaal. The characters are caught in a furtive moment without lube which, in the chronology of the film, might have been simply K-Y Jelly , but they cannot hold back their desire. Here, the act of using saliva as lube represents both passion and primality. These cowboys have given themselves over to the heat of the moment, and their own bodily fluid lubricates the gears of their desire.
We cannot over-emphasize how essential it is to rigorously perform dilations according to the schedule provided by your surgeon. Many of the cases where surgical outcomes seem to be poor are actually the result of women not rigorously dilating, especially during the critical months immediately following SRS. Following is a photo of a newly-postop transsexual woman, whose pubic hair is still shaven, undergoing one of her initial vaginal dilations (after SRS at Dr.