Pattern of sexually transmitted infections among men having sex with men: An observational study

Objectives: Males who participate in sexual activity with other males, regardless of age, are commonly referred to as men who have sex with men (MSM). Young MSM and married bisexual men are especially at risk for human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. This subpopulation lags in both the demand for treatment due to stigma, pervasive taboo, and shame. This study aims to assess the pattern of sexually transmitted infections (STIs) and sexual practices among MSM attending an STI clinic at a tertiary healthcare center over a 1-year period; identify different types of STIs and establish clinical and etiological correlations for each case and screen all patients for HIV and analyze the STI patterns among MSM diagnosed with HIV. Materials and Methods: A total of 109 MSM individuals visiting our STI clinic were enrolled in the study. Each participant underwent a comprehensive clinical history assessment, physical examination, and relevant laboratory investigations. Results: Among the 109 individuals, 80 (73.39%) belonged to the 21–30-year age group. The majority were unmarried and had received a formal education. In addition, 67.8% of the participants identified as homosexual, and 32.1% were bisexual. Genital ulcer was seen in 17.43% of MSM, out of which syphilis was seen among 40.66% of patients. Next to syphilis, 23.8% of the study population had mixed infections, with the most common being HIV and secondary syphilis. Limitations: The study was conducted over a one-year period, providing only a snapshot of the current situation. A larger sample size and longer study duration would enhance the reliability and generalizability of the findings. Conclusion: MSMs are a highly vulnerable group in acquiring and spreading STDs. Healthcare providers must have comprehensive knowledge of the associated risks and diagnostic protocols for specific infections.