Understanding the Risks

Why Prevention Matters

Meth and HIV prevention efforts should focus on: 1) preventing initial use of meth among non-users by influencing community norms, 2) discouraging occasional users from becoming regular users, 3) minimizing health risks for current users, and 4) increasing drug treatment capacity and getting meth abusers into accessible programs. Meth is cheap, widely available and has a high potential for abuse and addiction. Preventing onset of meth use in men who have sex with men (MSM) populations is also affective in preventing HIV.

Recognizing Red Flags

The gay community needs to address the very real pressure in some sub-communities to party and be highly sexually active, and to ask the question “is drug use worth the risks men are taking?” It is not enough to attempt to reduce drug and alcohol use and abuse without also addressing the powerful sexual reasons why MSM use drugs, and explore ways to develop a healthy and satisfying sex life without drugs.

Older Populations & Chem Sex

Meth users describe the positive effects to be feelings of euphoria, loss of appetite, heightened self esteem and increased desire for and intensity of sex. However, meth also has many negative short and long-term effects, including damaging brain neurons, high blood pressure, oral hygiene problems, depression, anxiety, paranoia and psychotic symptoms such as paranoid delusions and hallucinations.

How Our Center Helps

Recovery Groups & Support

Explore these links to find up to date information about meth use.

Resources

Local, state, and federal level resources are available to explore education, prevention, harm reduction and treatment.

Education

Safe partying and Sexual Health. Chemsex usually takes place in a private setting behind closed doors.

Our Center program support for MSM seeking recovery

Empower yourself by learning the facts about meth, sharing this information with your family and friends and speaking up about how meth can impact health. Our Center offers several different kinds of peer support groups to form community in recovery.

Alphabet Soup Narcotics Anonymous Meeting (LGBTQ+)

Tuesdays at 7pm

Out & Sober Alcoholics Anonymous (LGBTQ+)

Wednesdays at 6:30

SMART Recovery

FridayS at 4:30pm

Community Resources. Get the help you need.

Education

Safe partying and Sexual Health. Chemsex usually takes place in a private setting behind closed doors. Making contact with other men who are looking for chemsex mostly occurs via dating sites and apps. A large percentage of MSM only use, or have used, meth when they have sex. The drug is taken in different ways. Smoking and slamming (injecting) are the most popular. Initial doubts someone may have about slamming often disappear if they trust the other person or as a result of peer pressure. Curiosity, after seeing others having such an intense experience, and the urge to go further than they normally would, also play an important part.

The stronger rush is often a reason to go from smoking to slamming. Almost all the men who have experience with slamming crystal meth originally smoked the drug. Men who have sex with men (MSM) and who use crystal meth and/or ‘slam’ drugs are often not well informed about how to reduce sexual and other risks and about the long-term effects of their drug use. When people center caring for their bodies and behavior there are possibilities for better monitoring, prevention and care.

Safe Partying & Sexual Health

For effective prevention, MSM who have chemsex and condomless sex, but want to reduce the risk of HIV as much as they can, need to be provided with information about the advantages and disadvantages of different risk reduction strategies. Among other things, this information should stress that communication about HIV status, HIV and STI testing behavior and viral load is the key to risk reduction.

Need more details? We're happy to help!

Our Center provides case management and resource identification services.

Out Magazine What is Chemsex? Here’s What you need to know
Understanding Chemsex Addiction: The intersection of Substance Use and Sexual Behavior

This webpage was supported by the Nevada State Department of Health and Human Services through Grant 00427 from Nevada State General Fund Substance Abuse Primary Prevention funds. Its contents are solely the responsibility of Our Center and do not necessarily represent the official views of the Department.