ChemSex (also called Party and play) is the consumption of drugs to facilitate sexual activity. Mostly amongst men who have sex with men.
These recreational drug users may engage in high-risk sexual activities under the influence of psychoactive drugs. The commonly used drugs are mephedrone, γ-hydroxybutyrate (GHB), γ-butyrolactone (GBL), and crystallised methamphetamine. In the case of Mephedrone and crystal meth, these are physiological stimulants, increasing heart rate and blood pressure, as well as triggering euphoria and sexual arousal. Whereas, GHB and GBL are a powerful psychological disinhibitor, that also have a mild anaesthetic effect.
Some HIV medications interact with chem, and may increase your risk of accidental overdose and death. For advice about interactions with your HIV medications, ask in clinic. You can check for some interactions here.
Because Chemsex has a disinhibited effect, it comes with lots of risks, if you choose to continue to engage in recreational drug use, you can follow some simple steps to help manage and reduced your levels of risk:
Having sex without a condom puts you at high risk of getting HIV and STIs. It may also be something you don’t feel comfortable doing when not under the influence of drugs. If this is the case then agree this at the outset, it is important to always be assertive in what you want, and what you don’t want to do.
Set your boundaries beforehand
Make sure you understand the risks involved with taking these drugs. This will help you plan how to manage them. For more information visit http://lgbt.foundation/how-we-can-help-you/drug-and-alcohol-support/drug-types#Chemsex