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Understanding the basics
When it comes to sex, many of us are aware of our anatomy but we often over-simplify what goes on beneath the surface of our bodies. Some of us still talk about things ‘down below’ and while there’s a certain quaintness about using such terms, they are inaccurate and misleading.
An informed working knowledge of the parts of the body used for sex can give greater control over what we do sexually, and help put sexually transmitted infections (STIs) and other problems in context. For example, did you know that pain while getting fucked is often due to the cock ‘prodding’ nerve endings at the base of your spine or sensitive arse muscles inside your body? The pain will often go if you change the position or relax the muscles.
And when it comes to the basics of all the other ‘stuff’ we can get stuck quickly, so we’ve included sections on
- DIY check-ups
- grooming (looking good)
- nutrition and exercise
- mental health
It’s all connected and while we are hardly the ‘experts’ we’ve tried to provide a basic understanding of pieces of the puzzle, together with some tips, to help you remain healthy, happy and horny.Back to top
Cock and balls
The cock is made up of three inflatable cylinders of a honey-combed spongy tissue, two on the upper side (as you look down at it) and one on the underneath. When your cock is soft the cylinders are like long flat balloons. The vein that you can see running down the top of your cock pumps blood into these balloons when you get an erection. Down the centre of the cock is the urethra, the tube through which we piss; more of this later.
Penis | Wikipedia
What do you call yours?
baby-arm | baloney pony | beaver basher | beef whistle | bell on a pole | bishop | bratwurst | boner | chopper | cock | cum gun | custard launcher | dagger | dick | dick of death | dipstick | dong | dude piston | fire hose | fuck rod | fudge sickle | heat-seeking moisture | knob | missile | hog | hose | jack hammer | Jimmy | John | John Thomas | junk | knob | lizard | love muscle | love rod | love stick | manhood | member | old man | one-eyed monster | one-eyed snake | one-eyed trouser-snake | one-eyed wonder | one-eyed yoghurt slinger | weasel | pecker | peepee | Percy | peter | Pied Piper | piss weasle | piston | pork sword | prick | private part | purple-headed yoghurt flinger | purple-helmeted warrior of love | quiver bone | ram burglar | rod | sausage | schlong | shaft | third leg | thumper | todger | tool | trouser snake | twinkie | vein | wand | wang | wang doodle | wee wee | wick | wiener | willy | wing dang doodle | winkie | yoghurt gunFree FM “Singing Penis”, 1998 | Young and Rubicon Advertising, Australia | Disciple | 9 Nov 2009 | 1m 8s
Manhood: The Bare Reality | Laura Dodsworth | Pinter & Martin | 2017 Back to top
Every one of Laura Dodsworth’s penises is unique: introvert and extrovert, straight and bendy, wobblers and bobblers, growers and showers. There are contented penises that have led full lives, and disappointed penises that have let down their owners – or been let down by their owners.
In Dodsworth’s new book Manhood, every penis tells a story. There is the trans man who invested in the biggest and best; the underpowered poet hung up on his for years, until he decided to celebrate it with The Big Small Penis Party; the man who as a teenager thought he had genital warts and considered killing himself, until he found out they were normal spots; the business leader whose small penis taught him humility; the sex addict whose wife tried to cut it off; and the vicar who enjoyed his first threesome while training for the priesthood.Me and my penis: 100 men reveal all | The Guardian | 27 May 2017
Cock size and shape
For centuries, men across the planet have placed great importance on penis size with many cultures equating size with masculinity and symbolising qualities such as virility, fertility, strength, ability and courage. However, a few/ some/ all men [delete which don’t apply] worry that their cock is smaller than it should be or that it won’t satisfy.
As a result of an recent International study of more than 15,000 penises around the world, we now have a scientific answer to this enduring question. For the average man:
- Hard/ Erect: 13.12 cm (5 3/16 inches) in length and 11.66 cm (4 5/8 inches) around
- Soft/ flaccid: 9.16 cm (3 5/8 inches) in length and 9.31 cm (3 11/16 inches) around
- For those of you who have no idea what inches are explore here. Fractions are displayed as ¼, ½ and ¾ of an inch; but also as eighths: 1/8th, 2/8th, 3/8 etc; and sixteenths: 1/16, 2/16, 3/16 etc. Inches are sometimes denoted as double quote marks after the number so six and a half inches would look like this: 6½” You can find a handy cm/mm to fractions of an inch calculator here. Although the introduction of the metric system makes calculations easier, cock size measured in inches remains prevalent, like the pint. While we love centimetres “Why don’t you suck off my 7 inches” sounds that little more appetising.
Given only the first couple of inches (or first few centimetres) of the arsehole is touch-sensitive, a shorter or thicker cock can be just as good at stimulating those nerve endings as anything larger. While big long cocks can have your arse poked skywards in seconds, they can knock into the rectum wall and sphincter muscles causing discomfort and pain. So the moral of this tale is quite simple: don’t ignore smaller cocks and beware of bigger ones in the hands of dickheads who think they know what they’re doing.
Also, you can’t judge the true size of a penis while it’s soft or not erect. Some men with relatively small penises grow to a larger size when erect, while their larger counterparts don’t show as much growth when hard. Thus the term: ‘grower or shower.’ Peaking sideways-on at his dick at the urinal gives the impression of greater length, unlike when you are looking downwards at your own.
For better and worse, gay men have turned size into an art form. It’s a major currency among gay men and threaded through our culture, our scenes, our community and whatnot, and a core part of who we are as men who fuck other men. A pre-requisite box on many (if not all) gay hook-up apps and websites, porn websites don’t miss a trick either with dedicated categories: big dick, massive monsters, donkey dicks, over-sized dicks, destroyer dicks. It’s difficult to know whether to laugh, wince or cry.
There isn’t a single person on this planet that hasn’t heard general statements relating penis size to race and ethnicity. Though in some cases the generalizations are true, they are merely stereotypes. There are men in all ethnic groups that negate such generalizations. In other words, don’t judge a book by its cover! You may be disappointed with the results… or pleasantly surprised.Am I normal? An analysis of penis lengths | David Veale, Sarah Miles, Sally Bramley, Gordon Muir, and John Hodsoll
Gay guys with small penises share their hookup horror stories | Vice | 6 Mar 2020
Sorry, size queens, but it’s time for a rude awakening | Queerty | 4 Jan 2020
What penis size do gay men prefer when it comes to anal sex? | Quora | 24 Mar 2019
Me and my penis: 100 men reveal all | Life and style | The Guardian | 17 May 2017
What engineers can learn from the design of the penis | The Atlantic | 18 Mar 2016
Average penis size revealed in study results The Guardian | 4 Mar 2015
Penis size: is there a correlation with sexual satisfaction? | The Independent | 4 Mar 2015
Human penis size | Wikipedia
Does Penis Size Matter? | YouTube | AsapSCIENCE | 17 Jul 2014 | 2m 49s
The 6 Craziest Genitals Found In Nature | YouTube | AsapSCIENCE | 17 Jul 2014 | 3m 29s What kind of Dick do you like? | Dick Code/ Dickipedia
Select features you like, and find the owner of your dream Dick.
(Dick) food for thought
“Guys with dicks are so demanding. You want to slap ’em.”
“If it’s more than a mouthful then it’s a waste.”
“I know mine is smaller but you adapt. I mean, so many men.”
“Guy’s don’t want me, they just want my dick. Fun for a while, but then it’s depressing.”
“You think it’s easy staying hard, satisfying all these arses. I need a spa and a splint.”
“I just care who it’s attached to.”
“I care about if they know how to use it or not.”
“I wish mine was smaller. I scare people off.”
It’s common for the penis to curve slightly to the left or right when it’s erect. But if you have a more significant bend in your penis this may cause pain, difficulty having sex, and/ or erectile dysfunction. These can sometimes be symptoms of Peyronie’s disease, a condition caused by scar tissue, called plaque, that forms inside the penis. However, most men with Peyronie’s disease can still have sex.
According to the British Association of Urological Surgeons (BAUS), Peyronie’s disease affects approximately one in every 16 men (6%), however many urologists believe it’s under-reported, possibly affecting as many as one in 10 men (10%). Most men affected are over the age of 40.
Many men don’t need treatment, as they don’t have pain or the condition doesn’t affect their sexual function. The condition can sometimes improve without treatment. Various non-surgical treatments are available, including medicines and injections of steroids into the affected area. But there’s limited evidence of their effectiveness. Surgery may involve:
- removing or cutting away the plaque and attaching a patch of skin or a vein to straighten the penis
- removing an area of the penis opposite the plaque to cancel out the bend (this can lead to a slight shortening of the penis)
- implanting a device to straighten the penis
Peyronie’s disease | Wikipedia
Peyronie’s disease: symptoms and treatment for the curved penis condition explained | Huff Post | 2 Nov 2017 Explanation of Peyronie’s Disease | The Drs (USA) | 2 Dec 2016 | 3m 43s Back to top
The end of the cock is covered by a sleeve of stretchy skin called the foreskin. It protects the cock while soft, keeping it moist and sensitive. When we are born, the foreskin is usually stuck to it until we are about 3-4 years old when it starts to peel back by itself. By the time we are in our teens it can be pulled back and forwards without any problems.Foreskin | Wikipedia Foreskin is Beautiful | DaveyWavey | 29 Jan 2012 | 2m 16s
A tight foreskin phimosis and balantitis
Some guys have very tight foreskins so are unable to pull it back over the head of the cock without discomfort of pain. This is a condition called phimosis.
- Piss gets trapped under the foreskin which then balloons. Even when you’ve done your best to shake off the excess there can be dribbling, and this can be distressing and unsightly.
- Cleaning your dick (head) regularly can be slow and painful (see smegma).
- Wanking and sex generally can be painful and stressful.
Don’t suffer: go to a sexual health clinic, or GP, to get it sorted!
Phimosis is usually accompanied by balantitis, a swelling and tenderness of the head of the cock. Treatment usually involves antibiotics but in some cases circumcision is required.Phimosis | Balanitis | NHS
Phimosis | Balanitis | Wikipedia
A stuck foreskin paraphimosis
A related condition, paraphimosis is when the foreskin gets stuck in the pulled-back position causing pain and swelling. Some larger foreskins catch piss as it comes out of the urethra, where it can then remain trapped and lead to dribbling when you think you’ve finished.
Getting into the habit if pulling the foreskin right back every time you piss followed by a thorough shake and squeeze is the obvious solution.
Again, don’t suffer: head off to a sexual health clinic, or GP, to get it sorted!Paraphimosis (details below Phimosis) | NHS
Paraphimosis | Wikipedia
When men are circumcised (usually as new born babies) the foreskin is surgically removed. While the principle reasons for this are religious grounds and to improve personal hygiene, as was mentioned earlier, men with excessively large or tight foreskins are often treated by circumcision.
Although the vast majority of American men are circumcised, more recently, circumcision has decreased in popularity and, in the UK, circumcised men are in the minority. After circumcision, the head of the cock loses its soft moist texture and becomes darker, tougher, dryer and more like normal skin.
Understandably, men can lose some sensitivity and it can take a long time to cum (not that it‘s necessarily a problem). If required, techniques can re-develop a circumcised foreskin, particularly if the foreskin has been mutilated by poor circumcision. A specially shaped plaster will encourage the skin to re-grow (over several years) and skin grafts can also restore the foreskin.
Circumcision | NHS
Circumcised vs. Uncircumcised – Which Is Better? | ASAPScience | 18 Jan 2018 | 4m 23s
Circumcision | Wikipedia Back to top
Smegma (dick cheese)
The dick produces it to keep the dick head moist. It’s a natural lubricant which reduces the friction between the foreskin and the dick head (glans) allowing the foreskin to be pulled back and forth smoothly, and smooth movement between them during sex.
In its fresh wholesome state it’s the functional lubricant as nature intended. If it’s allowed to build up, however, it changes into an unpleasant bad-smelling creamy substance made up of stale piss, bacteria, yeasts and discarded skin cells. This is the bit we tend to remember!
Excess smegma leads to irritation and soreness which is why you should clean beneath the foreskin (gently but thoroughly) at least once a day.
How Smegma Serves the Penis | Joyce Wright, MD
“Could these movements be comfortably performed if the surfaces between glans and foreskin were dry and harsh? Of course not. There would be difficulty, delay, and need for manipulation. Nature has therefore provided a ‘natural ointment’, smegma to ensure easy lubrication and protect this delicate region of the male genital organ.” | Joyce Wright, MD | Sexology (New York), vol. 37, no. 2: pg: 50-53. September 1970.
Smegma | NHS
Smegma | Wikipedia Back to top
It’s beyond us where men get this strange idea that for something to be clean it has to be scrubbed to within an inch of its life. (You are not cleaning the dog or the oven). Being gentle but thorough is much more important than scrubbing vigorously.
You should be cleaning the outside only, not ferreting around where you shouldn’t be. Trying to clean inside your dick (urethra) or inside your arsehole can cause irritation and be dangerous.
Many men use lashings of warm water and a thorough but gentle technique. However, if you are using soap, it should be mild, un-perfumed, and you may wish to consider one that is a pH balanced.
Your skin has a pH level of around 5.5. The pH level of most skin cleansers tends to be a little higher so it can break down the dirt and oil on your skin. However bar soap, for example, can have pH levels of 9+ which is too high if you’re trying to keep your skin moist.
In warm water the cock and ball sack should be soft and stretchy, which also makes it easier to gently pull back the foreskin to clean. Only pull the foreskin back as far as is comfortable and take extra gentle washing if you are uncircumcised.
When you are done, gently return the foreskin to its natural position and pat dry with a clean towel (not one you’ve picked up off the floor).
Tempting though it may be, do not talc or use deodorants as they can cause irritation. Besides, fresh ‘au naturel’ is both manly and stunning!Back to top
An erection (hard-on, stiffy, boner) is not under our voluntary control in the same way as we can pick something up or wiggle our toes. It is caused by emotional, physical and hormonal signals in the form of electrical impulses which pass near the spinal cord and trigger an erection.
As we grow more sexually aware and experienced we accumulate a library of triggers or reminders which turn us on sexually: a look, body odour, being stroked, or the sight of a shaved head, for example. What turns us on is very personal to each of us, and during our sexual lives most of us will have at one time or another been surprised by something which, unexpectedly, has given us a raging hard-on.
When you get an erection, the cylinders in your cock fill with blood making it hard. Minute valves regulate blood into the cock when you get an erection, locking the blood inside while it’s stiff, and releasing the blood back into the body when it goes soft again.
There is also a misconception that as you get older you lose the ability to get or maintain an erection. It’s true that it can take longer to get turned on, and that physical reasons why you might not get one are more likely the older you get. But many men don’t see this as a problem and recognise that as we go through life our body and its needs change.
Curved erections Peyronie’s disease
Some guys get an erection that curves. This is caused by excess fibrous tissue on one side of the cock preventing it from becoming fully erect. The expansion of the cock on the other side then forces the erection to bend one way. In most cases the curvature is minimal and doesn’t cause any discomfort or problems – it just looks as if it’s got a mind of its own.
Cast your eye back over a few dicks and you’ll probably remember a few bananas requiring some oral massage! However, the curve can be so severe that it causes pain and fucking is not possible. The angle of curve can decrease without treatment but medication and/or surgery may be required.
Persistent erections priapism
A persistent erection – not connected with sex – is called priapism. The condition can be extremely painful and usually occurs when blood fails to drain out of the spongy tissue inside the cock. In some cases the cock will start to go blue! Urgent medical treatment at an accident and emergency department is usually required immediately.
An overly tight cock ring which you can’t remove while you have an erection can cause similar symptoms. If it’s made of rubber you can cut it off – carefully. Metal cock rings, however, are more problematic and the fire service has been known to have been called out. (Trying to remove it with a blow torch is not recommended!)Priapism | NHS
Priapism | Wikipedia
Vasodilators | Wikipedia Back to top
Be careful what you wish for…
“My partner and I went to a pool party. Suitably high, our host went online and invited over another guy who stripped off and jumped in the pool. No need to guess what happened next! The guy said that he liked his dick to be really hard during sex, so he injected it with a clear liquid. He was very careful, and had all of the medical equipment, clean syringes, antiseptic spray etc. My partner was fascinated and asked if he could have it done too. The guy obliged. After a lot of fun sex we left the party and went home to bed.
The next morning my partner’s cock was still rock hard and showed no signs of going down. He did some research online and got worried, and so we went to A&E. The doctor saw him straight away (so thankfully no wait). When she asked what the liquid was and how much was injected we had to admit that we didn’t know… and we felt like stupid kids. They put him on an anti-inflammatory drip and drew blood from his arm to lower his blood pressure… but his dick stayed up like a flagpole. So then they drew blood from all around the base of his cock, after warning him that there was a chance he may never get a full, solid hard-on again – my partner is a ‘top’ and so this was really unwelcome news. The erection wavered briefly, but then arose like a phoenix! After that they told us there was no choice but to operate, and took him to the Intensive Care Unit.
Maybe it was the fear of an operation, but after being wheeled into the ICU (dressed in the usual ‘flattering’ backless gown) his dick finally became softer and so the doctors decided there was no need to operate after all. A relief, of course, but my partner’s dick was really bruised and sore. They kept him in hospital overnight for observation, and administered more anti-inflammatory and saline drips.
Back at home, his cock was tender for many days afterwards, and still now feels different (lumpy) around the base from where they drew a lot of blood. After some very tentative, and frankly painful sex (for him), it turns out that his erections are still strong and his cock works fine: good news for us… but we certainly learnt a lesson the hard way (pun intended!).
Pedro, June 2015
Impotence (getting it up, or not)
The truth is that most men will experience impotence at some time or another. It’s a fact of life, it’s not uncommon and it’s often temporary. Not being able to get an erection (or ‘get it up’) is usually referred to as erectile dysfunction or impotence.
This is usually the result of exhaustion, stress and anxiety, recreational drugs or too much alcohol. Other reasons include:
- Certain prescription medications, eg: sedatives and anti-depressants
- High blood pressure and/or high cholesterol and heart disease
- Other illnesses, eg: diabetes, Parkinson’s disease and multiple sclerosis
- Faulty plumbing in your cock and/or traumatic injury and surgery
- Smoking and /or being overweight
If you can get an erection but not necessarily when you want to, the problem is likely to be a psychological one. Reasons are likely to include lack of sexual stimulation, fear of performance, low self-esteem, stress and depression.
It may sound obvious, but if you’re not turned on you’re not likely to get an erection. For example, you may not find someone as attractive as you used to, or something which once aroused you sexually may have lost its allure (which is one of the reasons why we experiment sexually).
The significance we place on sex, performance and physical perfection creates high expectations – of ourselves and our partners – which can be impossible to meet. Consequently, a fear that we cannot perform adequately can affect our ability to get a hard-on, although it doesn’t mean you don’t feel horny. This can make the situation doubly frustrating.
Physically, if we’re uncomfortable with our bodies or the way we look, or if we don’t feel good or relaxed about ourselves, getting an erection can be a major problem. Ironically, beauty is in the eye of the beholder, and what turns you off about yourself can easily turn someone else on.
Steps to solving impotence
Embarrassment prevents many men from seeking help, making them miserable and putting a strain on their personal and social life. Acknowledging that there is a problem is the first step. In the first instance, it can be helpful talking it through with a friend or your partner, difficult though this may be.
Then you should visit your sexual health clinic or GP. Determining the source of impotence will determine treatment, which includes changes to existing medication (if you are taking any) additional medication and/ or counselling/ therapy.
PDE5 inhibitors help the body’s natural response to sexual stimulation by blocking an enzyme in the smooth muscle cells in the cock. Brand names include
- Viagra (sildenafil)
- Cialis (tadalafil)
- Levitra (vardenafil)
- Stendra/ Spedra (avanafil)
DO NOT use poppers and PDE5 inhibitors.
While we can see the appeal of intense feelings of horniness and a raging hard-on, the combination can make your blood pressure drop dangerously low, resulting in dizziness, fainting, heart problems and potentially a coma and/ or death.
Vasodilators are a group of drugs which can increase blood flow by expanding blood vessels, increasing the blood flow to the cock, and giving you an almost instant erection. The drug is identical to a naturally occurring substance found in your body that helps keep the blood vessels open and increases blood flow. Brand names include Caverject® (a small injection in the side of the cock) and Muse® (a pellet inserted into the end of the cock).PDE5 inhibitors | Wikipedia
Vasodilators | Wikipedia
Erection problems | LGBT Hero
Erectile dysfunction (impotence) | NHS
Erectile dysfunction | Wikipedia Back to top
Piss (pee, urine)
Our body continually produces waste, some of which is filtered out in liquid form as urine. Each of us produce about 1.5 litres (2.6 pints) a day which is sent from our kidneys to the bladder, a globe shaped organ, which holds about 400-800ml of urine. Sensitive receptors send signals to our brain as it fills up which we translate as ‘I need to piss soon/ now’. When we’re ready it’s channelled through the prostate, along the urethra, and out of the end of the cock through a series of muscles which control the flow.
Aim (no pun intended) to make your pee a light to pale yellow. Darker pee usually means you are dehydrated and, if it persists, other problems. If your pee is clear then you may be drinking too much water.
Eating asparagus is known to turn pee darker yellow or green; artificial food colouring can also turn pee green. Beets or beetroot, blackberries and rhubarb can make your pee turn red; or it could be blood. Get checked out if you have any doubts or concerns.Urine | Wikipedia
Blood in urine | NHS
Urinary tract infections in adults: symptoms | NHS Watersports | MEN R US What Does Your Pee Say About You? | AsapScience | 7 Jun 2015 | 2m 58s
Why do coffee and alcohol make you pee more? | AsapSCIENCE | 12 Jun 2012 | 1m 53s Back to top
Your balls hang together, at slightly different heights, in a small stretchy sac. Their purpose is to produce and store sperm and testosterone. They are positioned away from the body, allowing air to circulate around the sac keeping the sperm-making facilities at their best, 5°C lower than the rest of you.
Your balls are so clued-up and manoeuvrable that they have the good sense to pull themselves into your body when it’s cold, stretch themselves away when you’re hot and have time to enjoy themselves being sensitive to licking, sucking and smacking.
Inside each ball are 500 metres of coiled up spaghetti-like tubing in which sperm are produced at a daily rate of 400 to 500 million. When they are ready, they are moved and stored for action in the epididymis situated behind each ball.
The balls also produce testosterone, a natural anabolic steroid hormone, which increases at puberty and causes the characteristic changes, eg: stubble, breaking of the voice, etc.The Silent Interview | One for the Boys with Samuel L Jackson | 19 Jun 2013 | 40s Testicular Cancer Canada ‘Cop’ | Bold | 2016 | 45s
Against the testicular cancer | Mods | 2010 | 45s
Stand up to cancer | Channel 4 | 2016 | 2m 17s
Testicular cancer Canada shower | Jason Jeffrey | 2016 | 56s Testicular cancer | NHS
Testes | Wikipedia
Testicular cancer | Cancer Research UK
Testicular cancer | Macmillan Cancer Research Back to top
Cum (spunk, semen)
The fluid contains nutrients to keep the sperm alive and kicking as they battle their way towards the female egg – they’re on a lost cause there then! These include zinc, potassium, glucose, and vitamin C which gives cum its sweet, salty and very individual taste.
As you’re preparing to shoot your load, muscle contractions pump the cum from the epididymis, along the vas deferens, into the urethra which runs along the inside of your cock.
Each time we cum, we release about 2-5ml (half a dessert spoon) which contain between 50-150 million sperm. When we cum repeatedly, we produce more fluid, less sperm – which is why it tends to be clearer and more liquid.
The science of orgasms | AsapSCIENCE | 5 Sep 2012 | 2m 44s How ejaculation Works | Pe Gain | 21 Dec 2017 | 1m 11s Semen | Wikipedia
Sexual arousal in men
When a man gets an erection, his body goes through 4 stages of sexual response: arousal, plateau, orgasm and resolution.
Stage 1: sexual excitement or arousal
A man gets an erection with physical or psychological stimulation, or both. This causes more blood to flow into 3 spongy areas called corpora that run along the length of his penis. The skin is loose and mobile, allowing his penis to grow. His scrotum – the bag of skin holding the testicles – becomes tighter, so his testicles are drawn up towards the body.
Stage 2: sexual plateau
The head (glans) of his penis gets wider, and the blood vessels in and around the penis fill with blood. This causes the colour to deepen and his testicles to grow up to 50% larger. His testicles continue to rise, and a warm feeling around the area between the testicles and anus (perineum) develops. His heart rate increases, blood pressure rises, breathing becomes quicker, and his thighs and buttocks tighten. He’s getting close to orgasm.
Stage 3: orgasm and ejaculation
A series of contractions force semen into the urethra, the tube along which urine and semen come out of the penis. These contractions occur in the pelvic floor muscles, in the tube that carries sperm from the testicles to the penis (vas deferens). They also occur in the seminal vesicles and the prostate gland, which both add fluid to the sperm. This mix of sperm (5%) and fluid (95%) is called semen. These contractions are part of orgasm, and the man reaches a point where he can’t stop ejaculation happening. Contractions of the prostate gland and the pelvic floor muscles then lead to ejaculation, when semen is forced out of the penis.
Stage 4: resolution phase of sexSexual arousal in men | NHS
The man now has a recovery phase, when the penis and testicles shrink back to their normal size. He is breathing heavily and fast, his heart is beating rapidly, and he might be sweating. There’s a period of time after ejaculation when another orgasm isn’t possible. This varies between men, from a few minutes to a few hours, or even days. The time generally gets longer as men get older. If a man gets aroused but doesn’t ejaculate, this resolution stage can take longer, and his testicles and pelvis might ache.
Facts about ejaculation | Very Well Health | 11 Oct 2018
Why semen changes color | Healthline | 24 Sep 2018
A load of ejaculation facts that will blow your mind | Gay Star News | 4 Jan 2018
Twelve fascinating facts about semen | Self | 14 Mar 2016 Natural Harvest: A collection of semen-based recipes | Paul “Fotie” Photenhauer
Natural Harvest: Semenology – The Semen Bartender’s Handbook | Paul “Fotie” Photenhauer Back to top
Situated next to the wall of the rectum, the prostate gland is about the size of a chestnut, and is connected to the bladder by one tube and to the urethra by another. While its purpose is not fully understood, amongst other things it produces the milky fluid in which sperm swim and live (making up about 30-40% of semen volume).
It also produces substances which give semen its characteristic smell and help pump the cum towards the end of the cock. It’s packed full of sensitive nerve endings which is why getting fucked or fisted can be a big turn-on.
What Prostate Orgasms Feel Like, According to 10 Men Who’ve Had Them | Men’s Health | 4 Jan 2021
Backdoor Buddy – A Man’s Guide to Prostate Stimulation | Man Of Many | 30 Nov 2019
Advice on safety of gay sex after prostate cancer | BBC News | 10 Jun 2019
‘Better Than Pooping’: What It Feels Like to Have a Prostate Orgasm | Vice | 28 Apr 2016
Related videos about the prostate and anal sexWhy Sniffing Drugs Changes Your Butthole | AsapSCIENCE | 8 Jul 2021 | 5m 52s
Men’s Anal Pleasure | Cam Fraser | 9 May 2019 | 14m 28s
Not All Gay Men Like Anal Sex | Calum McSwiggan | 21 Oct 2018 | 12m 57s
Anal Sex Chapter 04: Pleasure | Sandyford NHSGGC Sexual Health | 7 Nov 2017 | 4m 37s
How To Find Your Anal Prostate | Wickydewl | 1 May 2017 | 5m 31s
Prostate Secrets for Maximum Pleasure! | Wickydewl | 13 Jan 2017 | 8m 26s
When You Know For a Fact He’s a Bottom | Michael Henry | 2 Aug 2016 | 1m 9s Back to top
Mouth and throat
Your mouth is the beginning of your digestive system. The throat is situated behind the mouth and joins the pharynx to the oesophagus, the tube which takes food to the stomach. The mouth is covered with soft mucous membrane and smooth muscle generally resilient to bacteria and other infections.
Our tongue is a multi-skilled muscle which helps us to speak, kiss, and taste and position food for chewing before moving it to the back of the throat for swallowing. But like every muscle, it can grow tired with over-use and can be strained, which is why prolonged cock sucking and rimming can be exhausting and no longer a pleasure.
The tongue is covered in taste buds which can determine four primary taste sensations: sour, salt, bitter and sweet. All other flavours such as chocolate, pepper and coffee are combinations of these four, accompanied by the sense of smell. The tongue has several taste zones: salty and sweet (to the front and tip of the tongue), sour (to the sides) and bitter (to the back).
The mouth contains three pairs of saliva glands: beneath the tongue, on either side and to the top of the mouth. Chemically, saliva is 99% water and 1% a digestive enzyme and (in addition to chewing) helps to break down and lubricate food before swallowing. Saliva also destroys bacteria to protect the mucous membrane from infection and the teeth from decay. Saliva is produced continuously to lubricate the mouth and to keep the tongue and lips moist. During stress, the production of saliva decreases to conserve water. A dry mouth contributes to the sensation of thirst and drinking will not only moisten the mouth but also help restore the body’s water and chemical balance (homeostasis).
Gagging, coughing and choking
Sensitive muscles towards back of the mouth detect sharp, rough or large objects and will trigger the gagging reflex to prevent them from passing into the throat. The coughing reflex also aims to remove foreign or unwanted objects from the throat and oesophagus such as large or sharp pieces of food, dust and pollen.
Consequently, deep throat sucking comes with practice as you re-programme your brain not to reflex. It’s also worth remembering that when we swallow, a small flap (the epiglottis) in the oesophagus usually closes the opening to the larynx which leads to the lungs.
When food or drink ‘goes down the wrong way’, the flap doesn’t close in time and we start to cough to get it out of the airway and back on track down the oesophagus to the stomach. Choking, on the other hand, is when we don’t get enough air and our body reflexes, demanding more.Mouth | Throat | Saliva | Wikipedia Back to top
End to beginning
Many people believe that the digestive system is just a small tube linked to the stomach where shit sits and waits for the rectal express to the toilet. In fact, from mouth to arsehole, it’s a nine metre (30 foot) rubber-like tube, lined with muscles which massage the food and waste along, regulated by a series of locks and chambers.Back to top
After swallowing, food travels down the oesophagus to the stomach – a ‘J’ shaped organ about 30cm long – where it stays for up to 6 hours. Here, acids and enzymes digest food until it becomes a semi-liquid soup which you have probably seen as vomit (with diced carrots).
The speed at which food moves on from the stomach depends on what you’ve eaten and what’s going on further down the line. Nerves which connect the arse to the stomach transmit messages to control the flow of food and waste. For example, you may experience discomfort or pains in your stomach if you are constipated or being fucked or fisted. Conversely, when you eat, you often want to go for a shit.
Stomach | WikipediaBack to top
In a semi-liquid form, food is passed along the duodenum to the next stage of digestion: the small intestine, a long rubbery tube, 2.5cm (1”) across and some 6.5m (21‘) long. It’s here that the nutrients and goodness in food are extracted.
Small intestine | WikipediaBack to top
What remains resembles a rich vegetable soup, which passes into the large intestine. This is rather like an inverted ‘U’ shaped pipe which joins the small intestine at the bottom right-hand corner, near your appendix. This is made up of the ascending, transverse, descending, and sigmoid colons. It is here that the waste becomes more solid as the water and salt is absorbed back into the body.
The sigmoid colon is best described as the final packaging and holding bay for shit. The rectum is the dispatch area and the anal canal to your arsehole is the main exit. By the time shit leaves the sigmoid colon and reaches the rectum, it is normally produced in discrete turds of a soft consistency and reasonable size.
Large intestine | WikipediaBack to top
Rectum, anal canal and arsehole
Around the connecting tube between your sigmoid colon and rectum is a ring of muscle that angles the tube in such a way as to close it off. This sphincter muscle regulates the shit leaving the sigmoid colon; without it, your rectum would fill up continuously and you would be shitting all the time. Your rectum is a stretchy four to five inch (10-13cm) muscular tube that can stretch to the size of a clenched fist (when full of shit) or a hand.
Anal canal and arsehole
Below your rectum is the anal canal, 1-2 inches (2-5cm) long which ends in your arsehole. The surface of the rectum and the anal canal is usually covered with a thin layer of mucus or natural lubricant designed to help with shitting and which also helps offer protection from infections. If you rub the surface, you quickly exhaust the supply of mucus which is why you need additional lubricant when putting anything up the arse.
At the bottom of the anal canal is another sphincter muscle made up of two smaller interconnected rings of muscle. One of them is not under your direct control but responds to internal body messages when the rectum is full or when you cough – the muscle tightens. When the muscle doesn’t work properly you leak. You have more control over the other muscle which you can relax or tighten at will. Try it now – you see control is everything!Back to top
The weight of shit stretching the sides of the sigmoid colon signals the top sphincter muscle to relax briefly allowing a measured amount into the rectum. This is also called a movement. If you’re ready to go and sitting on a toilet, the bottom sphincter muscle relaxes and lets the shit down the anal canal and out through your arsehole.Defecation | Wikipedia
Bowel movement: the push to change the way you poo | The Guardian 30 Nov 2018
Back to top
More on digestionAbout the bowel | Cancer Research UK
Digestive System | Diabetes UK
Human digestive system | Wikipedia
Common digestive problems and how to treat them | NHS How the bowel works | Coloplast UK | 5 Apr 2013 | 2m 23s
The Poop Cycle | AsapSCIENCE | 1 Aug 2013 | 3m 12s Back to top
Shit and poop
It’s an essential bodily function, often ignored, and yet poo shape, size, colour, and consistency can tell a great deal about your health and how well your digestive system is working. Poo can also hold clues to more serious issues like infections, digestive problems, and cancer.
Whether your poos come too often or not often enough, it can make you uncomfortable, bloated, or even interfere with your body’s ability to absorb enough nutrients from your food. And staying regular is crucial for staying healthy as it plays a major role in how you feel physically and emotionally.
Gay men tend to be less embarrassed and knowledgeable because many of us also use our arses for sex. But, even if you don’t have botty sex this section is relevant for you too.
Size and consistency
The Bristol Stool Scale or Bristol Stool Chart is designed to classify the form of human faeces into seven categories. Sometimes referred to in the UK as the ‘Meyers Scale’, it was developed by Heaton at the University of Bristol and was first published in the Scandinavian Journal of Gastroenterology in 1997.
Type 1: ‘Rabbit Droppings’
Separate hard lumps like nuts. Very constipated.
Type 2: ‘Small Bunches of Grapes’
Sausage-shaped but lumpy. Slight constipated.
Type 3: ‘Corn on the Cob’
Like a sausage but with cracks on the surface. Normal.
Type 4: ‘Sausage-Like’
Sausage or snake-like, smooth and soft. Normal.
Type 5: ‘Chicken Nuggets’
Soft blobs with clear cut edges. Lacking fibre.
Type 6: ‘Thick Porridge’
Mushy and soft with ragged edges. Inflammation/ infection
Type 7: ‘Soup Or Gravy’
Watery, no solid pieces, entirely liquid. Inflammation/ infection
Mouth to arsehole, your digestive system is a continuous tube around 30 feet/ 9 metres long. From swallowing food to pooping, general consensus seems to be it takes 24 to 72 hours to digest food, though time varies from person to person and the food you eat.
The colour poo
If you have any concerns about the colour of your poos then see your GP. If this is just too embarrassing, or you don’t feel you have ‘that’ sort of relationship, you may find going to a sexual health clinic or A&E easier. In the meantime, we have compiled this guide which you may find helpful:
- BROWN is the target colour because of stercobilin, a by-product of the haemoglobin in broken-down red blood cells; and bile, a fluid secreted into your intestines to help digest fat.
- Eating beetroot, cranberries, tomatoes or red food colourants may make your poos look RED
- Green leafy vegetables such as spinach or green food colourants can colour your stools GREEN
- YELLOWY greasy rank smelling poos can indicate excess fat or the tummy bug giardia
- PALE CLAY coloured poos can indicate a lack of bile or can be caused by some medications
- BLOOD in poos can indicate bleeding in the lower digestive tract or rectum so, if you’ve been fucked recently, the blood may be from this. However, it can be a symptom of cancer.
- BLACK poos could be the result of iron supplements or black liquorice, it may be a sign of bleeding in the upper gastrointestinal tract.
Poop is largely made up of water (75%), the bacteria which digests the food; and fibre, fats, other cells and mucus. The reason you can see sweet corn in poop is because the outside of the corn kernel is made of cellulose, an indigestible plant fibre which passes though the digestive system.
As you may know, denser and heavier objects sink in water while lighter gas filled objects float, and increased gas in poo allows it to float. Most causes are harmless and go away without treatment and are due to to what you eat, a change in your diet or a tummy bug (gastrointestinal infection). However, less commonly, it may indicate lactose intolerance, the inability to digest lactose which is a sugar found in dairy products, or suggest a more serious digestive condition such as ulcerative colitis, Crohn’s disease, or celiac disease.
Our poo tips
- Don’t suppress the desire to go; if you need to poo: poo.
- Ensure adequate intake of water/ water-rich foods
- Eat a healthy diet with sufficient fibre
- Eat regularly, don’t skip meals or overeat.
- Eat adequate amounts
- Exercise regularly
- Drink plenty of water and non-caffeinated, non-alcoholic drinks
- Work at feeling emotionally balanced
- Ensure you’re getting the right vitamins – a balanced diet should provide this (eg: A, C and D).
- Ensure adequate intake of healthy fats.
- Build and maintain a population of friendly bacteria in your digestive tract.
- Aim for a work-life balance that reduces stress – anxiety can play havoc with our your digestive systems; eg: bouts of diarrhoea and constipation.
Bristol stool scale | Wikipedia
Talking Shit | Wikipedia
Bowel movement: the push to change the way you poo | 30 Nov 2018 | The Guardian
Serial poopers: What makes people poo in public places? | BBC News | 10 Jun 2018
The digestive system is one of nature’s marvels: an uninterrupted conveyor belt running 24/7 which release enzymes and hormones to extract the nutrients and goodness from the food we eat. What’s left is waste, which we get rid of as shit.
Gas is the air in the digestive system which leaves the body as burps or farts. Burping or belching come from the stomach which has a different chemical composition from a fart which has less atmospheric gas content (air) and more bacterial gas content.
Gas in the digestive system is usually produced by swallowing air, and the breakdown of foods by enzymes and bacteria in the gut (eg: processing undigested carbohydrates and proteins). These gases are primarily carbon dioxide, oxygen, nitrogen, and hydrogen; with smaller amounts of some methane and sulphur.
We have scoured the Internet and you can fart between a few times a day to 10, 20, 30, 40 times times, producing around .5 litre plus of gas, but opinions vary greatly.
Burping is generally caused by swallowing air when eating or drinking, or inhaling, and is usually a mixture of nitrogen and oxygen. Carbonated/ fizzy drinks (including beer) often make you burp (more) which is primarily carbon dioxide from the drink itself.
Out of idle curiosity searching on farting on YouTube yielded over 31 million results (some remarkably homophobic but that’s not what the section is about). We all do it, we all hear them, and some of our ‘friends’ have turned it into an art form (Philip). And yet it can remain a surprisingly embarrassing topic, partly because people believe they fart more often than others (or maybe it’s because others are better at concealing them).
What your farts say about your health | Seeker | 13 Apr 2016 | 3m 55s
Foods that can cause gas
- Vegetables such as broccoli, Brussels sprouts, cabbage, cauliflower, artichokes and onions
- Grains such as whole wheat, brown rice, barley, bulgur, corn bran and wheat bran
- Legumes such beans and lentils
- Fruits such as apples, peaches, pears, prunes and raisins
- Fruit juice such as apple and pear and other drinks that contain high-fructose corn syrup, a sweetener made from corn
- Milk and milk products including cheese, ice cream, and yogurt
- Processed and packaged foods such as bread, cereal
- Sugars such as table sugar, lactose (in dairy foods), maltose (found in grains), sugar alcohols (such as glycerin and maltitol syrup) used in energy bars, sugar-free sweets, and other processed foods
- Sugar-free products containing sugar alcohols such as sorbitol, mannitol, and xylitol
Things to know
- Sulphur rich foods (eg: broccoli, cauliflower, cabbage, kale, Brussels sprouts) can produce smelly farts while fruits, vegetables and beans usually don’t
- Skatole and indole which occurs naturally in shit (before you poo it out) also add to the stench of farts
- Farts can travel up to several metres/ feet per second and can be silent or noisy depending on the speed of the gas leaving the body, the position of the arse cheeks and tightness of the arsehole sphincter muscle
- The more constipated you are (with food fermenting in your digestive system) the more you will fart and the smellier they will be
- Depending on whether you are the type of guy who takes ownership you can (1) blame your farts on the dog even if there isn’t one (Debrett’s A-Z of Modern Manners); (2) blame the person who has just left the lift if you’ve farted and someone else has got in; (3) offer them a face mask; or (4) ask them if they can do better.
And ‘yes’ it is true: farts can be lighted but we don’t recommend it as you can burn yourself and singe hair!Why are you farting? | BrainStuff: HowStuffWorks | 15 Jul 2014 | 4m 18s
Ways to reduce gas
- Chew food slowly and thoroughly instead of gulping it down
- Avoid straws which encourages air swallowing and drinking out of tins/ bottles with narrow openings
- Reduce carbonated drinks; eg: soft drinks and beer; chewing gum, or sucking on sweets
- Select/ de-select food types (while maintaining a healthy diet)
- Avoid sugar-free products containing sugar alcohols such as sorbitol, mannitol, and xylitol
- Reduce your lactose intake found in dairy products and older cheeses can contain lactose
- Avoid smoking or chewing tobacco
- Physical/ aerobic activity will speed up digestion and help eliminate gas
- It may sound old fashioned but walking off a meal moves the air bubble to the upper stomach where you can burp
- Loose fitting dentures trap air in saliva causing you to swallow more frequently… who would have thought?!
- Nervous people can swallow excess air so relaxation may help
Flatulence | NHS
Flatulence | Wikipedia
Could You Outrun A Fart? | AsapSCIENCE | 13 Apr 2016 | 3m 25s
Are Silent Farts Worse? | AsapSCIENCE | 14 Nov 2013 | 1m54s
Why Do We Like Our Own Farts? | AsapSCIENCE | 9 Nov 2014 | 2m 55s
Why Are You Farting? | BrainStuff: HowStuffWorks | 15 Jul 2014 | 4m 18s
Why Do We Burp and Fart (So Much)?! | SciShow | 24 Dec 2013 | 3m 22s
The Poop Cycle | AsapSCIENCE | 1 Aug 2013 | 3m 13s Back to top
Sensation to enlargement, pain and touch
The rectum only senses enlargement and stretch, while the anal canal can sense temperature, touch and pain. This makes the anal canal more fun to play with than the rectum which will only notice if you stretch its walls. Above the rectum there are no receptors to sense pain or injury so penetration beyond this point is more risky.
Located to the front of the rectum (tummy side) is your prostate gland, doughnut-shaped and about the size of a chestnut. Stimulating or rubbing during sex can be a big turn-on which is why getting fucked in the right position can be so pleasurable. However, the prostate is very sensitive to pressure and harpoon guns!Back to top
Problems and complications
There are many factors involved in shitting properly and some of these can go wrong. If your sphincter muscles don’t seal properly then you may leak or shit yourself. Ulcers or a split in the anal canal may mean you get pain and a tighter sphincter muscle.
Diarrhoea is usually caused by an irritation of the intestine lining or infection in your small or large intestine. Quite simply, your body wants to get rid of the problem and, if it can’t vomit it out, it will shit it out as quickly as possible. The muscles which massage food through the digestive system go into over-drive (which is what can cause stomach aches, pain and cramps).
To help flush out the problem, the locks and valves regulating the flow open up; however, this also means that there isn’t enough time to extract the water from the waste and it’s at times like this that your bowels just open to release that all-too-familiar brown sludge. Oddly enough, we sometimes underestimate our body’s ability to deal with situations like this.
Generally, speaking, it is best to let nature take its course – not forgetting to drink lots of fluids (containing salt and sugar) to help wash out your digestive system and prevent dehydration. However, if symptoms persist, get it checked out.Diarrhoea | NHS
Diarrhoea | Wikipedia
Constipation may be caused by spasms in the large intestine, insufficient bulk or roughage in your diet, lack of exercise or stress. Shit passing through the colon, which extracts just enough water to turn the sludge into solid turds, can get stuck there and continue to dry out until they become hard and knotted. Shitting is then painful as the hardened turds rub abrasively against the walls of your colon, rectum and anal canal.Constipation | NHS
Constipation | Wikipedia
14 yoga poses for relieving constipation | Jen Reviews Britain’s Got A Bowel Problem – How Can We Get To The Bottom Of It? | Huffpost | 5 Aug | 2019
If you regularly use laxatives, you may damage the nerve supply to this area and then either get diarrhoea or constipation. If you experience anything out of the ordinary or have any concerns, go to a doctor. Prevention or early treatment is preferable to suffering, or getting serious complications needing surgery.Laxatives | NHS
Laxatives | Wikipedia
Haemorrhoids are veins near the surface of the bottom part of your anal canal that have become inflamed, forming pockets or mini-bags of blood. Initially, they’ll stay inside the anal canal but can, over time, get larger and are pulled towards your arsehole by the downward motion of shitting.
If constipated, straining makes them much worse. Sometimes they split open and can bleed, often quite profusely. Sometimes the blood work itself out of the bags back into the body and the haemorrhoids heal themselves.
Suppositories (bullet shaped tablets which you slide up the anal canal) or creams (which you rub onto the entrance of your arsehole) will often alleviate the discomfort and pain of shitting. However, if symptoms persist, it’s important that you get yourself checked out by a sexual health clinic or by your doctor.Piles (haemorrhoids) | NHS
Haemorrhoids | Wikipedia
Lowering stress levels, taking regular exercise and eating a balanced diet all play important roles in ensuring that your digestive system works well and is problem-free. Dietary advice to prevent constipation is based on the effects of certain foods being able to resist digestion. Such foods increase the weight (and volume) of shit, and are also able to bind water more effectively, forming a turd that is softer and easier to expel from the body.
Fruit and vegetables, both cooked and raw, whole-grain cereal products such as brown rice, wholemeal bread, flour products and whole wheat breakfast cereals are excellent turd-bulking agents and the maxim is the more the merrier. Pulses, such as lentils and beans, are also known to be effective, although the novice may become rather farty and will need to adjust intakes accordingly. The addition of bran to the diet (along with sufficient fluid intake) can provide some relief from constipation, although this should not be a substitution for a healthy diet.
Foodstuffs which are more likely to lead to constipation include dairy products, fatty foods and foods which have little or no fibre. If you experience pain, discomfort, if you’re not shitting softish turds regularly or if you have any concerns – visit your doctor. Some sexual health clinics offer advice and information on diet and healthier living.Diet (Nutrition) | Wikipedia Back to top
Ball and prostate check-ups
Testicular cancer and ball check-ups
Testicular cancer is on the increase, mostly affecting younger men in their 20s to 40s. It’s easy to deal with when treated quickly so, in addition to regular sexual health check-ups, DIY ball checks can pick up early warning signs that something may be wrong.
DIY ball check-ups
Check your balls monthly in (or just after) a shower or bath when your ball sack is relaxed and stretchy:
- Rest your ball sack in your hand, feel its weight and use your fingers and thumb to feel each ball. It is normal for one ball to be slightly larger and lower than the other
- Gently roll each ball between your fingers and thumb. At the top you will feel the tube which it is attached to, and the firm, bumpy area where it joins on. The rest should be smooth without lumps or swelling
- If you feel anything that seems unusual or that concerns you, go to a clinic or your GP
- Over time you’ll get used to how your balls look and feel. This way you will notice any differences and problems quickly. Though most lumps and bumps turn out to be harmless, you should get them checked
- Remember, the earlier testicular cancer is found, the easier it is to treat
Testicular cancer | Wikipedia
7 guys perform a testicular self-exam on camera | Birchbox Grooming | 26 Oct 2016 | 4m 8s
How to check for testicular Cancer | Dr Oz | The Oprah Winfrey Show | 20 Aug 2014 | 3m 37s
Testicular Cancer Self-Check Guide | Cahonas Scotland | 14 Dec 2014 | 2m 19s
Back to top
Gentlemen, Touch Yourself Tonight | Deadpool | 28 Jan 2016 | 1m 13s
Prostate cancer and sex
Prostate cancer tends to affect men in their 40s onwards but can be treated effectively if found early. The symptoms above may point to prostate problems and are sometimes felt by men with prostate cancer, but not always. If you are aged 50 or over, you should have yearly checks performed simply by a doctor or at a sexual health clinic.
Situated just below the bladder, the prostate gland is ‘hooked-up’ to the plumbing along which your spunk travels. It is responsible for producing the fluid in which sperm swim, and a secretion keeps the urethra moist.
- It gets bigger as we get older and can sometimes begin to squash the tube that takes piss out of the body
- It can become infected or inflamed, most common between 25-45 years
- It can get enlarged to the size of a small grapefruit if untreated
- Prostate cancer usually occurs in the over-50s but can happen earlier
Signs and symptoms that something is wrong include:
- Needing to piss often and getting little warning that you need to go
- Finding it hard to start or stop pissing
- Lots of dribbling at the end of a piss
- Finding it a strain to empty your bladder properly
- Leaking or dribbling piss
Men over 50 can ask for a PSA test from a GP. Men are not routinely offered PSA tests to screen for prostate cancer, as results can be unreliable. There are treatments for men with an enlarged prostate gland: contact your GP at a sexual health clinic.Prostate Cancer | Cancer Research UK
Prostate Cancer | Prostate Cancer UK
Prostate cancer: A guide for men who’ve just been diagnosed | Prostate cancer UK
Prostate Cancer | NHS
Prostate Cancer | Movember Prostate cancer | The Guardian | March 2018
MoreLove the Glove | Samuel L Jackson on the Graham Norton Show | 27 Jun 2015 | 2m 05s
How Prostate Cancer Works | AsapSCIENCE | 16 Jun 2012 | 3m 42s
Sex after prostate cancer
Generally, most men face some issues having sex after prostate cancer treatment though these are often temporary or treatable. Radiation and/ or surgery to treat prostate cancer can damage these areas making it more difficult to get hard or cum (have an orgasm).
Your prostate sits next to blood vessels, nerves, and muscles to help you get an erection. Treatment side effects may also make you feel less interested in having sex. Be patient though it can feel difficult to cope with, and it’s perfectly natural to feel frustrated. With time and the right support, you can likely have a fulfilling sex life after prostate cancer.Sex and relationships | Cancer Research UK
Sex and prostate cancer | Prostate Cancer UK
Sex life and prostate cancer | Macmillan cancer support
METRO Walnut prostate cancer support group for gay and bisexual men | Macmillan Sex and prostate cancer: Martin’s story | Prostate Cancer UK | 25 Jan 2013 | 3m 51s
Martin, 58, had a type of surgery called a radical prostatectomy, as well as radiotherapy to treat his prostate cancer. He also had hormone therapy which meant he couldn’t get an erection and lost his desire for sex. In this video, Martin talks about his experience of trying different treatments for erections and how the side effects of prostate cancer treatment changed his approach to sex. Disclaimer: These films feature men’s personal prostate cancer stories. Everyone’s experiences will be different. The films are not intended to provide medical information. Prostate Cancer in Gay and Bisexual Men: Treatment Side Effects and Decision-Making | Breakthroughs for Physicians | 6 Oct 2021 | 3m 29s
Channa A. Amarasekera, MD, assistant professor of Urology at Northwestern Medicine, discusses his research on the impact of sexual orientation on treatment decision-making and perceptions of sexual side effects from prostate cancer.
MoreProstate gland | MEN R US Love the Glove | Samuel L Jackson on the Graham Norton Show | 27 Jun 2015 | 2m 05s
How Prostate Cancer Works | AsapSCIENCE | 16 Jun 2012 | 3m 42s Back to top
Cancer is abnormal cell growth and may develop for a wide variety of reasons, some of which are known and others that aren’t. Normal cells have certain limits to their growth, cancerous cells continue to grow without controls, eventually causing serious and life-threatening damage. You can’t ‘catch’ cancer and it is not a sexually transmitted infection.Cancer | NHS
What is cancer? | Cancer UK
What is cancer? | Macmillan
Cancer | Wikipedia
Types of cancer | Cancer UK
Live Through This
Provides opportunities for LGBTQI+ people affected by cancer to meet and share their experiences. Believes that people of all sexualities and genders should be able to see themselves represented in the cancer services they access and that those service providers should be welcoming and knowledgeable of what it means to be LGBTQI+.
Live Through This
Emerging picture of LGBT people with cancer | Macmillan What Is cancer? | Biology for All | FuseSchool | 8 Jan 2017 | 3m 18s Back to top
Like skin and nails, hair is made from keratin. Hair acts as a protective barrier. For example, eyelashes protect the eyes, hairs in the nostrils and ears trap and prevent the entry of foreign bodies, and eyebrows prevent sweat dripping into the eyes.
Attached to the base of each hair is a minute strip of muscle which is stimulated by cold or emotional stress. When the muscle tightens, the hair stands up trapping air and conserving heat. Each hair grows for up to five years before entering a ‘resting’ phase. As the growth stops, the hair falls out and after about three months a new hair begins to grow to take its place.
Obviously, the number of hairs varies between individuals but, on average there are about 100,000 hairs on your head and you might lose anything between 40-120 hairs a day. Colour is determined by how much pigment hair contains. As we get older, we tend to produce less pigment which is why hair goes grey.
The reasons for hair loss are various including physical ailments, skin conditions, allergic reactions, and mental stress. The most common type of hair loss is baldness which is caused by hormonal change in the body as we get older. Unless you intend to stick the bum of a Canadian beaver to the top of your head – get used to it, it’s a fact of life! Shorter hair – properly groomed – can be dead sexy in a man of any age. For some men, however, hair loss is a major upset particularly when their young. If hair loss causes you stress, depression or makes you feel inadequate talk to your GP before spending money on potions or transplants.
Dandruff is a common but relatively harmless condition where dead skin cells are shed from the scalp. This produces white flakes which are best noticed on dark suits. The usual cause is a scaly rash called seborrhoeic dermatitis that can also affect the chest, face and back. Treatment involves regular use of a medicated anti-dandruff shampoo from your chemist although a cortico-steroid or anti-fungal drug are sometimes required (through your GP).
Hair care tips
- Shampoo your hair regularly to remove any build up of dirt and grease
- Beware of harsh anti-dandruff shampoos – ask your hairdresser, chemist or perhaps barber for advice
- When washing your hair massage your scalp to stimulate blood flow and to release tension
- Rinse your hair thoroughly (under a shower stream if possible)
- Use a conditioner to smooth the outer surface of the hairs
- Keep hair dryers at least 15 centimetres away from the head to avoid heat damage
- Don’t brush your hair when it is wet, as it is at its weakest then
- Avoid over-vigorous rubbing of wet hair, which can cause split ends and tangling
- If you cut your own hair with electric clippers make sure you choose the correct setting
- (Once it’s cut – it can’t be undone!) Make sure that you cut evenly; uneven patches or tufts of hair which have not been trimmed look truly dreadful
- Ear and nose hairs can get long and straggly but can be kept short with a trimmer, or plucked out (which does a better job)
- Stray eyebrows can be plucked
Hair loss | Ingrown hairs | NHS
Skin | MEN R US Why Are Men So Hairy? with DaveyWavey | Asap SCIENCE | 12 Aug 2015 | 5m 47s
The Science of Hair Loss/Balding | AsapSCIENCE | 14 Mar 2013 | 1m 56s We aim to find content that has no ads, or as ad free as possible. Unfortunately, the following links have more ads than usual.
Scientists have revealed why gay men are so attracted to beards | PinkNews | 19 May 2020
An inside look at gay men’s hairless butt obsession | Men’s Health | 27 Jan 2020
Scientists have revealed why gay men are so attracted to beards | Pinks News | 19 May 2017
Like skin, nails are made from keratin and protect our fingers and toes from wear and damage. They also help us pick up objects and allow us to scratch the little bastard’s eyes out when he cheats. Just kidding! Fingernails usually take 5 or 6 months to grow from base to tip (just under a millimetre a week). Toe nails take twice as long to grow which is why we don’t have to cut them so often (though some men seem to forget about them altogether).
Damage and indicators
Nails are susceptible to damage through injury, pressure or crushing (in a door, for example) but more usually through bacterial or fungal infections and general illnesses. Brittle or ridged nails, black splinter marks beneath the nail itself, blue and green discolouration may be signs of vitamin deficiency and generalised disease.
Nail biting is a nervous habit. A badly-bitten nail is more susceptible to infections, pain and bleeding. The usual treatment is to paint the nails with a clear solution which tastes horrible, but this has obvious limitations. Examining why you bite your nails can be helpful in devising a strategy to break the habit. Perhaps the best reason for quitting is being able to see a full set of neatly trimmed nails – it will only take a month to see significant improvements.
HIV and other STIs
Unbroken nails and skin, particularly where they join, provide an affective barrier against infections such as HIV and hepatitis C. Broken, torn, ragged, ripped, or bitten nails can provide a route for infection with an increased risk of transmission if the surrounding skin is also damaged. Given that many/ most of us use our fingers for sex in some way, where bodily fluids like semen and blood are often present, keeping your nails and skin in tip top condition is an essential part of your sexual health.
- Clean your nails carefully by prising out dirt beneath them. (A nail brush may be helpful)
- Soften your nails in warm water before cutting them
- Don’t cut your nails too short
- Cut your toenails straight across to stop them in-growing
- Don’t bite your nails. It doesn’t just look tacky, it really shows you up when you’re holding a glass, shaking hands or he’s trying to suck your fingers romantically. (He may as well nibble them for you)
- To protect against nail infection, wear rubber gloves when your hands are being continually immersed in water
- See a doctor if your nails become discoloured or brittle as this could be due to a fungal infection or vitamin deficiency (which are usually easily treated)
Feet and toenail tips
- If you shower (rather than bathe) don’t forget to clean your feet, toes and toenails everyday, making sure your dry them properly, particularly between the toes
- If you are prone to bacterial or fungal infections there are a range of creams, powders and sprays from your chemist that can help combat this. Keep a separate foot towel (which you don’t use on your face)
- Change socks daily to prevent foot odour
- Use a pumice stone to gently remove dead skin from the heels and balls of your feet
- Discard shoes that are worn beyond repair, or no longer fit properly
- Wear natural materials, such as cotton socks and leather shoes to reduce sweating. If you suffer from smelly feet, wear insoles made of activated charcoal, which absorbs sweat and odour particles
- If you develop a foot problem, such as a callous, bunion or verruca, see your doctor or chiropodist
Nail abnormalities | NHS
Ingrown toenail | NHS
What a gay guy learned from painting his nails Huff Post | 25 Oct 2016Yes I’m a man with fake nails, get over it cis! | Olaoncé Carey | 1 Oct 2018 | 6m 13m Back to top
Sight is the main sense we use to map, absorb and appreciate the world around us, enabling us to socialise, work, communicate and stay connected. And when it comes to men on men action eye contact, facial expressions (like smiling), gestures, body language are all part of cruising, that first date, or a glance across a crowded room (yup, it still happens).
Though it’s the first thing we see in the morning and the last thing we see at night, we rarely give our sight a second thought as how we would manage if we couldn’t see. It’s also difficult to appreciate the role it plays in our lives because it’s so tightly woven into our daily existence and we (rarely) have a way of comparing what life would be like without it. The closest some of us will get will be a power cut or getting lost on Hampstead Heath on a moonless night.
The eye is a fluid filled ball (vitreous gel) held inside the eye socket by delicate muscles, which control eye movement up, down, left and right. At the front of the eye is the cornea which helps you focus. (People who wear contact lenses place them on this part of the eye). Behind this is the iris which controls the amount of light entering the eye. In its centre, a small aperture (the pupil) widens to let more light in when it’s dark and narrows when there is bright light. A circular ring of muscle surrounding the iris relaxes and contracts changing its shape to provide additional focus. Light then passes through the fluid in the eye ball to the retina at the back where millions of sensitive cells convert light into nerve impulses. These are sent to the brain where images – including the words you’re reading now – are assembled into stuff you can understand.
Tears keep the cornea and conjunctiva (which covers the white of the eye and the inside of the eyelids) constantly moist. Blinking sweeps a film of tears across the eye, keeping the surface well lubricated and washing away dust and dirt. In addition to salty water, tears contain a natural antiseptic. Tears drain away through a single hole near the inner end of each eyelid into small tear sacs and then down through the nose which is why your nose runs when you cry.
Short and long sightedness
Short sightedness is when near objects can be seen clearly while objects further away (even by as little as 30cm) can appear blurred or indistinct. Short sightedness is usually caused by the eye being too long front to back (horizontally) and, as a result, images of distant objects focus just in front of the front of the retina. Conversely, long sightedness is when the eye is too short affecting your long distance vision. These conditions are usually treated with glasses or contact lenses and regular check-ups for this and other sight conditions is essential – even if you think you have 20/20 vision.
Contact lenses have been around for just over 100 years, although Leonardo da Vinci was actually the first to describe the possibility of using them over 500 years ago. While there are different types of lenses, soft lenses tend to be the most popular because they are easy to wear from the start, but an optician will be able to recommend a lens best suited to your needs. The high water content in soft lenses (40-80%) allows more oxygen to reach the eye covered by the lenses and so they can be worn for longer periods. However, despite their obvious success, problems can occur such as:
- Eye infections through a failure to keep lens maintenance equipment clean, wash hands thoroughly before putting in/taking out lenses, and keeping lenses properly disinfected
- Sensitivity to the lens or maintenance solutions
- Using lenses for extended periods of time
- Hard lenses that scratch the eye if they’re put in roughly or are worn for too long
- Problems with tear production
- Sleeping in lenses particularly after a long night out when you may be dehydrated. You sometimes have to peel the lens off the eye. This is not good.
- Redness, stinging and a sensation of heat in the eye
- Pain or prickliness in the eye
- Lenses jumping around the eye
- Increased mucus leading to cloudy or foggy vision
If you experience any of the above, stop wearing your lenses immediately and head straight for your optician or GP.
Conjunctivitis is an inflammation of the eye causing a range of symptoms including redness, discomfort, discharge and a sensitivity to light. Most cases are caused by bacteria which are spread from hand-to-eye contact or by viruses (eg: cold or sore throat). However, an allergic response can also be caused by contact lenses and associated cleaning solutions, pollen and cosmetics.
While warm water will wash away the discharge and remove any crusts on the eyelids, the infection itself usually requires treatment with eye-drops or an ointment containing an antibiotic, antihistamine or cortico-steroid drug. The important thing to remember is to see your optician or GP as soon as you think you have a problem. (This doesn’t mean making an appointment in a week’s time.)
Eye care tips
- Whatever your age, get your eyes tested at least once a year – or sooner if you notice any change
- Depending on how long you use a computer at work, you employer has a legal responsibility to provide you with an eye test
- TVs are brighter than you might think; sit at least five feet away from the screen
- When using a computer, rest your eyes every 15 minutes by focusing on something else. Every hour you should have a few minutes break away from the screen. This will help prevent eye strain
- If you’re using artificial light to read, ideally the light should shine on to the page from behind you
- Wear sunglasses in bright sunlight; never look directly into the sun
- Swimming pools are usually highly chlorinated – consider wearing goggles
- Protective goggles should be worn when welding, handling dangerous chemicals or working high-speed machinery
- When you’re doing DIY, always wear protection. It may seem like overkill but splinters, glass fragments, dust, metal fragments, plaster, paints etc can seriously damage your eyesight
- Avoid rubbing your eyes as this a common way of picking up infections
- Moisturisers, soaps and other beauty products can badly irritate the eyes even if they are low allergy
- Last but by no means least – a surprising number of everyday substances will sting badly if you get them into the eye, eg: poppers, cum, and sweat
If you get anything into your eye(s) wash out with plenty of water and if you have any worries seek medical advice immediately.Human Eye | Wikipedia
Eye health | NHS Can You Trust Your Eyes? | AsapSCIENCE | 5 Sep 2013 | 2m 03s
How Good Is Your Eyesight? (Test) | AsapSCIENCE | 2 Apr 2015 | 1m 45s Back to top
We rarely give a second thought to how we would manage if we couldn’t hear chat lines, app alerts, demands to fuck harder. There are sounds which relax us, stress us out or warn us of potential danger. Then there are everyday sounds we sometimes know but don’t know are there: a tune on a radio, bird song, an approaching train, the chatter of friends in the next room.
It is often difficult to appreciate the role it plays in our lives because it’s so tightly woven into our daily existence and we (rarely) have a way of comparing what life would be like without it.
Our ears are designed to pick up sound and convert it into electrical signals which can be understood by the brain. The outer ear catches sound waves and channels them along a passage to the ear drum, causing it to vibrate. Wax is produced naturally and, along with the hairs which grow at the entrance of the ear, traps dirt and dust particles.
On the other side of the drum is the middle ear in which three tiny bones transmit the vibration across a small air filled cavity to the inner ear. The middle ear is connected to the back of the nose by the Eustachian tube which acts as a drainage passage and regulates air pressure. It opens during swallowing and yawning allowing air to flow up to the middle ear and equalising air pressure on both sides of the ear drum. Without this, the ear drum cannot vibrate properly which is why our hearing can become dull or muffled when we have a blocked nose or experience a change of air pressure when flying, for example.
The inner ear is made up of the cochlea, a small snail-shaped organ filled with fluid, through which sound waves vibrate. Minute hairs are stimulated by sound and converted into electrical impulses which are sent to the brain. Attached to the cochlea are three fluid-filled semi-circular canals at right angles to each other that help maintain balance by detecting even the slightest body movement.
The human ear is able to hear different ranges of sound from around 20Hz (hertz) to 30,000Hz. The top note on a piano, for example is around 4,000Hz. Comparative noise levels are measured in Decibels (Db) and the chart below shows a range of noises. Risk of injury starts at 90Db and probable permanent injury from 120Db.
Damage to hearing
Hearing may be damaged by exposure to very loud noises for a short period (such as an explosion at close range) or by prolonged exposure to low levels of noise (such as might occur in a machine room). The most likely risk to gay men is loud music in a club or through headphones and, frankly, it’s pretty stupid when it can be avoided.
Muscles in the middle ear normally respond to loud noise by altering the stiffness of the bones that pass the vibrations to the inner ear. This reduces their efficiency and dampens the intensity of the noise. When a loud noise occurs without warning, these protective reflexes don’t have time to respond and the full force of the vibration is carried into the inner ear causing severe damage to delicate hairs in the cochlea.
Occasionally, loud noises actually rupture the ear drum. More commonly though, damage from loud noises occurs over a period of time, with a gradual destruction of the hairs causing permanent hearing loss. Sound at 90Db+ may cause pain and temporary deafness lasting for minutes or hours. This is a warning that hearing may be damaged.
Tinnitus (ringing or buzzing in the ears) occurs after the noise has stopped and is an indication that some damage has probably been done. Prolonged exposure to loud noise leads to a loss of ability to hear certain high tones.
Later on, deafness extends to all high frequencies and just listening to somebody talking becomes increasingly difficult. Eventually, lower tones are also affected.
Protecting your hearing
- Whatever your age, see you doctor immediately should you experience any of the following symptoms: difficulty hearing someone talk, regular use of TV subtitles, persistent earache or pain, an unexplained loss of balance, dizziness, a ringing or noises in the ear
- Ear protectors should be worn in noisy environments over 80Db – this includes clubs
- Wear ear plugs when you’re clubbing and listening to loud music. You may like to ask a club the maximum level at which music is played (but they probably won’t have the faintest idea what you’re talking about)
- Many smart phones and personal players have limits on the volume control. While these can often be over-ridden, the manufacturer will state that it is at your own risk
- Ears are usually very good at cleaning themselves. If wax builds up you should see your doctor before you start poking around. If you’re used to using cotton buds, remember to be gentle! A punctured ear drum can cause permanent deafness
Noise-induced hearing loss | Wikipedia
Noise | Wikipedia
Health effects from noise | Wikipedia
Hearing loss due to recreational exposure to loud sounds | World Health Organization | 2015 Inside the human body: how your ear works | BBC | 16 May 2011 | 1m 42s
How the ear works | javitzproductions | 15 Jun 2012 | 3m 25s
How old are your ears? (Hearing test) | AsapSCIENCE | 13 Aug 2013 | 1m 37s
Can You Trust Your Ears? (Audio Illusions) | AsapSCIENCE | 29 May 2014 | 3m 30s Back to top
Teeth and the mouth
Our teeth are an asset, vital to our quality of life. They provide self confidence, and allow us to feel more ourselves, particularly when we smile! In fact, when we’re happy, there’s nothing like smiling big! Our teeth may not be perfect, in fact it’s imperfections that give us character, but good oral hygiene is more about spending a few minutes each day to floss and clean than anything else.
A little about teeth
Adults have 28 to 32 teeth depending whether the person finally grows their wisdom teeth, which do not appear in everyone. In many cases, wisdom teeth don’t emerge fully from the gum because of over-crowding. Your dentist will determine whether they are best left alone or taken out.
Teeth are largely made up of dentin on the outside and a pulp on the inside where blood vessels and nerve endings are situated. The crown, or visible part of a tooth, is covered with about 2mm of enamel. Below the gum line, the root of the tooth is made from cementum. Both dentin and cementum are tough, bony substances.
Teeth are ‘glued’ by a special membrane that anchors them to the surrounding socket. Poor oral hygiene or the failure to clean and floss your teeth regularly weakens the mouth’s ability to fight off infections and the membrane that fixes your teeth to the sockets. Consequently, despite the best efforts of saliva, which is you body’s natural answer to bleach, you are more inclined to get mouth ulcers and bleeding gums – obvious gateways for bacterial infections like gingivitis and viral infections like hepatitis and HIV.
Bad breath is caused by bacteria, tooth decay, smoking or rich and spicy food. It can seem particularly unpleasant when you wake up in the morning after you’ve been drinking the night before. During the night your body produces less saliva (a natural mouthwash) and a thin, creamy coating forms over your teeth, tongue and gums. Healthy bacteria break it down producing mild toxins which smell and taste horrid. However, in some cases bad breath can be caused by medication and stomach ulcers.
“We flirted along the South Bank, his cute arse just begging for it as he leant over the pier at Butler’s Wharf. There is nothing more intoxicating than the moment on a date when you know that after fucking each other’s brains out there will be something else to talk about. As we moved in for the first kiss, I reeled back from a tsunami of putrid toxins, lost my balance, and fell into his mouth. To make matters worse, my distress was plain to see and he looked about apologetically for a culprit. A dick shrivelled and cold pre cum was all that was left of the date and a memory, seared into conciousness, stepping into dog shit on my way to school, the heady aroma of gelatinous pooh taking my gag reflex to the next level.” Tony, London 2014
Plaque is a sticky coating on the teeth made up of saliva, bacteria and particles of food. It is the main cause of tooth decay and gingivitis (an infection of the gums). If allowed to accumulate it will become hard and increasingly difficult to remove. Plaque begins to form within hours of cleaning and is responsible for the furry feeling of un-brushed teeth. If the gums are unhealthy the plaque tends to spread more quickly. The bacteria can also rapidly erode teeth enamel and voilà… a cavity! Or voilà, voilà, voilà… lots of cavities that need filling. Plaque should be removed at least twice a day using a toothbrush and dental floss.
Gingivitis is usually caused by a build-up of plaque. It is thought that the toxins produced by bacteria within the plaque irritate the gums, causing them to become infected, tender and swollen. Gingivitis can also result from injury to the gums, usually from rough brushing of teeth or flossing as if you’re lassoing a steer. Healthy gums are pink or brown and firm. Poorly gums become a reddish-purple, mushy, shiny and swollen. The gums bleed easily during brushing and are often tender. Good oral hygiene is the main means of preventing and treating gingivitis – and not letting the plaque form in the first place. In some cases, a special mouthwash will ease the symptoms.
Tips for teeth
- You should visit a dentist every six months. If not, or if you leave it until pain and discomfort occurs, you are storing up potentially horrific problems for later on
- Clean your teeth at least twice a day, ideally after each meal. This should take no less than 3-4 minutes
- Renew your toothbrush or electric toothbrush head every couple of months, or per instructions
- Electric toothbrushes are recommended, especially for removing plaque
- Floss your teeth at least once a day to help prevent your gums from receding (a major cause of tooth loss)
- After meals use a toothpick to dislodge food from between your teeth
- Chewing gum produces saliva which breaks down bacteria. Choose a sugar-free variety
- Sugar rots teeth, so choose foods, sweets and drinks with reduced or no sugar
- Mouthwashes and freshener sprays mask bad breath, they don’t sort it out
- Teeth whiteners which use bleach can produce results but can damage the enamel. Check with your dentist first
Gum disease | Tooth decay | Toothache | NHS
British Dental Health Foundation | British Dental Foundation
Teeth | Wikipedia What if you stopped brushing your teeth forever? | AsapSCIENCE | 3 Jan 2019 | 2m 57s
How to brush your teeth with a manual toothbrush | Brush DJ | 3 Nov 2012 | 2m 25s Back to top
Covering the surface of the body and weighing over 4kg (9lbs), skin is the largest body organ. Made from keratin, a hard protein, it provides a barrier against the environment, bacteria and other foreign organisms and keeps many organs from falling through the skeleton. Just as well then. Self-repairing and self-regenerating when damaged, unbroken skin is waterproof and protects the body from exposure to the sun’s harmful rays by producing melanin, a dark pigment, which forms a layer to absorb ultraviolet light; this is why we tan in the sun.
Skin also plays a key role in controlling body temperature and water balance. For example, body hairs become erect in the cold trapping warm hair close to the skin, and sweat glands secrete sweat to cool the body when it’s too hot. Full of nerve endings, skin also helps us understand our surroundings as it constantly transmits information about touch, pressure, pain and temperature for the brain to interpret. So, in short: don’t leave home without it.
Skin is attached to deeper body tissues with elastic fibres called collagen which allows the body to grow and stretch. As we get older, those parts of the body which have been exposed to the ageing effects of sunlight (the face, neck and hands, for example) lose elasticity as the collagen fibres break down. This is what causes bagginess and wrinkles and turns some of us into prunes.
Since the purpose of skin is to protect us from the environment, it’s not surprising that – from time to time – it breaks down. While many skin problems are rarely life-threatening and are relatively easy to treat, their effects can be devastating, particularly if you suffer from recurrent episodes. That ‘hot date’ suddenly becomes a nightmare as you explode with spots or an unexplained body rash. Common skin problems include:
- Acne (spots) – skin follicles blocked with excess sebum (which lubricates the skin) and infected with bacteria. Also known as white/black heads which usually affect men during puberty but can affect us later on in life as well
- Eczema or dermatitis – inflamed, irritable, flaky, dry skin sometimes caused by allergies, although in many cases the cause is unknown. However, skin tests can sometimes determine the cause
- Athlete’s foot – a fungal or bacterial infection causing itchy and sore skin between the toes usually associated with wearing shoes and sweaty feet
- Dandruff – see Hair
Unless you know the cause of your skin condition (and any appropriate treatment) seek professional help – probably your GP in the first instance.
- If you are an acne sufferer – avoid greasy skin and hair preparations that clog up the pores making it more difficult for your skin to breathe properly. A chemist should be able to suggest acne preparations which can be helpful in mild cases.
- If you suffer from eczema or dermatitis an inexpensive moisturiser can help ensure your skin doesn’t dry out.
- Changes in your diet can reduce the problem; for example, some eczema sufferers find that reducing dairy products can help.
- Stress can trigger or exacerbate skin complaints – consider learning a relaxation technique. Many skin conditions can be helped by some exposure to sunlight – but we’re not talking sun tanning or burning!
- If you suffer from athlete’s foot, a range of over-the-counter creams, sprays and powders are available. Simply ask your chemist.
Skin care tips
- Make sure your diet contains plenty of fresh fruit and vegetables
- Drink at least eight glasses of non-carbonated water every day; drinks containing caffeine, eg: tea, coffee, and soft drinks don’t count
- Give up smoking which can cause premature wrinkling
- Wash regularly with a mild soap and water to remove dirt and dead skin, rinsing off all soap thoroughly
- Don’t spend too long in the bath or shower and make sure the water is not too hot
- Use a moisturiser compatible with your skin type
- Dry carefully but thoroughly between your toes and fingers
- When you’re out in the sun, put on a sunscreen (with an appropriate factor) on exposed skin, wear sunglasses to protect your eyes and a cap to protect your head and the back of your neck
- Wrap up well in cold and windy weather
- Avoid direct contact with hazardous irritant substances such as household bleach and paint stripper
The skin | Cancer Research UK
Human skin | Wikipedia The science of skin | TED-Ed | 12 Mar 2018 | 5m 10s
Skin (Integumentary System) | Bozeman Science | 10 Mar 2014 | 7m 31s
What is skin for? | MinuteEarth | 27 Oct 2013 | 2m 7s Protect your skin and eyes in the sun | NHS
Sun, UV and cancer | Cancer Research UK Back to top
Body odour (BO)
Sweating is essential and about controlling your body temperature and stop you overheating. Each day, the body gets rid of 2-3 litres of water through 2 million sweat glands. That’s about a teaspoon or 2ml every minute so it’s not surprising that body scents and odours occur naturally.
Sweat itself doesn’t really smell unless you’ve been at the garlic, curries or alcohol. Body odour (BO) is when sweat turns stale – a reaction between fats and proteins in the sweat and bacteria that live on the surface of the skin. Having said that, some men prefer a strong ripe body odour to a less aggressive body scent.
Our natural body scent, often a musky smell on the skin, is an individual fingerprint of who we are. In moderation, it’s generally regarded as pleasant and we respond and get turned on by the right scent in others.
They don’t make ads like this anymore …
5 Classic Retro Deodorant Commercials | Classic Commercials | 10 Mar 2014 | 2m 27s
BO happens is worse in the moist enclosed airless areas of your body where the bacteria thrive particularly well; eg: arm pits, arse crack, and the groin (behind your balls/ between your legs).
You also have sweat glands on your forehead, palms and soles of your feet which is why you can sweat a lot if you put on a woolly hat, or thick gloves. Your feet have around 500,000 sweat glands and unlike other parts of our body are usually covered and enclosed by shoes or trainers. When feet are not ventilated, trapped warm sweat is a breeding ground for very smelly bacteria.
Sorting out BO
- Shower or bath every day to kill the bacteria on your skin; on hot days you may have to do this more often. Afterwards dry yourself and feet (between the toes) properly
- Gently but thoroughly, wash right under and around the armpits using an antibacterial soap (which should say so on the packaging). Avoid over-washing as this can remove healthy skin bacteria and make the problem worse
- Wear natural fibres, such as wool, silk or cotton which allows skin to breathe so sweat evaporates more quickly. Conversely, avoid synthetic and/ or tight fitting clothes which trap sweat
- Wear clean clothes, particularly underwear and socks; no buts on this one! If you don’t wear underwear, remember you will have wash your jeans/ trousers more often
- Make sure you wash your clothes regularly
- Use a deodorant or an antiperspirant after showering or bathing
Shaving your armpits will allow sweat to evaporate quicker, giving bacteria less time to break it down (though this may not be the look you’re after)
Reduce spicy foods (eg: garlic, onions, curry or garlic) which make your sweat smell worse. There is also evidence that eating a lot of red meat and heavily processed foods can make BO worse
- Sleep naked!
Antiperspirants and deodorants
- Antiperspirants work by reducing the amount of sweat produced by your body. Antiperspirants contain aluminium chloride, a chemical that reduces sweating, and often also contain a deodorant. Roll-on antiperspirants tend to be more effective if you sweat heavily
- Deodorants work by masking and/ or neutralising sweat smell with antiseptics against bacteria and can preferable because they don’t interfere with sweating
Experiment with a few to find which type and method of delivery suits you best. Some can cause irritation and you’d be unwise to apply them to broken skin or on your cock and balls. If you still have a BO problem, chemists have stronger antiperspirants which reduce the amount of sweat you produce, but can cause skin irritation. Further problems: see your GP.Body odour | NHS
Body odour | Wikipedia
Body Scent and pheromones | MEN R US
Body odour and sexual attraction | Wikipedia What causes body odor? | Mel Rosenberg | TED Ed | 5 Apr 2018 | 4m 28s
Let’s Talk About Armpit Smell: Natural Hygiene and Body Odor | Rob Greenfield | 28 Jan 2016
How To Sweat Less: The Science of Sweating | The Royal Institution | 4 Jun 2015 | 3m 07s Back to top
With over 25 bones and a complex structure of muscles, tendons and ligaments, your feet keep you upright and balanced for a lifetime and absorb the impact of your body weight whether you’re walking or running.
And yet, our feet are probably the last thing we think about until they start hurting or when we expect someone to hold them, rub them or lick them. In fact, when it comes to our health routines, feet and toenails often fall to the bottom of the list.
Problems include odour, fungal infections, cracked skin, calluses, corns, and ingrown toenails – many easily avoided. So, here are our top tips for keeping the skin, bones and muscles of your feet functioning properly. However, if you have any concerns see you GP pronto.
Wash your feet every day gently but thoroughly with soap and warm water to get rid of dirt, sweat and bacteria, including the eight spaces in between your toes. Don’t forget to dry them properly. And feet can be ‘forgotten’ if you shower, particularly in cramped spaces where you can’t bend down. Also, if you tend to bath or shower in the morning you may be taking dirt into the bed with you at night.
Moisturise your feet regularly as there’s nothing worse than dried or cracked feet. Cocoa butter is good, for example, a natural emollient. If they’re particularly dry consider rubbing in some lotion or petroleum jelly at night bed (then putting on socks to protect the sheets). It will leave them soft but take care not to over moisturise between the toes which can lead to fungus.
Fit your feet
Your feet will perform better if your shoes (including sandals or trainers) fit and support your feet, keep them dry and clean and allow them to breathe at a comfortable temperature. For example, tight shoes cause hammer toe, corns, ingrown toenails and general pain while overly large cause blisters and calluses, sore heels and excessive shoe wear. Also, synthetic materials tend not to breathe as well (trapping heat and moisture) while natural materials like leather and cotton will keep your feet cooler and release moisture. Athletic shoes with specialist materials or mesh can work even better.
Rotate your shoes
You can’t avoid foot sweat, but you can try to alternate your shoes so that the pair you wore yesterday has a chance to dry out completely before you wear them again. If you wonder why your trainers smell so rank (maybe a mate has had the decency to tell you) it may because you’ve been wearing the same pair.
Change your socks
Change your socks daily; not every 2nd or 3rd day from a pile in the corner! Change your socks more often if you feel they are damp or sweaty; maybe taking an extra clear pair with you for when you finish at the gym. Socks made of natural fibres like cotton or wool draw moisture away from your feet while high-performance socks made of synthetic materials can do the job better because the material doesn’t compress as much when saturated with sweat.
Keep shoes clean
Avoid putting clean feet into shoes with dried sweat and bacteria. This can be difficult when you’re slipping on the same trainers everyday, but each time you do this makes the problem worse. Some guys will pop trainers into the washing machine (once in a while at a low temp wash) but don’t come running to us if they fall apart. You have been warned and it’s your call. Sometimes it’s just time to buy a new pair.
It’s the place where feet meet so take precautions so you don’t end up with someone else’s foot fungus. Changing areas are typically damp environments next to showers so a haven for fungus and bacteria. It’s notoriously difficult drying feet properly in a public changing area before putting on socks and shoes. Some guys wear flip flops, and try not to share with others; eg: if a guy lends you his towel, how do you know he’s not used it on his feet first? Are you going to ask him?
Athlete’s foot and other foot fungus just lurve to grow in damp, moist environments. Deny them this and it’s probably our top tip when it comes to prevention. We’re putting it at the bottom because if you follow the steps above you will all but eliminate the likelihood of getting an infection.
Foot pain | NHS
Ingrown toenail | NHS
Athlete’s foot | NHS Foot (unit of measurement) | Wikipedia
Foot fetishism | Wikipedia Fetishes | MEN R US
What is it about feet that some people find such a turn-on? | Gay Star News | 19 Feb 2019Back to top
These days, nipple, ear, navel and eyebrow piercings are relatively common. Nipple piercing goes back thousands of years and is believed at one time to have been a sign of allegiance and manhood within Caesar’s Pretorian Guard. Many Roman statues are thought to show pierced nipples, but they could be representing a lorica or breastplate. There are even suggestions that cloaks were fastened to them. If true, they would have been very lightweight particularly when in battle – for obvious reasons!
Genital piercings (through the cock and balls) also have a long history. The ampalang (a barbell placed horizontally through the glans) comes from Borneo, where the women of certain tribes will not marry a man who does not have one. This and other piercings like the hafada (a ring through the ball sac) were considered rites of passage by some cultures, to mark the passage of a boy to a man.
The Prince Albert (a ring passing in through the urethra and exiting at the back of the glans, underneath and to one side or other of the frenum) has a more intriguing origin. During the Victorian era, the bulge of a cock in a man’s trouser was considered unsightly. This piercing could be used to strap the penis in place which is where the saying ‘…on which side does Sir dress’ is thought to originate. It is also rumoured that Prince Albert wore one, hence the piercing’s name. While genital piercings have become popular with some gay men, they are still a relatively small group, even though in some ‘specialist clubs’ you could be forgiven for thinking that you’d walked into an armoury.
Part of the pleasure of piercings has to do with the subtle sensations of wearing them, and there is no doubt that these types of piercing can be strikingly visual and a real turn-on, both for those exhibiting them and those admiring them. What you can have pierced will depend on your anatomy. A good body piercer should be able to advise you as to what will suit and the types of jewellery that will be most comfortable or visually striking.
Choosing your piercing
The barbell, the ball closure ring and banana bell (with equal sized balls) are not unusual. Normally a barbell in any body piercing will heal quicker than a ring, as there is nothing sticking out to catch or rub on clothes. Only jewellery made from highest grade surgical stainless steel or solid gold should be worn in a piercing. Silver and other metals which can tarnish should never be used.
The important thing is to discuss what you want with the piercer who – if they’re good – will encourage you to do so. It may also be helpful to discuss it with friends who have piercings. For men, the experience of the piercing can be quite intense and can lead to an endorphin rush and can be an essential part of the ritual. For others, it’s a sharp, intense feeling, but like with a tattoo, you only really feel it as the needle goes in.
- Ask your GP if there are any reasons why you shouldn’t have a piercing (other than his/her thoughts on the matter)
- If you need more than one visit to choose what you want, check over the clinic and discuss your needs with the studio – do so
- Believe it or not, there is no uniform standard in the UK. However, studios have to be registered in London with their London Borough and, elsewhere, they are usually registered with the local council (where they have to have a licence) or the health authority
- Set sufficient time aside, eg: it’s not a particularly intelligent idea to have a tattoo or piercing on your way to work!
- Make sure the studio is covered by the appropriate health certification
- The studio should be scrupulously clean with separate waiting, tattooing/piercing, and sterilisation areas
- Get the studio to explain in advance the procedures involved and answer any questions
- After the tattoo/piercing, the studio should provide you with a written aftercare sheet
- If you have any doubts – follow your gut instinct and leave… you can always go back or find another studio
Piercing after care
- Remove dressing after four hours
- Clean with TCP antiseptic for two days only
- Continue to clean with pre-boiled water and salt
- Do not pull or tug jewellery
- Ensure that your hands are pre-cleaned using an anti-bacterial soap before touching your new piercing
- If you have any problems then contact your piercer for advice, this can usually eliminate a trip to your local GP
Body piercing | Wikipedia
Genital piercing | Wikipedia
List of body piercings | Wikipedia
Back to top
Some scientists have said that certain marks on the skin of a mummified human body dating from about 3300BC are tattoos. If that’s true, these markings represent the earliest known evidence of the practice. More widely recognised are tattoos found on Egyptian and Nubian mummies dating from about 2000BC.
Today, tattoos are created by injecting ink into the skin. The tattoo machine as we know it today has remained relatively unchanged since it was invented in the late 1800s and carries ink into your skin through a needle that moves up and down like a sewing machine.
Today’s machines puncture the skin at the rate of 50 to 3,000 times a minute. The sterilized needles are dipped in ink, which is sucked up through the machine’s tube system. Using an up-and-down motion to puncture the top layer of the skin they drive the ink into the skin, to about 3mm deep. What you see when you look at a tattoo is the ink that’s left in the skin after the tattooing. At this depth, cells of the dermis are remarkably stable so the tattoo’s ink will last, with minor fading and dispersion, for your entire life.
The size and type of your tattoo and the skill of the artist help determine the amount of pain involved. Pain also depends on the location of your tattoo: the lower back and ankle are popular places for tattoos, but it’s much less painful to get one on your chest or upper arm. This is because skin right above your bones tends to be more sensitive to needles while there’s extra body mass in the upper arm or chest to cushion the bones.
You should think carefully before getting a tattoo. A tattoo is to all intents and purposes permanent, and what you want when you are younger usually changes as you get older.
Tattoo removal is considerably more painful and expensive than tattooing. The process usually takes several sessions and offers varying results. Highly visible tattoos have been know to hinder career interests and plans. Speak to a friend who has a tattoo and ask him about his experience.
“Being able to blend into the background and remain covert is of paramount importance in our investigations. Any distinguishing features such as tattoos on your face, neck or forearms would make you more recognisable to someone who is under surveillance and would therefore make you unsuitable for this role.”
Mobile Surveillance Officers Ref: 98 Job Description | MI5
- Ask your GP if there are any reasons why you shouldn’t have a tattoo (other than his/her personal thoughts on the matter)
- If you need more than one visit to choose what you want, check over the clinic and discuss your needs with the studio – do so
- Believe it or not there is no uniform standard in the UK. However, studios have to be registered in London with their London Borough; elsewhere they are usually registered with the local council (where they have to have a licence) or the health authority
- Set sufficient time aside, it’s not a particularly intelligent idea to have a tattoo or piercing on your way to work!
- Make sure the studio is covered by the appropriate health certification
- The studio should be scrupulously clean with separate waiting, tattooing/ piercing and sterilisation areas
- Ask the studio to explain in advance the procedures involved, and answer any questions that you may have
- After the tattoo/piercing, the studio should provide you with a written after care sheet
- If you have any doubts – follow you gut instinct – and leave
Tattoo after care
- Remove any dressing after two hours
- Wash with warm soap and water and pat dry with a clean towel
- Do not recover the tattoo
- Do not get the tattoo contaminated with grease, dirt, paint etc
- Do not expose the tattoo to the sun
- Apply small amounts of Savlon cream to the tattoo for the first two days
- Do not pick or scratch the tattoo
- Wash the tattoo twice daily
The Cock-Up | Tattoo Fixers | S1-Ep1 | E4 | 22 Jun 2015 | 1m 12s Tattoo | Wikipedia A brief history of the British tattoo: How we got inked | 20 Mar 2017
How tattoos became fashionable in Victorian England | The Conversation | 12 Dec 2019
London police now allowed visible tattoos – so is body art still rebellious? | The Conversation | 2 Dec 2018
The rise and rise of the tattoo | The Guardian | 20 Jul 2010 Back to top
Our relationship with food
Our relationship with food is lifelong and influenced by friends, family, culture and years of programming. You only have to offer prawns to a White Brit for breakfast to see that our tastes are shaped by our heritage! So, whilst it’s tempting to suggest that food is simply fuel it’s actually far more complicated: what, when and why we eat is about more than fuelling our bodies.
Eating is also a social ritual: if you’ve ever been taken out for dinner then you’ll know that the meal was about much more than fuelling-up. Likewise, if you’ve ever reached for the ice cream after an argument, had chips because you felt like a treat, headed for the fridge because you were bored, or been so wound up you didn’t want to eat at all, then you’ll know that mood and food often go hand in hand.
We eat for fun, for comfort, for fuel and to socialise, and given that it’s a daily necessity, it’s hardly surprising that we can find ourselves in a love-hate relationship with the stuff. Nowadays, with one quarter of the UK adult population seriously overweight and eating disorders apparently on the rise, like it or not, finding ways to enjoy food and live well is more important than ever.
For some of us, our relationship with food and can get really tricky. Lots of us eat for comfort but find the relief it brings short-lived. It can be easy to get into a cycle of eating to feel better and feeling worse as a result: “I feel crap…” “I eat to comfort myself…” “I worry about putting on fat…” “I feel crap…” and so on. Similarly, some of us find ourselves in vicious cycles where we go on special diets in an attempt to sculpt our bodies, or to feel better about life, but end up finding things getting out of control. When things get out of hand in these ways and a pattern sets in, it’s time to wonder whether the problem has become an Eating Disorder.Back to top
Eating disorder myths
Myth 1: Only women get eating disorders
The truth is that men get eating disorders too! And that includes gay men. In fact, recent research suggests that eating disorders might be more of a problem for gay men than their straight counterparts.
Myth 2: People with eating disorders are stick thin
Actually, the majority of people with eating disorders are what would be considered a healthy weight (i.e. with a body mass index between 18.5 and 25). The stereotype might be of an emaciated woman but for many of us this stereotype means our problems go unnoticed.
Myth 3: Eating disorders are all about vanity
Whilst eating disorders sometimes start with people’s attempts to look better, for many they are a response to stress, feeling out of control or being miserable. Anyone who has experienced it will tell you that having an eating disorder does not make them look good or feel good.
Myth 4: Eating disorders are all about food
Ask anyone with experience and they’ll tell you that eating is central to the problem, and also far less than the whole story. For men, driven exercise, burning calories and building muscle can be part of the picture too: and not necessarily in an attempt to look good, but simply to feel less bad. The issues can run deep: for some it’s about simply finding a way to feel ‘good enough’, or to cope with shame, whilst for others it can feel like a runaway train.
Myth 5: Guys with eating disorders are drama llamas who could eat normally if they just got a grip
If only it was this easy. When an eating disorder takes hold it leaves the person with very little control of their eating habits. Many who are dangerously underweight wish they could eat more but find themselves almost paralysed by the prospect. Likewise, many who binge find themselves feeling totally out of control and unable to stop.
Eating disorder facts
So, now you know about some of the myths, let’s move on to some of the facts.
Fact 1: Eating disorders are serious
Not only are they miserable to live with, eating disorders can be very serious. Research shows that people with eating disorders are more likely to die or to suffer ill health than those with almost any other mental health problem.
Fact 2: One in twenty people will have an eating disorder at some point in their life.
Whilst eating disorders are thought to be more common in women than in men, new evidence suggests that many men’s problems go unnoticed and that lots more guys are affected that was at first thought.
Fact 3: Men’s eating disorders are poorly understood and often go unnoticed.
Unfortunately, because of the focus on women, the problems men experience tend to be misinterpreted. Whilst some women’s problems grow out of a desire to lose weight, it’s common for men’s difficulties to start with plans to build muscle mass. Believe it or not, lots of the toned, beautiful, muscular guys you’ll see on the scene are struggling with eating problems.
Fact 4: If you’re a man with an eating problem it’s easy to feel like you’re on your own, but help and support are available: you just need to reach out.
If you need treatment for an eating problem then the place to start is with a trip to your GP. Not all GPs are good at spotting eating problems and some, rather sadly, believe in the myths so you may need to be clear with your GP that you have a problem and want a referral to an Eating Disorder Service. Your GP will then make the arrangements for you to see a specialist who will understand and know what to do.
Fact 5: There is support out there for men with eating problems.
- Beat National charity which also runs support groups for men and women together, as well as providing online support. Helpline support runs 12pm–8pm during the week, and 4pm–8pm on weekends and bank holidays
Helpline 0808 801 0677
Studentline 0808 801 0811
Youthline 0808 801 0711
One-to-One Web Chat
- Anorexia and Bulimia Care (ABC) Runs support groups for men and women in many parts of the country and provide information and other forms of support
Helpline 03000 11 12 13| Mon-Fri, 9am–5pm
Eating problems | MIND
Eating disorder | Wikipedia Eating disorder stereotypes prevent LGBT+ people getting help | Pink News | 25 Feb 2019
How body ideals shape the health of gay men | The Conversation | 6 Jan 2019
How being a gay man can make your body issues worse | BBC 3 | 6 Mar 2018
Nearly half of US LGBT+ teens have an eating disorder, says study | Pink News | 1 Mar 2018
Eating disorders in the LGBT community | Psychology Today | 7 Jun 2017
Men, eating disorders, and why gender matters | HuffPost | 21 Aug 2017 Back to top
What the body needs
- Protein for body growth, maintenance and repair. Protein also provides the raw materials for tissues and fluids and helps maintain the chemical balance in the brain, spine and intestine. Sources of protein include meat, dairy products, eggs, fish, chicken, pulses, nuts and seeds
- Carbohydrates provide the body’s main source of energy. Carbohydrates exist in two different types: simple sugars and complex carbohydrates such as starch. The majority of the diet should be made up of the latter. Sources of these include bread, pasta, rice, fruit, potatoes and other vegetables, and pulses
- Fat provides essential fatty acids for the production of substances such as hormones and cell membranes, and is also used as a concentrated energy source. Fat is found in most foods although butter, cheese, lard, margarine and oil all have high-fat contents
- Fibre has almost no nutritional value but has several key functions. It helps the digestive system absorb water from food and bulks shit so that it can pass more easily through the body. Foods containing fibre fill you up without piling on the calories. It can also help in lowering fat levels in the blood. Sources of fibre include whole grain bread, cereal, oats, fresh fruit and vegetables and pulses
- Vitamins are essential to tissue-building, hormones, nerve and muscle function and protection against illness and disease. Needed in small quantities, they are vital to the diet because they cannot be made by the body. Most foods are packed with vitamins but many of them increasingly lose their value the more the food is refined and cooked
- Minerals help regulate the body’s water balance, and the acidity level of body fluids. They assist in body growth and repair. Like vitamins, they are needed in small quantities but are usually found in most foods although they lose their value the more they are cooked
- Water is the body’s most important component, in that it makes up well over two-thirds of our bodies. All organs and tissues are dependent on water, and, without sufficient quantities, they will stop working. Blood, which is made up mainly of water, carries dissolved nutrients and oxygen to the body’s tissues and carries away waste products including carbon dioxide
A balanced mix of foods
So, to meet the body’s nutritional requirements, your diet should ideally contain a balanced mix of foods from the following groups (the percentages are a guide) and approximately two litres of water taken throughout the day.
- 30% – Fruit and vegetables – eat plenty of these with at least five portions a day
- 30% – Bread (preferably wholemeal), pasta and rice – eat plenty of these, making them the main part of every meal
- 15% – Milk and dairy foods – eat moderate amounts, choosing lower fat versions whenever you can
- 15% – A balance of meat (white rather than red), fish, and meat substitutes such as eggs, lentils, beans (pulses), nuts and textured vegetable protein (TVP) – eat moderate amounts whenever you can
- 10% – Foods high fat and sugar – eat these in small amounts and/or not very often
When making changes to your diet the following guide may be helpful:
- Eat more of these…
Apples, bananas, beans, beetroot, bread, cabbage, carrots, cauliflower, cereals, cottage cheese, cucumber, dried fruit, fish, fresh herbs, fruit, fruit juice (unsweetened), lentils, lettuce, mangetout, mushrooms, onions, pasta, peas, peppers, rice, spinach, sugar snaps, skimmed milk, sweetcorn, tomatoes.
- Eat these in moderation, choosing lower fat versions wherever possible…
Avocado, baked beans (unsweetened), cheese, eggs, honey, mayonnaise (low fat/diet), meat (red and white), nuts (unsalted), potatoes, prawns, pulses, semi-skimmed milk, yoghurt (low fat).
- Eat less of these…
Alcohol, bacon, biscuits, butter, cakes, canned drinks, cereals (sweetened), chips, chocolate, cream, crisps, doughnuts, fatty meat, fried foods, fruit juice (sweetened), full-cream milk, ice cream, jams or conserves, marmalade, mayonnaise, oily salad dressings, pastry, paté, peanut butter, puddings, salad cream, salami, salted nuts, sauces, sausages, sour cream, sugar, sweets, syrup.
The Eatwell Guide | NHS
The Eatwell Guide shows how much of what we eat overall should come from each food group to achieve a healthy, balanced diet.
The amount of energy in an item of food or drink is measured in calories. When we eat and drink more calories than we use up, our bodies store the excess as body fat. If this continues, over time we may put on weight.
As a guide, an average man needs around 2,500kcal (10,500kJ) a day to maintain healthy body weight. For an average woman, that figure is around 2,000kcal (8,400kJ) a day. These values can vary depending on age, size and levels of physical activity, among other factors. (Source: NHS).
The Eatwell Guide | NHS
The Eatwell Guide shows how much of what we eat overall should come from each food group to achieve a healthy, balanced diet.
Calories | Wikipedia Is calorie counting a scam? | AsapSCIENCE | 13 Jan 2022 | 5m 37s Back to top
After decades of debate and wrangling, a new consistent system of front-of-pack food labelling was introduced in the UK in 2013. A combination of colour coding and nutritional information will be used to show how much fat, salt and sugar and how many calories are in each product.
These measurements are also used to provide the nutritional information on the front of food packaging (eg: ready meals) and the side or back of food packets (eg: cereals)… though some of the information is printed in tiny tiny tiny writing which we think is very naughty.Food labelling: Consistent system to be rolled out | BBC 19 Jun 2013
Food labelling | British Heart Foundation
Nutrition labels on the back or side of packaging | NHS
Food labels | NHS
Food labelling and packaging | GOV.UK Back to top
A little bit about fats
Current UK government guidelines advise cutting down on all fats and replacing saturated fat with some unsaturated fat (which comes from vegetable sources). In recent years, the popular media has turned the debate about the causes of major public health issues such as heart disease, diabetes and obesity into something of a ‘fat versus sugar’ dogfight. But the question should not be about choosing between fat or sugar: there are good reasons for cutting down on both.Fat: the facts | NHS
Fats explained | British Heart Foundation
English obesity policies have long been unfit for purpose, but they are improving – new research | The Conversation | 25 Jan 2021 Butter vs Margarine | AsapSCIENCE | 28 Feb 2013 | 3m 9s Back to top
A little bit about salt
Many of us in the UK eat too much salt. Too much salt can raise your blood pressure, which puts you at increased risk of health problems such as heart disease and stroke. Many processed foods are packed with salt, which contributes to high blood pressure.
Try to avoid salty foods and choose lower salt versions whenever you can. When eating: don’t pile on the salt before even tasting it – it’s unhealthy and very rude!Salt: the facts | NHS
Salt | British Heart Foundation
Reducing salt saving lives | World Action on Salt and Health (WASH)
Calculating the salt content of food | World Action on Salt and Health (WASH) World’s first salt and sugar tax could be introduced in England | ITV News | 15 Jun 2021 | 2m 36s
Why is too much salt bad for you? | British Heart Foundation | 30 Jun 2017 | 2m 41s Back to top
A little bit about sugar
The instant ‘lift’ we get from sugar is one of the reasons we turn to it at times of celebration or when we crave comfort and reward. However, even those of us without a sweet tooth may be eating more than we realise because so many everyday, processed foods, from cereals and bread to pasta sauce and soups contain sugar.
But it’s not all bad news – sugar is a carbohydrate found naturally in a host of different foods from lactose in milk to the fructose in fruit and honey. In fact, we need some sugar in our diets to supply ready energy to fuel our muscles and keep our brains active.
There are two types of sugar – naturally occurring sugar like lactose in milk and added sugar, which includes table sugar (sucrose) as well as concentrated sources like fruit juice.
The problem is that many processed foods have added sugar which supplies energy in the form of calories – and very little else. This means our body has to draw on the nutrients from the rest of our diet to process it and this can affect our health, including our immunity – leaving us more prone to bugs and colds.
A high intake of sugar can lead to a feel-good ‘high’ which is often followed by a crashing slump leaving us tired, irritable and craving more sugary foods. It’s a vicious cycle that may be contributing to our weight problems as well as health concerns like diabetes and heart disease.Sugar | Wikipedia
The facts about sugar | NHS
How much sugar is good for me? | NHS
How much sugar is hiding in your health food? | BBC Food Stories
Sugar, sweeteners and diabetes | Diabetes UK
Sugar intake must be slashed further, say scientists | BBC News 16 Sep 2014The shocking amount of sugar hiding in your food | BBC | 6 Jun 2018 | 3m 31s Back to top
A little bit about fibre
Fibre is essential to the digestive system. It swells the bulk of food left after the nutrients have been removed, giving it shape and a dough-like consistency. Without it, your daily poo will come out slimy – like a wet fish, and diets with insufficient fibre can result in irritable bowel syndrome, constipation, haemorrhoids and piles.
Western diets tend to be low in fibre because we eat so much processed and refined food. Fibre comes from vegetables, high fibre breads and fruit and is the part of food that is not digested. It stays in your gut and is passed in poo stools (faeces) adding bulk.
You should aim to have 18-25g a day. Even if you’re on the go, there are easy ways to increase your fibre intake, although too much fibre can lead to constipation if taken with insufficient fluid.
Why is fibre important?
Poo stools are usually soft and easy to pass if you eat enough fibre, and drink enough fluid. We should aim to eat at least 18 grams of fibre per day. (The average person in the UK eats only about 12 grams of fibre each day.) A diet with plenty of fibre:
- Will help to prevent and treat constipation
- Will help to prevent some bowel conditions such as diverticular disease, piles (haemorrhoids) and a painful condition of the back passaged (anus), which is called anal fissure
- May help you to lose or control weight. Fibre is filling but it has no calories and is not digested
- May reduce the risk of developing bowel cancer
- May help to lower your blood lipid (cholesterol) level
- May reduce the risk of developing diabetes and help to control your blood sugar levels
Types of fibre
There are two types of fibre in the diet – insoluble fibre and soluble fibre. They work differently in the body. A combination of both types of fibre should form part of a healthy balanced diet in order to keep your gut healthy. Many foods containing fibre will naturally contain both types.
This type of fibre is found in skin, pith and pips of fruit and vegetables, wheat and bran, corn (maize), nuts and whole grains.
This type of fibre cannot be dissolved in water. It passes through the digestive system mostly unchanged. It acts like a sponge and absorbs water, adds bulk to stools (faeces), and allows waste to be passed through bowels more quickly. This helps to prevent constipation and other conditions such as piles (haemorrhoids) and diverticular disease.
This type of fibre is found in oats, barley, psyllium and ispaghula, nuts and seeds, fruit and vegetables, and beans and pulses.
This type of fibre does dissolve in water and can be broken down by the natural germs (bacteria) in the bowels. It softens stools and makes them larger, so that they are easier to pass. It also forms a gel in the stomach when mixed with water. The gel binds with excess cholesterol so it does not get absorbed, which helps to reduce the risk of heart disease. Also, soluble fibre helps to slow down the digestion of food; therefore, sugar (glucose – our main source of energy) is released and absorbed slowly. This keeps our blood sugar levels steady.
Fibre needs fluid to work, so have lots to drink when you eat a high-fibre diet or fibre supplements. Drink at least two litres (about 8-10 cups) per day. This is to prevent a blockage of the gut, which is a rare complication of eating a lot of fibre without adequate fluid. This might include water, sugar-free squashes, herbal/fruit teas, tea and coffee.
Increasing fibre in the diet
You may find that if you eat more fibre or fibre supplements, you may have some bloating and wind at first. This is often temporary. As your gut becomes used to extra fibre, the bloating or wind tends to settle over a few weeks.
If fibre intake is suddenly increased, this can cause symptoms of wind and bloating. Introduce high-fibre foods gradually to allow the gut to become used to the extra fibre. Introduce one new food over a 2- to 3-day period. For example, have porridge for breakfast on the first day; then add beans or extra vegetables to a casserole two days later; then maybe have an extra piece of fruit 2 to 3 days later.
Some people report that a high-fibre diet causes some persistent mild symptoms such as mild pains and bloating. In particular, some people with irritable bowel syndrome find that an increase in fibre makes symptoms worse. But, this may be related to the type of fibre you take. It is probably soluble fibre rather than insoluble fibre that is most helpful, especially when aiming to ease symptoms of irritable bowel syndrome. Bran and other insoluble-based fibre may actually make symptoms worse in some people.
Tips for increasing fibre
- Swap white bread for wholemeal bread
- Swap refined cereals such as Rice Krispies® or Cornflakes® to wholegrain versions such as porridge or Bran Flakes®/ Weetabix®/ Shredded Wheat®
- Swap white rice and pasta to brown/ whole wheat varieties
- Add extra vegetables to mince, casseroles, soups, stews, curries or chillies
- Add beans and pulses to mince, casseroles, soups, stews, curries or chillies
- Snack on a piece of fruit or vegetable sticks
- Sprinkle seeds (eg, pumpkin seeds, golden linseeds, sunflower seeds) over soups, salads or yoghurt
- Choose foods labelled with ‘high-fibre’
- Keep the skins on fruit and vegetables when possible
- Add nuts or dried fruit to breakfast cereals
- Serve at least one portion of fruit or vegetables at each mealtime
How to get more fibre into your diet | NHS
Dietary fibre | British Nutrition Foundation
Dietary fibre | Wikipedia Fibre | County Durham and Darlington NHS Foundation Trust | 20 Feb 2017 | 2m 57s Back to top
- Making improvements to your diet can mean changing or breaking lifelong habits. Some of them may be difficult but they can be made
- Changes don’t have to be wholesale. They should be gradual and easy to maintain
- Set yourself realistic targets so that you are less likely to feel ‘on a diet’ or that you are being deprived of foods you want but can’t have
- Eating more healthily is not a test, and punishing yourself for having ‘that cake’ serves no useful purpose and will only make you miserable
- Don’t be tempted to miss meals. Current thinking suggests that you should eat five times a day: two healthy snacks between three main meals (breakfast, lunch and dinner), evenly spaced
- Particularly, don’t miss breakfast: you’ll feel hungry all morning and be tempted to snack on unhealthy instant sources of energy
When you’re shopping
- Before you go decide what you’re going to eat, make a list and stick to it
- Avoid the temptation to pick up foods which ‘look nice’ or are on ‘special offer’ – many of them will be packed full of sugar and fat
- Don’t shop when you’re hungry
- For guidance, read the nutritional information on foods – but don’t obsess!
- Many foods today come in low or lower-fat versions. For example, if you drink full cream or whole milk, switch to semi-skimmed. There are also a wide range of low(er) fat yoghurts, cheeses and salad dressings
- If you usually eat red meat, try chicken, turkey or fish instead
- Ready-made meals can be packed with fat. If you’re buying them choose products containing no more than 5g of fat a serving
When you’re cooking
- If you eat meat, trim off the visible fat and skin
- Grill food rather frying
- Avoid fried or sautéed foods
- Don’t add salt
When you’re eating
- Eat calmly, taking time to enjoy the food: savour the tastes and textures
- Chew your food slowly, rather shovelling it in and swallowing it whole
- Try to make mealtime a ‘no distraction’ time. Eat from the table and not your lap and resist the temptation to turn your meal into a TV dinner
- A glass of water with meals will aid digestion and make you feel more full
- If you tend to pile your plate high – eat off a smaller plate. Eat until you are comfortably full – not bursting or bloated
- Shovelling food can lead to indigestion and heartburn
- Try to develop regular eating habits as this will help to regulate your appetite
- Avoid piling on the salt and sugar
And, if you’re eating out
- Choose plain grilled meat, fish and poultry and avoid gravies and sauces made with cream or butter
- Avoid the temptation to smother a healthy meal with butter or high-calorie sauces
- If you feel brave enough, ask if lower fat versions of meals are available
- By all means have wine with your meal but remember it’s not calorie free!
Healthy eating | British Heart Foundation
Enjoy Food: Living with Diabetes | Diabetes UK Food myths busted: dairy, salt and steak may be good for you after all | The Guardian | 26 Sep 2021 Back to top
Just for a second, place your hand over your heart and feel it thumping. The heart is the body’s engine room, beating continuously as it pumps blood around the body. This remarkable organ is a true lifelong friend – all it asks in return is nutritious blood to pump around your body.
Situated left centre of the chest, the heart is about the size of a clenched fist and weighs around 250g/8oz. As long as it is supplied with oxygen and nutrients it will go on contracting, spontaneously, rhythmically and completely automatically.
As you’re reading this, it’s beating between 50 and 90 times a minute, depending on your age, its condition and your level of fitness. During strenuous exercise, however, this may increase to about 180-200 beats a minute.
The heart is really two pumps. One receives oxygenated blood from the lungs and pumps it around the body. The blood leaves the heart through the aorta (which is the biggest artery in the body) and is distributed to all organs, tissues and cells through a succession of increasingly small tube-ways (capillaries).
Compared to the width of the aorta (1cm), capillaries are tiny, barely half a millimetre across. Having delivered its oxygen and nutrients – and picking up carbon dioxide and waste products on the way back – blood returns to the heart via a system of veins.
The other pump receives de-oxygenated blood from the body and sends it to the lungs where carbon dioxide is exchanged for more oxygen. This complex network of arteries, veins, blood vessels and capillaries carry blood to and from the body in a continuous figure of eight circuit.
Beating around 40 million times a year, each beat pumps around 0.15 litres (0.25 pints) of blood in and out of the heart – a staggering 9100 litres (2000 gallons) a day, or 227 million litres (50 million gallons) in a lifetime.The heart test: how healthy is your heart? | NHS
Healthy hearts | NHS
How to look after your heart | NHS
Top 10 healthy heart tips | NHS
Heart age calculator | NHS
Human heart | Wikipedia
This app is useful for calculation of average life expectancy but is not intended to provide health or financial advice in place of appropriate professional advice and is developed and owned by UEA solely and is not a product of the IFoA.
This app is being developed based on the results of our research within the research programme on ‘Big Health and Actuarial data for understanding Longevity and Morbidity Risks’ funded by the Institute and Faculty of Actuaries and commissioned through the Actuarial Research Centre, and of the research within the ESRC funded Business and Local Government Data Research Centre. App development was funded by University of East Anglia (UEA).How your heart age is key to heart attack or stroke risk | BBC | 4 Sep 2018 How the heart the works | BUPA | 15 Aug 2013 | 3m 3s Back to top
Despite the fact we seem perfectly happy to stick out our arm, and have it wrapped up in an inflatable lilo – many men don’t know what their blood pressure is and what it means. Here’s a brief explanation. Blood pressure is the pressure created by the flow of blood through the main arteries. The pressure rises and falls as the heart responds to the demands we make upon it, for example exercise, anxiety and sleep.
Today blood pressure is usually taken using a digital blood pressure monitor machine though you might have it taken with a sphygmomanometer. Two measurements are taken: the systolic or higher pressure records the heart as it beats, pumping blood around the body, while the diastolic or lower pressure records the heart between beats, as it relaxes.
If you consistently have a reading of 140/90 or higher, you may have high blood pressure (hypertension). High blood pressure increases your risk of developing some health conditions, including cardiovascular disease.
Generally, the lower your blood pressure, the healthier you are. As a general guide, the ideal blood pressure for a young healthy adult is 120/80 or lower.
However, it’s possible to have abnormally low blood pressure. People with a reading of around 90/60 or lower are generally considered to have low blood pressure. For some people with low blood pressure, there may be an underlying cause that could need treatment.High blood pressure | British Heart Foundation
High blood pressure (hypertension) | NHS
Blood pressure | Wikipedia Having your blood pressure taken | BUPA 8 Aug 2013 | 2m 18s
What is blood pressure | Mayo Clinic | 1m 10s Back to top
Heart problems and solutions
If a kettle is not de-scaled regularly, it will fur up with lime scale, affecting its ability to boil water and contaminating hot drinks with white-grey flaky deposits. Similarly, a lack of exercise, an unhealthy diet, excessive alcohol and smoking will fur up the heart, arteries and veins with sludgy deposits of cholesterol and blood clots. This furring-up makes it increasingly difficult for the heart to function properly, causing it to beat irregularly, slow down or in extreme cases stop completely. The results can be life-threatening and include conditions such as high blood pressure, heart attacks, strokes and angina.
If you’re in your 20s, 30s or 40s, it’s unlikely you’ll give these illnesses a second glance… they happen to people you don’t really know. You may hear about them on the news, or perhaps see them mentioned in health leaflets when you visit your GP, but you’ll probably feel that don’t apply to you (not yet anyway). In many ways, heart disease is about death by stealth. It’s not until you get older that you find out that what you did – or rather didn’t do – when you were younger, has contributed to your first – and perhaps last – heart attack. While you’re partying away in your youth, you can also be laying down the foundations for a dead-cert heart condition later on.
By taking the following steps and integrating them into your life, you can significantly reduce the chances of developing circulatory problems, a heart condition or heart disease.
- Give up smoking. Twenty cigarettes a day triple the risk of heart trouble.
- Check your cholesterol level through your GP, particularly if your family has a history of heart problems.
- Take regular exercise.
- Lose weight (if you have excess weight to lose).
- Get your blood pressure checked by your GP.
- Drink sensibly. Current research suggests that a glass of wine per day can protect against heart disease, but excessive alcohol use leads to its own problems.
Heart Conditions | British Heart Foundation
Cardiovascular disease | Wikipedia Are You Sitting Too Much? | AsapSCIENCE | 18 Dec 2014 | 3m 02s
The Science of Laziness | AsapSCIENCE | 22 May 2014 | 2m 37s
Preventing coronary heart disease | BUPA | 18 Dec 2013 | 4m 36s Back to top
There are many everyday opportunities to improve your level of fitness, but to begin with you should set yourself realistic goals. While many people start out hating exercise, most enjoy it sooner or later and learn to make it part of their everyday life. If you start exercising suddenly you will probably make yourself so stiff you won’t want to try again. You could also injure yourself.
So, if you’re a little (or a lot) out of shape, start slowly to allow your body time to become accustomed to the new demands you’re making on it. Even after a few weeks your ability to exercise will improve, and after a few months you should see an improvement in your stamina.
A good way to introduce exercise into your life is to continue your everyday routine but in ways that require more energy. It’s a simple and easy process that means you don’t automatically have to join a gym or your local football club. Here are a few examples – which don’t cost a penny.
- When you walk, walk a little faster
- Try a 15-30 minute walk, increasing it by a few minutes every week – as you feel able
- Use the stairs instead of the lift – especially if it’s only one floor up or down
- If you use escalators – walk up instead of standing still
- For short journeys walk or cycle instead of going by bus, underground or car
- Get off the bus or train a stop or two early and walk the rest of the way
Staying active | British Heart Foundation Get out and active | MEN R US
Get out and active is a list of groups, activities and interests in London for gay men only or which are LGBT friendly Get Active London | Get Active London
Get Active is an online portal which provides the general public with one place to easily search and sign up for sports sessions provided by independent Session Providers.
020 3848 4630
Exercise and the brain: three ways physical activity changes its very structure | The Conversation | 17 Nov 2020Comparison: highest calorie-burning exercises | WatchData | 26 Feb 2020 | 5m 28s
Male body image: the naked truth | BBC Three | 17 Jan 2019 | 14m 23s
The science of motivation | AsapSCIENCE | 7 Jan 2016 | 3m 58s
Weird ways to burn 200 calories | AsapSCIENCE | 11 Jul 2013 | 2m 24s Back to top
Choosing your exercise
The exercise you choose should aim to improve endurance (the ability to keep on exercising without stopping to rest), strength (the ability to use muscles to lift, carry, push and pull a load) and flexibility (the ability to stretch, bend or twist through a wide range of movements).
Swimming and aerobics are good all-rounders promoting endurance, strength and flexibility; weight training focuses on endurance and strength, and jogging on endurance. Sex, on the other hand, provides an opportunity to improve your endurance, flexibility and strength and if you get it regularly, it’s a useful indicator as to your overall level of fitness.
However, there will be factors which may limit how fit you can become, such as your genetic make-up, your natural body shape, musculature, flexibility and metabolism. If you are naturally muscular you may be inclined towards the gym and weight training. Alternatively, if you have a sinewy or lean physique you may be more interested in jogging or running.
Other things to consider
- The type of exercise or sport that you would like to do, eg: aerobics, walking, cycling, dancing, jogging, running, skipping, squash, swimming, tennis, joining a gym
- Your short and long-term goals, eg: to have fun, make friends, get fitter and feel better, increase stamina, lose weight
- How you are going to exercise, eg: by yourself, with a friend, as part of a team
- When you will exercise, eg: frequency, the time of day, having sufficient time
- Injury costs, eg: professional fees in the case of treatment
- Any other costs, eg: travel, fees, membership, equipment, exercise/ sports gear
Getting more adventurous
- Being significantly overweight
- Being a smoker
- Having back problems
- If you have a chronic disorder such as diabetes, asthma or arthritis
- An immediate family member has developed heart disease before the age of 40
- Being under medical treatment for high blood pressure, a heart condition, or other long term disease
- Being over 35 and having done very little exercise for a few years
- Being over 50 years old
In addition to your goals (see above) here are a few tips to help you stay motivated:
- Avoid measuring your fitness solely in terms of weight lost, the number of lengths you can swim, or what you can lift. Take into account the fun and exhilaration felt after exercise too
- If you’re exercising alone, how about finding a partner to exercise with?
- Vary your routine to avoid becoming bored
- Keep a record to monitor your progress
- During repetitive exercises count backwards
Anyone who exercises or plays sport regularly is bound to pick up the occasional injury. It probably won’t be serious, but exercising safely is important to ensure that you can keep on exercising while reducing the risks as far as possible.
- Wear clothing that is comfortable and appropriate for the exercise or sport you are undertaking
- Before you start, do a five to ten minute stretching routine to prepare you for the exercise itself
- It may be helpful to seek professional advice from a coach, a more experienced person or manual
- Use protective equipment available for a specific sport
- Make sure that any equipment you works properly, and is the correct size
- Replace exercise shoes which have become worn or that don’t fit properly
- Don’t smoke, take alcohol or recreational drugs, or eat before exercising. Any of these could make you feel drowsy or dizzy or reduce co-ordination which in turn could lead to an accident or injury
- However, you may need an energy drink to raise your blood-sugar levels
- After exercise, cool down with muscle stretches and by continuing to move around for a few minutes to reduce stiffness and soreness
- Stay warm – a sudden drop in temperature can induce a chill or shock
Bernard Bear: Diving Board | BRB Internacional | TheNimaProduction | 29 Sep 2010 | 3m 30s Back to top
Injuries, straining and illness
If you experience an injury or have any concerns or suffer any discomfort or pain, seek professional advice immediately. Most injuries (if you’ve not broken anything) involve minor damage to muscles, ligaments, tendons or the lining of a joint.
If you have any injuries that remain painful or tender (or if you have any concerns about an injury) you should have them seen by your GP or a physiotherapist (or your nearest accident and emergency department if necessary). Always ensure that you follow to the letter any advice or treatment that you are given.
Danger signs that you might be straining your heart include pain in the chest, neck or arms, nausea, dizziness, light-headedness or feeling faint, severe breathlessness, extreme fatigue. Stop exercising if you suffer any of the above symptoms and get a check-up from your doctor before continuing.
We all get ill from time to time and if you have a sore throat, temperature, swollen glands, a bad cough or mucus-producing cough, take a break from exercise until you feel better.Back to top
Get out and active
Your A-Z guide to activities and groups
We update this section regularly but sadly cannot guarantee that all the information supplied here is correct.
Please let us know of any updates, or if you know of a group or activity you feel we should add here.
Wise Thoughts | Showcases multi-media arts projects
The Pink Jukebox
Gay Birders Club
Not So Trad
Queer Code London
Grace’s Cricket Club
Cycle Out London
Cheek2Cheek | Brighton LGBT+ Sports Society
Dance Out Loud | LGBTQ 5 Rhythms and Open Floor Movement, Art and Meditation Dance Class
Gay Gordons London
Kensington Dance Studio
Studio LaDanza International
Drug use/ awareness (open mic evening)
Let’s Talk About Gay Sex and Drugs
Gay Bikers Motorcycle Club
London Gay Symphony Orchestra
London Otters Rowing Club
London Front Runners
Opening Doors for Older Persons
The London Raiders
Out Play Squash London
Out to Swim
Tennis London International
London Spikers Knights Volleyball Club
You can also tryLGBTQ Groups in London | Meetup
Gay Mates | Gay Mates
LGBT Guide | Time Out
Gmeet App | Gmeet
What’s in my area | Stonewall
London National Park City
A movement to improve life in London working with residents, visitors and partners to enjoy London’s great outdoors more, make the city greener, healthier and wilder, and promote London’s identity as a National Park City.
London National Park City | London National Park City
The Greenground Map
Inspired by the iconic London tube map as an alternative sustainable transport map. The ‘green lines’ are representing the connections between parks and could be walked and cycled. As a conceptual map, the lines do not exactly represent the real routes, but rather help to perceive London’s green spaces as one connected network. View the map here or you can purchase a physical folded map (£10) or digital download (£2.50) at Helen Ilus Design.
London Greenground Map | Helen Ilus Design
How to look after your mental health using exercise | Mental Health Foundation
How to exercise | Mental Health Foundation
London’s prettiest walks | Time Out | 13 Oct 2021
10 Stunning London Walks For A Tranquil Weekend Wander | Secret London | 10 Aug 2021
Country walks in London: 17 scenic strolls to take in the city | Stylist | June 2021
8 of the best walks in London | Wanderlust | 30 Jun 2020
Stuff to do
We all have to sleep, and most of us will spend about a third of our life (approx. 250,000 hours) in a state of near unconsciousness, nonetheless aware of your environment. During this time, the body rests and undertakes maintenance and repairs.
Sleep is essential for promoting physical and mental health; when you sleep, blood pressure drops, breathing slows down and the body releases growth and sex hormones (although this is dependent on age). If you can manage on six hours’ sleep or less then you’re unusual; most men need around seven or eight hours, although we can usually cope with much less for a few nights.
Your sleep pattern is managed by your biological clock which co-ordinates other functions such as waking, sleeping, eating, pissing and shitting. It is thought this internal clock orchestrates the brain to stimulate and suppress various body systems. For example, it slows down piss and shit production until you wake up and are ready to go.
Without sleep the body cannot rest or repair itself and after about ten days of total deprivation, death occurs. The brain can adapt to periods of up to three days without sleep but eventually lack of sleep causes irritability, irrational behaviour, confusion and hallucinations.Back to top
REM, NREM and dreaming
When asleep, two distinct patterns alternate throughout this time: NREM – a deep, dreamless non-rapid eye movement sleep, and REM – when rapid eye movement occurs and you dream.
When you fall asleep you drift into NREM, spending about 90 minutes sinking through four levels and back up again. This is broken by a 10-15 minute burst of REM during which time the body is almost completely immobile except for the rapid flickering of the eyeballs.
The brain is almost as active as it is when you are awake, and this is when dreams occur. It is thought that dreams are the brain’s way of sorting through information and experiences gathered when awake. This pattern of sleep repeats itself throughout the night, although the last REM before waking up can last up to an hour.
During an eight-hour night, dreams take up about two hours, and although everyone has them, not everybody can remember them. If you’re woken up in the middle of REM you are likely to remember the dream vividly. However, if you’re woken up just five minutes after REM you will have a vague recollection of a dream; after ten minutes you’re not likely to remember any of it.Back to top
Can’t sleep, won’t sleep
- Unfamiliar surroundings
- An unfamiliar bed or man
- Noise and too much light
- Feeling cold or being too hot; inadequate ventilation
- An uncomfortable bed; having bedding which is too light or too heavy
- Anxiety, stress, depression, emotional upset, and overwork
- Disturbed sleep patterns – grinding of teeth
- Bad eating habits, eg: eating a large meal late at night and indigestion
- Drinking caffeine-based tea or coffee just before going to bed
- Thirst (often made worse if you’ve been drinking alcohol)
- Lack of exercise during the day
- Trying to sleep more than you think you need
- A full bladder and waking for a piss in the middle of the night
- A heart or lung disorder which may make breathing and lying down difficult
- Pain and illness
- High or on recreational drugs
A good night's sleep
Whatever your ritual before you go to bed, try to develop a gentle and calming routine. Try to sort out insomnia naturally before considering sleeping tablets, which can leave you feeling groggy and disorientated in the morning. The following tips can help you get a good night’s sleep:
- A firm mattress (rather than some stuffing with a dent in it) is less likely to give you back problems.
- Ensure that the bed and linen provide suitable cover and warmth.
- Open a window to ventilate the room. When it’s cold, even a couple of centimetres can help.
- If you wear pyjamas (deepest sympathies) or some other clothing – make sure they’re comfortable.
- If you’re worried or stressed, making a things-to-do list or mini action plan can help.
- Have a warm bath or a shower to relax.
- Go to the toilet if you need to.
- Have a hot milky drink (a little ground nutmeg and honey is delicious).
- Read, listen to the radio or watch TV until you drift off – assuming the programme doesn’t over stimulate the brain.
- Some relaxing sex or a wank can help.
- Have a glass of water by the bedside.
- If you’ve been drinking try and drink a glass of water for each pint or spirit. While you run the risk of having to get up for a piss, you should feel less dehydrated and hungover in the morning.
- Cuddle up to a hot water bottle (they don’t snore or fart).
- Snuggle up to your man if he’ll let you!
If you have to take sleeping pills under your GP’s advice try a ‘natural’ variety from a health food store first. It is better to use pharmaceutical drugs only at times of serious or short-lived stress or emotional trauma.
Sleep is your superpower
Sleep is your life-support system and Mother Nature’s best effort yet at immortality, says sleep scientist Matt Walker. In this deep dive into the science of slumber, Walker shares the wonderfully good things that happen when you get sleep — and the alarmingly bad things that happen when you don’t, for both your brain and body. Learn more about sleep’s impact on your learning, memory, immune system and even your genetic code — as well as some helpful tips for getting some shut-eye.Sleep is your superpower | Matt Walker | TED Talk | 3 Jun 2019 | 19m 18s Back to top
Sleep and recreational drugs
Many recreational drugs like ecstasy, acid, coke, speed, GHB, mephedrone, and crystal meth are all likely to keep you awake and disrupt your natural sleep pattern.
Partying all weekend – without sleep – and then going to work on Monday morning will make you feel like shit and bugger up your sleep pattern further. You’ll go to bed shattered on Monday and wonder why you can’t get up on Tuesday.
After your drugs, set aside the next day to catch up on lost sleep even if it means taking Monday off to relax and chill out. Otherwise, the lingering effects of the drugs and the come-down can fuck up the whole week. If you don’t come down gently, the temptation is to take more drugs to help get over the wretchedness you can feel.Back to top
Sleep info and resources
How the UK is sleeping under lockdown | King’s College London | 4 Jun 2020
Sleep won’t cure the coronavirus but it can help our bodies fight it | The Conversation | 3 Apr 2020
Sleep apps backfire by causing anxiety and insomnia, says expert | The Guardian | 7 Jun 2019
The housing crisis is so bad that men are having to sleep in gay saunas | Buzz Feed News | 5 May 2018
How much sleep do I need? National Sleep Foundation updates its guidelines | The Independent | 3 Feb 2015
Why a long night’s sleep may be bad for you | BBC News | 24 Mar 2015
Lack of sleep can have role in obesity and diabetes, study says | BBC News | 15 Mar 2015
‘Arrogance’ of ignoring need for sleep | BBC News | 12 May 2014
How to get to sleep | NHS
Sleep | Mental Health Foundation
How To Sleep Better: Pocket Guide (Download) | Mental Health Foundation
British Snoring and Sleep Apnoea Association Back to top
Mental health matters
Mental health matters
Mental health is about your emotional, psychological and social well-being. This includes how we think, feel, and act and also helps determine how we manage stress, relate to others, and make choices. Many factors contribute to mental health and problems which may occur, including biological factors, such as genes or brain chemistry; life experiences, such as trauma or abuse; and/ or family history of mental health problems.
Change is slow but happening
While attitudes towards LGBT+ mental health is improving many LGBT+ people have experienced difficulties in their lives. Being gay does not, in and of itself, cause mental health problems. Research studies including LGBT in Britain, Stonewall (2018); Hidden Figures, LGBT Foundation (2020); and LGBT+ Health Inequalities, UK Parliament (2018) clearly evidence that LGBT+ people have less favourable health outcomes than their heterosexual counterparts. Instead, homophobic bullying, rejection from family, harassment at work and poor responses from healthcare professionals are still commonplace for many lesbian, gay and bisexual people. Short answer: LGBT+ people are disproportionately affected by mental health issues.
It’s not easy to say this here
As we emerge from the pandemic, LGBT+ people accessing health services are doing so at a time when there is less funding, more cuts than ever before, and longer waiting lists. Yes, there’s a lot of government hoopla about more money being put into mental health services but how quickly will this happen and when will it reach the LGBT+ community.
if you can’t find what you are looking for, send us a message through our Contact page. Alternatively, you can call us on 07791 867885 most weekdays between 10 and 3. Please note we are volunteers and if the call goes to voicemail: leave us a message and will get back to you as soon as we can; usually within 2 hours.Finding a counsellor or therapist | MEN R US
LGBT+ People and COVID-19 | MEN R US
London drug, alcohol and chemsex support | MEN R US Growing up gay in a straight world: Olly Alexander | BBC Three | 6 Mar 2019 | 3m 34s Back to top
Mental health support directory
- Helpline Support
- London LGBT+ Mental Health Support
- London Mainstream Mental Health Support
- National Mental Health Support
- Anxiety, OCD, Eating Disorders, and Self Harm Support
- Younger Person Support
- LGBT+ Podcasts
- More Helplines and Support (National)
- Networks (National)
- Selection of Facebook and MeetUp Groups
Some of us prefer LGBT+ services which, as a rule, are much better at understanding the issues and the context affecting our lives. Others are happy to access mainstream services. This is why we have indicated LGBT+ helplines and services where we can. All health services aim to be welcoming, respectful, knowledgeable, and understanding. The thing is to find a service that’s right for you.
Please let us know if there’s a service we’ve missed or if we’ve got something wrong. Feel free to email us if you can’t find what you are looking for and we will do our best to signpost you to the right support.
Summary: LGBT+ Switchboard Helpline, Samaritans, LGBT Switchboard (Northern Ireland), LGBT Helpline (Scotland), LGBT Foundation, Albert Kennedy Trust | LGBT+, MindOut Instant Messaging Service (LGBT+ Chat), Mindline Trans Helpline, Mermaids UK, Shout, Childline, Hopeline UK, ReThink Mental Illness, The Calm Zone Helpline, Silver Line Helpline
Calling a helpline for the first time
If it’s the first time you have called a helpline, it’s perfectly normal to feel nervous. Helplines are there for YOU. They are not there to judge, and you can start and end the call when you want. Making a call is the first step forward. Helplines are there to listen, and you can get support without travelling or having an appointment. You don’t have to give your name, and most helplines are free or cost a local call. People call for different reasons:
- Feeling overwhelmed or confused
- Feeling isolated or lonely
- Feeling unsafe (thoughts of suicide or self-harm)
- Relationship, boyfriend, friendship or family problems
- Health or mental problems or concerns
- Signposting to services
- Experiencing violence or abuse but if you are in immediate danger call 999
- Bullying (which doesn’t just happen at school)
“Welcome to Switchboard, a place for calm words when you need them most. We’re here to help you with whatever you want to talk about. We understand how anxious you might feel before you pick up the phone.”
0300 330 0630
Switchboard LGBT+ Helpline
LGBT Switchboard (Northern Ireland)
Offers a listening ear service to any and all lesbian, gay, bisexual and trans people in Northern Ireland who would like to talk to someone, seek information or find out more about groups and events in the LGBT community.
0808 800 0390
LGBT Helpline (Scotland)
We provide information and emotional support to lesbian, gay, bisexual and transgender people and their families, friends and supporters across Scotland.
0300 123 2523
LGBT Health Scotland
LGBT Foundation | LGBT+
We all need information and support from a friend in the know and LGBT Foundation’s Helpline Service provides thousands of hours of advice and support to thousands of people every year.
0300 330 0630
5 Richmond Street, Manchester M1 3HF
Albert Kennedy Trust | LGBT+
Supports up to the age of 25, who are (or think you might be) lesbian, gay, bisexual, trans or intersex, homeless, sofa-surfing or living in crisis and/ or living in a violent, hostile or abusive home.
020 7831 6562 | 020 7405 6929
Albert Kennedy Trust
London: 020 7831 6562 | 020 7405 6929 | Email
Manchester: 0161 228 3308 | Email
Newcastle: 0191 281 0099 | Email
MindOut Instant Messaging Service | LGBT+
Mental health service run by and for lesbians, gay men, bisexual, trans, and queer people. Its online support service is an instant message service that is confidential, non-judgemental and anonymous. We are open every day including weekends and evenings. The service is run by trained online support workers and mental health advocates who are ready to provide emotional support, information or signpost you in the right direction. You can chat to us about whatever is on your mind, and we will always try and help in whatever way we can.
Instant Messaging Service (Chat) | MindOut (Brighton)
The chat service is national while its other services are for people living in the Brighton area.
MindOut, Community Base, 113 Queens Road, Brighton BN1 3XG | 01273 234839
Mindline Trans Helpline | LGBT+
Mindline Trans+ provides a safe place to talk about your feelings confidentially. Doesn’t record calls or ask for any personal details. Listeners will try and understand the multitude of feelings and concerns that may be going on for you. Volunteers are trained in telephone counselling skills and have lived experience of being trans or non-binary. Occasionally calls may be taken by trans allies.
0330 330 5468
Mermaids UK | LGBT+
Supports children and young people up to 19 years old suffering from gender identity issues, their families and supporting professionals. Support includes a helpline, email service, direct support, online forums for parents and teens, plus local and national meetings.
0808 801 0400
You can talk to them any time you like, in your own way, and off the record, about whatever is getting to you. You don’t have to be suicidal. Every six seconds, somebody contacts them. They are there 24 hours a day, 365 days a year around the clock. They keep everything confidential and they are not a religious organisation.
Samaritans | Samaritans
Local Drop-In Branches | Samaritans
Private and confidential service for children and young people up to the age of 19. You can contact a ChildLine counsellor about anything – no problem is too big or too small. Call them free, have a 1-2-1 chat online or send an email. Go to their website for more.
0800 1111 | 24/ 7
For children and young people under the age of 35 who are experiencing thoughts of suicide. For anyone concerned that a young person could be thinking about suicide.
0800 068 4141
Hopeline UK | Papyrus
ReThink Mental Illness
Provides expert, accredited advice and information to everyone affected by mental health problems. When mental illness first hits you or your family, it can be hard to know who or what to trust. Gives people clear, relevant information on everything from treatment and care to benefits and employment rights.
0300 5000 927
Rethink Mental Illness
Shout is a 24/7 UK crisis text service available for times when people feel they need immediate support. By texting ‘SHOUT’ to ‘85258’ a Texter will be put in touch with a trained Crisis Volunteer (CV) who will chat to them using trained techniques via text. The service is designed to help individuals to think more clearly and to take their next steps to feeling better.
Text SHOUT’ to 85258
The Calm Zone Helpline
The Campaign Against Living Miserably (CALM) is leading a movement against suicide. Every week 125 people in the UK take their own lives. And 75% of all UK suicides are male.
Nationwide Helpline: 0800 58 58 58
London Helpline: 0808 802 58 58
The Calm Zone Helpline
The Silver Line Helpline
Operates the only confidential, free helpline for older people across the UK that’s open 24 hours a day, seven days a week, 365 days of the year.
The Silver Line Helpline | 0800 470 8090
The Silver Line Helpline
London LGBT+ Mental Health Support
Summary: London Friend | LGBT+, The Metro Centre | LGBT+, Spectra | LGBT+, East London Out Project (ELOP) | LGBT+, Outcome | LGBT+, Pink Therapy | LGBT+, The Albany Trust | LGBT+, Gay Men’s Therapy | Gay men, Impulse Group | Gay men
London Friend | LGBT+
Counselling service provides one-to-one counselling sessions to LGBT+ people and for those who may be questioning their sexual orientation or gender identity. Counsellors who volunteer their time for London Friend all identify as lesbian, gay, bisexual or trans.
020 7833 1674
86 Caledonian Road, Islington, London N1 9DN | Map
The Metro Centre | LGBT+
Counselling service offers both short-term and long-term counselling, giving you an opportunity to explore, discover and clarify ways of living more resourcefully and with greater satisfaction. Aware that everyone’s circumstances are different even when you are working, so anything that you can reasonably afford is most welcome. Please do not have any concerns over this as it can be discussed with the counsellor and a mutually acceptable agreement will be reached.
Mental Health and Crisis Support Drop-In
020 8305 5000
141 Greenwich High Road, London, Greenwich, London SE10 8JA | Map
Spectra | LGBT+
Offer services to support the sexual health and wellbeing of marginalised communities, including men who have sex with men (MSM) trans and non-binary people, and Black, Asian and Minority Ethnic communities.
0800 587 8302 / 020 3322 6920
St Charles Centre For Health and Wellbeing, Exmoor Street, London W10 6DZ | Map
East London Out Project (ELOP) | LGBT+
Holistic lesbian and gay centre that offers a range of social, emotional and support services to LGBT communities, and our core services include counselling and young people’s services. Also offers individual, couples and youth counselling.
020 8509 3898
56-60 Grove Road, Walthamstow, London E17 9BN | Map
Outcome | LGBT+
Outcome @ MIND aims to provide a sanctuary for LGBT people, somewhere safe where they can be themselves, socialise free from discrimination, receive therapies to improve their mental health, learn new skills and acquire knowledge to improve their quality of life. Offers therapies such as psychotherapy, counselling, one-to-one and group art therapy, alternative therapies and a wide range of activities.
Outcome @ MIND
020 7272 5038
35 Ashley Road, Islington, London N19 3AG | Map
Pink Therapy | LGBT+
Aims to promote high-quality therapy and training services for people who are lesbian, gay, bisexual and transgender and others who identify as being gender or sexual diversities. There is a whole spectrum of different gender and sexual expressions and we welcome those who are engaged in consensual, albeit transgressive sexualities who are seeking a place to understand and be understood.”
020 7836 6647
BCM 5159, London WC1N 3XX | Map
The Albany Trust | LGBT+
The charity offers a range of therapy and counselling including a low-cost clinic for people who are unemployed or on low income; longer-term one-to-one/individual psychodynamic counselling; a couples counselling clinic focusing on conflicts around sex, gender and sexuality; and LGBT+ counselling: one-to-one; for couples; in groups. Also offers a limited number of sessions to the LGBT+ British Sign Language community.
The Albany Trust
020 8767 1827
239A Balham High Road, Tooting Bec, London SW17 7BE | Map
Gay Men’s Therapy | Gay men
Specialist psychotherapy and counselling service for gay men and men attracted to men. Group of therapists with extensive experience of working with gay men and we’ve come together to provide a safe environment, with the right kind of understanding, to allow you to explore your life and your relationships.
Gay Men’s Therapy
16 Upper Woburn Place, London WC1H 0AF | Map
Impulse Group | Gay men
Founded in 2009, Impulse Group is a nonprofit organisation dedicated to building a stronger and healthier community for gay men. Hosting over 400 events annually in 25 cities across the globe, Impulse seeks to create a brave space to engage, support and connect our community.
London Mainstream Mental Health Support
Summary: Thrive LDN, Good Thinking
London wide movement to improve the mental health and wellbeing of all Londoners. It is supported by the Mayor of London and led by the London Health Board partners.
Tools and resources to help your mental health and wellbeing | Thrive LDN
Coronavirus updates and guidance | Thrive LDN
Designed for anyone living or working in London to improve mental health and wellbeing with over 120 online resources are signposted to through its website, including wellbeing information sources; guides to improving mental health; courses on and offline; mobile apps and other therapy approaches.
Good Thinking | NHS, London’s borough councils and Public Health England
Coronavirus and mental health
National Mental Health Support
Summary: LGBT Foundation | LGBT+, MIND, Mental Health Foundation, Rethink, NHS, SANE, NHS psychological therapies service (IAPT), Support Line, Blurt, Vent, Free Psychotherapy Network, Black, African, and Asian Therapy Network (BAATN), Every Mind Matters, Sex Addicts Anonymous in the UK (SAA)
LGBT Foundation | LGBT+
Supports the needs of the diverse range of people who identify as lesbian, gay, bisexual and trans. Nationally recognised charity firmly rooted in our local communities of Greater Manchester and provide a wide range of evidence-based and cost-effective services.
Why LGBT people are disproportionately impacted by COVID | LGBT Foundation | April 2020
National charity providing advice and support to empower anyone experiencing a mental health problem. It campaigns to improve services, raise awareness and promote understanding.
LGBTIQ+ mental health | MIND
Coronavirus and your wellbeing | MIND
Mental Health Foundation
Work includes a wide range of mental health publications, community and peer programmes, research; public engagement; and advocacy. Takes a public mental health approach to prevention, finding solutions for individuals, those at risk and for society to improve everyone’s mental wellbeing.
Mental Health Foundation | Mental Health Foundation
Looking after your mental health during the Coronavirus outbreak | Mental Health Foundation
Delivers a better life for people severely affected by mental illness by meeting their mental health needs and but also helping them to improve their physical health, take control of their lives and establish a sense of belonging to their community. Vision for equality, rights, the fair treatment and maximum quality of life for all those affected by mental illness, their carers, family and friends.
Rethink | Rethink
LGBT+mental health | Rethink Mental Illness
National Health Service (NHS) information and resources.
Mental health and wellbeing | NHS
Guidance for the public on the mental health and wellbeing aspects of coronavirus (COVID-19) | NHS
Works to improve the quality of life for people affected by mental illness. Provides care and emotional support for people with mental health problems, raises awareness and combat stigma about mental illness, and promote and hosts research into the causes and more effective treatments.
Living with COVID: the strategy
BBC Headroom Mental Health Tookit
“We know we can’t solve all your troubles, but we can give you tools to help: whether it’s everyday tips, sounds to relax your mind, strategies to cope with parenting right now or films to get you talking. We’re here for you. And if you think you could benefit from extra advice, visit BBC Action Line for mental health organisations offering information and support.”
Headroom Mental Health Tookit | BBC
NHS psychological therapies service (IAPT)
If you live in England, you can refer yourself to an NHS psychological therapies service (IAPT). IAPT services offer NICE recommended therapies, such as cognitive behavioural therapy (CBT), for common problems involving stress, anxiety and depression. Anyone who is registered with a GP can access IAPT services on the NHS. If you’re not registered with a GP, search for a GP.
NHS psychological therapies service (IAPT) | NHS
Provides a confidential telephone helpline offering emotional support to any individual on any issue; primarily a preventative service and aims to support people before they reach the point of crisis.
“Blurt exists to make a difference to anyone affected by depression. Being diagnosed can be overwhelming – there’s a lot to learn and plenty of prejudice to battle. Telling people is tough, and not everyone will understand. That’s why we’re here for you, whenever you need us, for anything at all. We’ll help you understand depression and what it means for you. We’ll support you, listen to you and introduce you to people who’ve been where you are. We’ll help you break down barriers and broach the subject with those closest to you. We’ll help you help yourself, with a little knowing nod.”
Coronavirus and your mental health
The Free Psychotherapy Network
Free psychotherapy for people on low incomes and benefits
The Free Psychotherapy Network
The Black, African, and Asian Therapy Network (BAATN)
Independent UK organisation to specialise in working psychologically, informed by an understanding of intersectionality, with people who identify as Black, African, South Asian and Caribbean.
The Black, African, and Asian Therapy Network (BAATN)
Every mind matters | NHS
There are little things you can all do to help look after our mental health. Having good mental health helps relax more, achieve more and enjoy our lives more. Expert advice and practical tips from NHS to help you look after your mental health and wellbeing, so discover what works for you.
Every mind matters
Sex Addicts Anonymous in the UK (SAA)
Sex Addicts Anonymous (SAA) welcomes people of any sexual identity or orientation, whether they are gay, lesbian, straight, bisexual, transgender or questioning. SAA offers a message of hope and recovery for sex addicts in the LGBTQ+ communities. SAA is a fellowship of people who share their experience, strength and hope with each other in order to find freedom from addictive sexual behaviour and help others recover from sex addiction. Our programme is based on the Twelve Steps and Twelve Traditions of Alcoholics Anonymous, though we are not affiliated with AA or any other organisation.
Sex Addicts Anonymous in the UK
Anxiety, OCD, Eating Disorders, and Self Harm Support
Summary: Obsessive-Compulsive Disorder UK, No Panic, BEAT Eating Disorders, LifeSIGNS, Anxiety UK
Obsessive-Compulsive Disorder UK
National charity working for children and adults affected by Obsessive-Compulsive Disorder. Provides advice, information, and support services for those affected by OCD, and campaign to end the trivialisation and stigma of OCD. User-led service where everyone involved in the organisation have personal experience of OCD, either directly or through a loved one.
OCD UK | OCD UK
OCD and coronavirus survival tips | OCD UK
Helps people who suffer from panic attacks, phobias, obsessive-compulsive disorders and other related anxiety disorders including those people who are trying to give up tranquillizers
0844 967 4848
BEAT Eating Disorders
Beat is the UK’s eating disorder charity with resources including tips and advice on recovery in the face of uncertainty, seven ways to keep working towards recovery during the pandemic, and making sure your extra kind and patient with yourself. BEAT exists to end the pain and suffering caused by eating disorders. A champion, guide and friend to anyone affected, giving individuals experiencing an eating disorder and their loved ones a place where they feel listened to, supported and empowered.
BEAT Eating Disorders | Beat Eating Disorders
Eating disorders and coronavirus | Beat Eating Disorders
Voluntary organisation managed and led by people with personal experience of self-injury, and we are non-judgemental, non-directional, and respectful of our members’ and visitors’ life experiences and perceptions. Aims to support all people who are affected in any way by self-injury within the UK and beyond. Supports people using self-injury, and family and friends of people who self-injure, and professionals (including health care workers) who are interested in self-injury. LifeSIGNS has been gay run since its founding in 2002.
National registered charity for those affected by anxiety, stress and anxiety-based depression whether you have anxiety, stress, anxiety-based depression, or phobia that’s affecting your daily life.
08444 775 774
Younger Persons Support
Summary: Mermaids UK | LGBT+, The Mix | under 25s, Voice Collective, Nightline for Students, Hopeline, Vent
Mermaids UK | LGBT+
Supports children and young people up to 19 years old suffering from gender identity issues, their families and supporting professionals. Support includes a helpline, email service, direct support, online forums for parents and teens, plus local and national meetings.
0808 801 0400
The Mix | under 25s
Takes on the embarrassing problems, weird questions, and please-don’t-make-me-say-it-out-loud thoughts you have. Gives you the information and support you need to deal with it all. Because you can. Because you’re awesome, says the Mix
Coronavirus: tips and information
0808 808 4994
UK-wide, London-based project that supports children and young people who hear voices, see visions, have other ‘unusual’ sensory experiences or beliefs. Also, offers support for parents/families, and training for youth workers, social workers, mental health professionals and other supporters.
Nightline | for Students
Confidential, anonymous, non-judgmental, non-directive and non-advisory support services run by students for students. Any university student can contact the Nightline at their institution.
Confidential support and advice service for children and young people under the age of 35 who are experiencing thoughts of suicide. Anyone concerned that a young person could be thinking about suicide.
0800 068 41 41
LGBTQ+ podcast exploring mental health (and dealing with your own rock bottom) presented by Brendan Geoghegan and Matthew Riley. Relaxed and very listenable. Podcasts cover an eclectic mix of topical issues including conversion therapy, exercise and fitness (does it really matter), BlackOut UK, LGBT+ History Month, queer youth making up a quarter of the youth homeless population, and news about the first LGBT+ affirming retirement community in the UK.
More Helplines and Support (National)
Summary: Staying Safe (from suicidal thoughts), Bipolar UK, Alcoholics Anonymous, Drinkline, Gamblers Anonymous, GamCare, Narcotics Anonymous (UKNA), Anger Management (British Association of Anger Management), Cruse Bereavement Care
Staying Safe (from suicidal thoughts)
Resources to get you through feelings that your life is not worth living.
Support to enable people affected by bipolar disorder/manic depression to take control of their lives.
0333 323 3880
Free helpline for alcohol issues.
0800 9177 650
If you are worried about your drinking, call this free helpline in complete confidence.
0300 123 1110 (weekdays 9am – 8pm, weekends 11am – 4pm)
Confidential help with a gambling problem. Chatline and meeting details are on the website.
Provides support to anyone suffering through a gambling problem. Free helpline through to a trained advisor.
0808 8020 133
Narcotics Anonymous (UKNA)
Recovering addicts who help each other stay clean. Meetings in person or online.
0300 999 1212
Narcotics Anonymous (UKNA)
Anger Management (British Association of Anger Management)
0845 130 0286
British Association of Anger Management
Cruse Bereavement Care
Support, information, advice, to enable anyone bereaved to understand grief and cope with loss.
0808 808 1677
Cruse Bereavement Care
Summary: National Survivor User Network (NSUN), Hub of Hope
National Survivor User Network (NSUN)
Network of people who have and do experience mental distress who want to change things for the better. Connects people and influences policy, practice and perceptions by amplifying the experiences and aspirations of our members. Set up to build a more united and confident mental health service user movement. Recognises the isolation, discrimination and disadvantage experienced by mental health service users and their needs beyond clinical treatment.
National Survivor User Network (NSUN)
NSUN Covid-19 update
Hub of Hope
National mental health database which brings together organisations and charities, large and small, from across the country who offer mental health advice and support, together in one place.
Hub of Hope
Selection of Facebook and MeetUp Groups
Summary: Men’s Mental Health | Private, Men’s Mental Health | Private, Men’s Health | Open, Black Gay Men’s Wellness Month | Open, Gay Health Network | Open, LGBT Mental Health Providers | Private
Men’s Mental Health | Private
Men’s Health | Open
Black Gay Men’s Wellness Month | Open
Gay Health Network | Open
LGBT Mental Health Providers | Private LGBT Wellbeing | MeetUp
Short films on mental health, Psych2Go Channel on YouTube, Wanna Talk About It | Netflix
Short films on mental health
How to practice emotional first aid | Guy Winch | TED Talks | 16 Feb 2015 | 17m 28s
Confessions of a depressed comic | Kevin Breel | TED Talks | 27 Sep 2013 | 10m 56s
What’s So Funny About Mental Illness? | Ruby Wax | TED Talks | 10 Oct 2012 | 8m 44s
Psych2Go Channel on YouTube
A “weekly dose of fun and interesting psychology, creepy psychology, psychopaths, serial killers, pop psychology, political psychology. Pretty much whatever you learn in school, but just in a way that you can apply and relate.”
Wanna Talk About It | Netflix
It came as a bit of a surprise when we found that Netflix has a website with support on sexual violence and abuse, mental health and well-being and self-harm and suicide. It’s limited with a heavy US focus. Organisations taking part include the National Alliance on Mental Illness (NAMI), Mental Health America, The Trevor Project, Crisis Text Line and American Foundation for Suicide Prevention.
Wanna Talk About It | Netflix
Finding a counsellor or therapist
- Primary care (GP) and NHS therapists which is free
- Charity/ voluntary sector therapists for which you may pay
- Therapists through your place of work/ education
- Private therapists for which you pay
Your doctor/ GP
For many, the first place people call is their doctor/ GP. They should be familiar with your medical history and can direct you to the appropriate treatment or service. Depending on your needs, these services may be provided by your GP surgery, a large local health centre, a specialist mental health clinic or a hospital. The treatment may be provided on a one-to-one basis or in a group with others with similar difficulties. Therapy can also sometimes involve partners and families. You have the legal right to choose which provider and clinical team you’re referred to by your GP for your first outpatient appointment. In most cases, you have a right to choose which mental health service provider you go to in England.
Things to consider
- Therapy provided through the NHS should be free of charge
- You’ll want to make sure that the therapist you see is qualified and works to professional standards; eg: BACP and/ or UKBP (see below)
- It may be helpful to check your counsellor has experience working with LGBTQ+ people and/ or has had appropriate training
- Treatment can be shorter (weeks/ months) to longer (months/ years) depending on your needs.
- If at any point you feel uncomfortable, you have every right to stop your sessions and find a more suitable counsellor
- Some local authorities operate services you can contact directly to refer yourself
- Some HIV organisations provide counselling directly or may be able to signpost you
Some of us prefer gay or gay-friendly services which, as a rule, are much better understanding the issues affecting our lives, and the context. Others are happy to access mainstream services. Most health services aim to be welcoming, respectful, knowledgeable, and understanding. The thing is to find a service that’s right for you and that “gets the job done” so to speak.
The reality is many people – including LGBT+ people – are trying to access counselling and mental health services at a time when there is less funding and more cuts than ever before. Yes, there’s a lot of hoopla in the media about the importance of mental health support but words need to be turned into actions so people like you (reading this) can access the support you need with ease and in a reasonable time.Increased visibility and, in part, on the back of the COVID pandemic, counselling and mental health support advertisements are popping up everywhere (some glorified databases with a flashy front page) so be mindful and be thorough when seeking support.
Types of counselling and therapyTypes of talking therapy | NHS
What different therapies are there? | MIND
A-Z of types of therapy | BACP
Types of psychotherapy | UKCP
The largest registering bodies in the UK, the UK Council for Psychotherapy (UKCP) trains psychotherapists while the British Association for Counselling and Psychotherapy (BACP) trains counsellors and psychotherapists. For example, public sector jobs as a psychotherapist or counsellor adverts usually ask for someone who is BACP or UKCP registered.
MoreHow to find a therapist | British Association for Counselling and Psychotherapy (BACP)
How to choose a psychotherapist | UK Council for Psychotherapy Talking therapy and counselling | Mind
How to access mental health services | NHS
Counselling | NHS Finding the right chemsex support | MEN R US Mental health: Unqualified therapists exploiting vulnerable patients | BBC | 5 Nov 2021
HIV-positive people ‘fearful’ of therapists as critical NHS mental health failings exposed | Pink News | 21 Oct 2021
How to find the right therapist | The Guardian | 9 Jan 2021
Directories and signpostingSwitchboard LGBT+ Helpline
Listening service for LGBT+ people over the phone, via email and online chat. Can provide you with contact details of an LGBT+ friendly therapist. London Friend
Offers support groups and services, such as counselling and drug and alcohol support. Imaan
Supports lesbian, gay, bisexual, trans, queer or questioning (LGBTQ) Muslims. Online forum where people can share experiences and ask for help. Pink Therapy
Online directory of therapists who work with people who are lesbian, gay, bisexual, transgender, intersex and queer or questioning (LGBTIQ), and people who are gender- and sexual-diverse (GSD). Mind LGBTQ
Get information about mental health support for people who are lesbian, gay, bisexual, trans, intersex, non-binary, queer or questioning (LGBTIQ). Consortium
LGBT+ membership organisation with Directory to find local mental health services. LGBT Foundation
Offers information, advice, and support services, including a Talking Therapies Programme for LGBT people living in the Northwest Back to top
Mental health apps
Technology today gives you the ability to seek an extraordinary range of mental health support directly from your phone, some addressing specific needs. They provide access to more affordable and accessible therapists, offer research-backed strategies to help cope with everything from anxiety and depression to suicidal thoughts, OCD, and eating disorders, and help us meditate to calm down and reduce stress.
Unfortunately, too often this comes at the cost of privacy. When choosing an app, be mindful that:
- They collect personal information about you
- Some use the information as a business asset to make money (selling to third-party advertisers, for example)
- Some don’t always give users the option to access and delete the personal information they collect
- Many could make improvements to better secure and protect the information you share
According to the National Institute of Mental Health, these are the advantages and disadvantages of these apps:
- Convenience: Treatment can take place anytime and anywhere and may be ideal for those who have trouble with in-person appointments.
- Anonymity: Clients can seek treatment options without involving other people.
- An introduction to care: Technology may be a good first step for those who have avoided mental health care in the past.
- Lower cost: Some apps are free or cost less than traditional care.
- Service to more people: Technology can help mental health providers offer treatment to people in remote areas or to many people in times of sudden need.
- Interest: Some technologies might be more appealing than traditional treatment methods, which may encourage clients to continue therapy.
- 24-hour service: Technology can provide round-the-clock monitoring or intervention support.
- Consistency: Technology can offer the same treatment programme to all users.
- Support: Technology can complement traditional therapy by extending an in-person session, reinforcing new skills, and providing support and monitoring.
- Objective data collection: Technology can quantitatively collect information such as location, movement, phone use, and other information.
- Effectiveness: The biggest concern with technological interventions is obtaining scientific evidence that they work and that they work as well as traditional methods.
- For whom and for what: Another concern is understanding if apps work for all people and for all mental health conditions.
- Privacy: Apps deal with very sensitive personal information so app makers need to be able to guarantee privacy for app users.
- Guidance: There are no industry-wide standards to help consumers know if an app or other mobile technology is proven effective.
- Regulation: The question of who will or should regulate mental health technology and the data it generates needs to be answered.
- Overselling: There is some concern that if an app or programme promises more than it delivers, consumers may turn away from other, more effective therapies.
More*privacy not included — Mental Health Apps Edition | Mozilla Foundation | May 2022
Young and depressed? Try Woebot! The rise of mental health chatbots in the US | The Guardian | 13 Apr 2022
Can an app improve NHS mental health support? | Imperial College London | 29 Jul 2021
Technology and the future of mental health treatment | National Institutes of Health | USA | Revised: Sep 2019
The pros and cons of mental health apps | Open Minds | 21 Aug 2017 Mental health support directory | MEN R US
Mental health matters | MEN R US Back to top
LGBT+ People and COVID-19
It goes without saying that COVID-19 has affected everybody in one way or another around the world, and continues to do so. The LGBT+ community have been hard it by COVID-19 some of whom already experience long term inequalities and research studies clearly evidence that LGBT+ people have less favourable health outcomes than their heterosexual counterparts, eg:
These impacts have increased markedly under COVID-19 as LGBT+ people have virtually no access to their (street) communities, and (already stretched) LGBT+ services and mainstream services. Currently, research/ studies are limited but evidence identified strongly indicates that the COVID-19 pandemic has had a negative impact on the mental health of LGBT+ people living in the UK.
- The pandemic’s impact on UK’s LGBT+ communities, UK Research and Innovation, Nov 2021
- The experiences of UK LGBT+ communities during the COVID-19 pandemic: A review of evidence, NatCen Social Research, 9 Nov 2021
- Hidden Figures: The impact of the COVID-19 pandemic on LGBT communities in the UK, LGBT Foundation, May 2020
Specifically, increased anxiety and depression and feelings of isolation and loneliness; increased domestic abuse, and increased substance misuse with relapses from sobriety; the loss of queer safe spaces, supportive identity-affirming peer-groups, including scene venues (declining in Greater London). This echoes local intelligence gathered by GMHC during the lockdowns when we added additional mental health content, repeatedly signposted to services still open via social media – at a time when visitor numbers doubled.
With this in mind, we have also pulled together articles about how COVID-19 has affected LGBT+ people though we should also say that we have also been resilient, imaginative, inclusive, and supportive in ways we could not have imagined in 2019.‘I had to hide myself again’: young LGBT people on their life in UK lockdown | The Guardian | 5 Aug 2020
Lockdown having ‘pernicious impact’ on LGBT community’s mental health | The Guardian | 5 Aug 2020
LGBT: Covid-19 forced me back home where I’m ‘unwanted’ | BBC News | 31 May 2020
Why LGBT people are disproportionately impacted by COVID-19 | LGBT Foundation | 20 May 2020
How COVID-19 is affecting LGBT communities | Stonewall | 21 Apr 2020 Impact of the COVID-19 pandemic on the LGBT community | Wikipedia
How COVID-19 is affecting LGBTQIA+ young people living in Scotland | LGBT Youth Scotland Back to top
Loneliness is the feeling of sadness that comes from not having as much company as you would like or the or the type of company you would like. It’s also been described as the feeling we get when our need for positive social contact and relationships is not there or lacking in some way.
We all feel lonely from time to time
Feelings of loneliness are personal to us, so everyone’s experience is different. Loneliness has many different causes and can happen whether we live alone or surrounded by others. Loneliness is a normal response to feeling disconnected – or feeling apart – from others emotionally, physically or both.
The truth is we all feel lonely from time to time. This doesn’t mean that it is an easy emotion to live with and loneliness can sometimes be a trigger for other mental health issues like depression.
Being alone and loneliness
Loneliness is not always the same as being alone. You may choose to be alone and live happily without much contact with other people, while others may find this a lonely experience. Or you may have lots of social contact or be in a relationship or part of a family, and still feel lonely especially if you don’t feel understood or cared for by the people around you.
Life and life events may mean we can feel lonely. These include:
- Coming out or questioning your sexuality
- Leaving home or moving to a new area or country
- Starting at college or university
- A relationship break-up
- A job change
- Bereavement or someone dying
- Something you can’t quite put your finger on
We should also be mindful that people who live in certain circumstances are more vulnerable to loneliness. For example, if you:
- Have no friends or family and/ or are estranged from family
- Belong to minority groups and live in an area without others from a similar background
- Are excluded from social activities due to mobility problems or a shortage of money
- Experience discrimination and stigma because of a disability or long-term health problem, including mental health problems
- Experience discrimination and stigma because of your gender, race or sexual orientation
- Have experienced sexual or physical abuse – you may find it harder to form close relationships with other people
Adapted from What causes loneliness? | Mind
There is no magic answer but …
Loneliness affects everyone differently and it can often feel overwhelming and something out of our control. There’s no magic answer or solution but learning how to deal with it as something that can happen from time to time in our lives can help us know you can do to help yourself and where to go for support. This starts with acknowledging loneliness in yourself, working out what you need, and taking action and doing something about it.
Changing your perceptions
Key is changing your perceptions of the world around you. For example, it’s realising that sometimes people aren’t able to meet up with you, not because there is something inherently wrong with you, but because of other things going on in their lives. Or the person that you wanted to have dinner with wasn’t able to accept your invitation because it was too short notice for them and they had already promised someone else they would have drinks.
People who aren’t lonely realise this and don’t get down or start beating themselves up when someone says no. When you don’t attribute “failures” to yourself, but rather to circumstances, you become much more resilient in life and can keep going. Getting rid of loneliness – or better managing it – is also about letting go of cynicism and mistrust of others.
So next time you meet someone new, try to lose that protective shield and really allow them in, even though you don’t know what the outcome will be.
Apps have done more harm than good to the community’
Social media’s a double-edged sword for gay men. It can be great for making connections and hooking up, but it also encourages a tendency for external validation. You’re making snap judgements about what people look like. Then there’s sex: the ultimate validation. It can be easy to get stuck in this loop of validation that comes from sex with strangers. Except the sex and the connection can turn out to be meaningless. It can be really easy to become addicted to the apps.
If they’re concerned about app use, I encourage clients to monitor who’s in control. Are the apps controlling me, or am I in control? And ask; am I being kind to myself and others? If you’re in control and being kind to yourself and others then it’s OK. But in all honesty, I’d argue the apps have done more harm than good to the community.
The gay scene I grew with in the 90s before apps existed has changed beyond all recognition. There was a big range of venues in London and people were more sociable. We went out primarily to socialise and hopefully hook up if we got lucky!
Of course, before the apps, loneliness existed. From personal experience, I can remember being in large clubs surrounded by friends and feeling lonely. It’s not just about sitting at home by yourself. You can feel alone in a crowd.Why do so many gay men feel lonely? | Digital Pride | 3 May 2019
Don’t just read this list, do somethingActivities and social groups | MEN R US
A helpline if you want to talk to someone | MEN R US
Mental health support | MEN R US
Over tea and biccies, we pulled together a list of things to do (in no particular order) which we hope will nudge or inspire you to take a first step:
- Reach out
- Get out
- Just say hello once in a while
- Don’t forget to thank and compliment others
- Look after yourself better, more
- Learn something new in real life, or on the internet
- Take a long walk, perhaps explore your neighbourhood
- Jump on a bus, any bus
- Spend (more) time with your pet
- Volunteer for a cause or charity
- Join a club, activity, or networking group
- Take up a new hobby
- Get into books
- Garden, even if it’s a window box
- Keep in contact online
- Borrow a dog (with permission)
- Email us to let us know how we can make this section better
OrganisationsLoneliness | Mind
How isolation leads to loneliness | LGBT Foundation
Mental health issues if you’re gay, lesbian or bisexual | NHS Loneliness | Wikipedia
Loneliness | Psychology Today
Loneliness | Age Concern
What is loneliness | Black Dog Institute | Australia
News articles and further readingNine ways to feel less lonely | BBC Radio 4 | No date
Loneliness, loss and regret: what getting old really feels like – new study | The Conversation | 8 Sep 2021
How To Cope If You’re Gay and Lonely | Black Gay Blog | 14 Apr 2021
Why it’s time to stop pursuing happiness | The Guardian | 10 Jan 2021
Coronavirus lockdown: LGBTQ people face hostility and loneliness | The Conversation | 16 Apr 2020
Loneliness is contagious – and here’s how to beat it | The Conversation | 13 Jul 2018
Loneliness Experiment (Valentine’s Day 2018) | BBC | 1 Oct 2018
Think of your LGBT friends who might be lonely this Christmas | Huff Post | 17 Dec 2018
Reflections on gay loneliness | Ewan McCoy | 25 Nov 2018
Loneliness: What characteristics and circumstances are associated with feeling lonely? | National Office of Statistics | 10 Apr 2018
Is loneliness the gay man’s curse, or a product of 21st century life? | Gay Times | 29 Aug 2017
The Epidemic of Gay Loneliness | Highline | Michael Hobbs | 2 Mar 2017
YouTube video responses to the article The Epidemic of Gay LonelinessThe worst part about being gay | Ethan Hethcote | 8 Mar 2017 | 11m 6s
“The Epidemic of Gay Loneliness” | Donny Winter | 19 Mar 2017 | 11m 53s
“The Epidemic of Gay Loneliness” | Zack Arad | 11 Mar 2017 | 18m 26s Loneliness | Kurzgesagt (In a Nutshell) | 17 Feb 2021 | 12m 29s
Back to top
“Discrimination and hate crime are still common, and have increased since Brexit, and many gay men still internalise a sense of shame due to rejection and alienation,” says Meg-John. “Bisexual people have historically been rejected from both straight and gay communities, meaning there’s very little support available when they’re struggling. Constant ‘debates’ about trans existence, coupled with everyday experiences of misgendering and transphobic bullying – which 8 out of 10 trans kids experience – take a massive toll on mental health, meaning trans people have frighteningly high rates of suicidal thoughts.”
Gay, bi, and trans men grow up knowing heterosexual and cisgender is the default, sometimes in very hostile environments. Even before they work out what’s different about them, it’s likely their peers, families and schoolteachers have spotted the signs. The effect of being “seen” in this way, is profound and enduring. Says Anthony, a gay man now in his fifties: “The overwhelming fear anyone should find out gave me the ability to cut myself off from my emotions, or at the very least bury them very deeply.”LGBT+ people are more depressed than straight people. Here’s why. | GQ | 1 Nov 2018
We sometimes rationalise it and call it ‘exhaustion’, ‘overdoing’ it or ‘nothing a club night won’t put right’. They’re reasonable things to say because we do get tired, we can overdo it and a night out might be just what we need to relax and let our hair down. Sometimes, this is depression.
Problems start when you start to feel this way more often than not. Little interest or enjoyment in life, feeling helpless and/or inadequate, feelings of loneliness and isolation and lack of motivation and drive are all examples of this.
You may also have difficulty in making decisions, may no longer feel able to cope at work, and personal relationships are difficult and strained. You begin to feel that life isn’t worth living.
Sometimes the cause is obvious: the end of a relationship, chronic money worries, a bereavement, unemployment or physical illness. However, depression can seem to ‘just happen’ which makes it difficult to comprehend.
Depression becomes an illness and requires medical attention or professional treatment when it won’t go away. Persistent warning signs and symptoms of depression include:
- Lack of enjoyment of activities that are usually fun or enjoyable.
- Poor concentration.
- Inability to sleep properly, lying awake or waking up in the early hours.
- Frequent feelings of gloom and sense of despair.
- Emotional outbursts and crying for no apparent reason.
- Extreme apathy.
- Difficulty concentrating.
- Noticeable increase or decrease in appetite.
- Reduced sex drive.
- Loss of self-confidence or self-esteem.
- Heavy drinking or drug abuse.
Clinical depression | NHS
Depression | ReThink
Mental health statistics: LGBT people | Mental Health Foundation
Depression | Terrence Higgins Trust
LGBT+ young people disproportionately experience depression, anxiety and panic attacks | ITV | 25 Apr 2021
People with depression can sometimes experience memory problems – here’s why | The Conversation | 9 Feb 2021
Depression strongly associated with risky sex in UK gay men | nam aidsmap | 2 Jun 2015
What is depression? | TED-Ed | 15 Dec 2015 | 4m 28s
If the following steps don’t help you then seek professional help:
- Talk problems and worries through with a trusted friend.
- Don’t bottle up your emotions. If you need to cry: cry.
- Take some regular exercise.
- Eat a balanced diet and avoid binge eating.
- Don’t drink alcohol to feel better – the immediate relief will only be followed by a deeper depression.
- Take up a relaxation exercise.
- Don’t cut yourself off from close friends. If you can, tell them the truth.
Not everybody can accept that they are depressed. It may not sit comfortably with how you see yourself or how you like others to see you: strong, masculine, in control. It’s a very male thing stemming from all the macho stuff we pick up in childhood, from family and on TV and film.
Attitudes are starting to change for the better although many of us find it very difficult to show our feelings and emotions. Ironically, coming to terms with depression and acknowledging the need for treatment will probably be one of the truly brave things you will do in your life.
Depression doesn’t usually just go away – its there for a reason although you may not know what the reasons are. You should seek professional help, and in the first instance, this is likely to be your GP. However, if you think or know that your depression is related to sex or your sexual health, speak to your sexual health clinic who may be able to provide support, counselling or a referral service.
If these steps are too much, phone one of the helplines listed below which may give you the confidence to see someone in person. Professional help is usually based on the idea of helping you to help yourself, and the appropriate counsellor or psychotherapist will encourage you to talk about your feelings and explore and confront the possible reasons for them. This can take weeks, sometimes months, occasionally years.Treatment and support | ReThink
Types of therapy | MIND
One of the problems with depression is knowing where to start particularly if you’re feeling de-motivated and apathetic. Anti-depressants can kick-start the recovery process and let a little light in. This allows you to see that you can feel better, be more responsive to help and support and that further treatment will be beneficial. Unfortunately, some anti-depressants have had a bad reputation because some of the older drugs have worked but have had side-effects such as drowsiness, blurred vision, heart irregularities, constipation and a dry mouth.
However, a new generation of anti-depressants called selective serotonin reuptake inhibitors (SSRIs) has fewer side-effects. It is increasingly accepted that depression can be caused by disordered biochemistry within the brain. Nerve cells (neurons) – which take information across the brain – communicate with each other using electrical signals. These signals have to jump tiny gaps between the cells called synapses but can only do so with the help of chemical neurotransmitters such as serotonin and noradrenaline which are thought to affect mood. Like ferries carry passengers across a river, neurotransmitters carry electrical signals across synapses. Fewer neurotransmitters mean fewer signals can take information across the brain and, in this instance, we can become depressed. SSRIs boost levels of neurotransmitters. Familiar brand names include Seroxat and Prozac.Antidepressants | NHS
Antidepressants | Mind
Antidepressants | ReThink
Antidepressants | Wikipedia Antidepressant use in England soars as pandemic cuts counselling access | The Guardian | 1 Jan 2021
New antidepressants can lift depression and suicidal thoughts fast, but don’t expect magic cures | The Conversation | 21 Dec 2020
We can no longer ignore the potential of psychedelic drugs to treat depression | The Guardian | 8 Jun 2020
Antidepressants: Please, PLEASE, do not just abandon your meds! | The Guardian | 24 Jan 2020 Medicines Compendium (eMC) UK | eMC Back to top
Suicide and suicidal thoughts
Suicide is a subject many are afraid to talk about or even acknowledge but … type “suicide” into Google and we found 368 million results and 650 million video results. Clearly some of us are talking about it and this is a good thing.
What is suicide?
Definitions vary but a common understanding of suicide is ‘ending one’s own life’ or the ‘intentional taking of one’s own life’. People take their own lives for many reasons. It is a way to escape and/ or top stop pain or suffering – often the endpoint of a complicated story and chain of distressing events.
Mental health among LGBT+ people
Related to this, we cannot ignore the fact that that poorer levels of mental health among LGBT+ people (than our straight counterparts) are linked to experiences of homophobic and transphobic discrimination and bullying, and rejection by families. Other factors include age, religion, where you live or ethnicity which can complicate an already distressing situation.
There are also less obvious factors like family ‘forgetting’ to invite you to a wedding or Christmas, for example, or inviting you but then ignoring who you really are. These ongoing stresses can chip away at one’s confidence, self-esteem and sense of worth, even after coming out. This may lead to darker negative thoughts and a sense of hopelessness.
We can’t even scratch the surface here but we hope you will find the helplines and support, and information helpful.
Are you having suicidal thoughts or feeling suicidal?
Some people feel suicidal or have suicidal thoughts at some point in their lives. Most of the time these difficult and overwhelming feelings pass and they will no longer wish to end their life. If you have suicidal thoughts, planning your suicide, or near to taking your life, there are people who can help. You may feel more comfortable talking to someone who is LGBT+ who may better understand what you’re going through, like LGBT+ Switchboard on 0300 330 0630.
If you ‘re not in a good place or are in crisis:
- Get through today best you can, taking it one step at a time
- Focus on the things you can do now, not tomorrow or next week
- Find a place where you feel safe and, if being by yourself worries you, go to a friend or family member, or an HIV, sexual health, or LGBT+ organisation you may know
- Reach out and seek support and, if you don’t know where to turn, our list of helplines is a good place to start
- Stay away from drugs and/ or alcohol as they can make you feel worse, particularly if you have an existing mental health condition
Are you concerned about someone you know?
- Be alert: Not everyone who thinks about suicide will tell someone, but there may be warning signs
- Be honest: Tell the person why you’re worried about them, and ask about suicide. Tell them you want to know how they really are, and that it’s OK to talk about suicide.
- Listen: Just listening is one of the most helpful things you can do. Try not to judge or give advice
- Get them some help: There is a range of help and useful advice available
- Take care of yourself: You may find it helpful to discuss your feelings with another friend, or a confidential service
Support on suicide and suicidal thoughtsSuicidal feelings | MIND
Suicide | Mental Health Foundation
Suicide | The Calm Zone
Help for suicidal thoughts | NHS
Mental health issues if you’re gay, lesbian, bisexual or trans | NHS
Self-harm and suicide | wannatalkaboutit (Netflix)
LGBT+ Switchboard Helpline
0300 330 0630 | Switchboard LGBT+ Helpline
116 123 | Samaritans
0300 330 0630 | LGBT Foundation
0800 1111 | 24/7 | ChildLine
Hopeline UK | up to 35
0800 068 4141 | Hopeline UK
ReThink: Support After Service
Support After Service for people who have been bereaved by suicide. London boroughs of Camden, Islington, Barnet, Enfield and Haringey only.
ReThink: support after service
If you are feeling suicidal, we’re here to support you. Maytree’s house is open 365 days a year for people when they’re feeling suicidal. We offer a free 4 night, 5 day stay for adults, with the opportunity to be heard in complete confidence, in a caring, safe environment.
72 Moray Road, Finsbury Park, London N4 3LG
020 7263 7070
Helpful pointers from Prevening suicide in Sussex
Are you concerned about someone you know? | Preventing suicide in Sussex
If you don’t live in Sussex please select one of the helplines listed above
Faces of attempted suicide | Men’s Health UK | 16 May 2019 | 9m 51s
Olly Alexander: growing up gay in a straight world | BBC 3 | 6 Mar 2019 | 3m 34s
Suicide awareness | This Morning | 28 Mar 2018 | 2m 24s
Information and statistics
Suicide | Wikipedia
Suicide in the United Kingdom | Wikipedia
Samaritans facts and figures | Samaritans
Suicide among LGBT youth in the USA | Wikipedia
Suicide | World Health Organisation (WHO)
Preventing suicide: a resource series | WHO | 24 Jun 2019
Suicide helplines around the world
Suicide helplines around the world listed by country | suicide.org
Suicide helplines in the USA listed by state | suicide.org
Sexuality, suicide attempts and the strongman: McNaghten on winning his mental battle | BBC Sport | 3 Jul 2020
Lockdown: Suicide fears soar in LGBT community | BBC | 2 Jul 2020
Justin Fashanu: National Football Museum Hall of Fame induction ‘deserved’, says niece Amal | BBC Sport | 19 Feb 2020
Suicide rates fall after gay marriage legalised in Sweden and Denmark | The Guardian | 14 Nov 2019
Bullying: Fifth of young people in UK have been victims in past year – report | BBC News | 11 Nov 2019
What Alan Turing £50 notes mean to the LGBT community | BBC News | 16 Jul 2019
Lives are ruined by shame and stigma. LGBT lessons in schools are vital | The Guardian | 20 Mar 2019
LGB students at higher risk of self-harm | University of Manchester et al | 23 Nov 2018
Why is the suicide rate among LGB young people so high? | British Psychological Society | 18 Jan 2018
Lesbian, gay, and bisexual people say they experience a lower quality of life | Office of National Statistics | 5 Jul 2017
Almost half of trans pupils in UK have attempted suicide, survey finds | The Guardian | 27 Jun 2017
‘Higher suicide risk for young gay and lesbian people’ | BBC Newsbeat | 13 Jan 2014
Reports, studies and reviews
Mental health statistics: LGBT people | Mental Health Foundation
Stonewall’s LGBT in Britain Health Report | MIND
A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities | PDF | University of Brighton | Laetitia Zeeman et al | 2016 (est).
LGBTI populations and mental health inequality | LGBT Health and Wellbeing, Scotland and others | PDF | 2018
Inequality among lesbian, gay bisexual and transgender groups in the UK: a review of evidence | National Institute of Economic and Social Research | N Hudson-Sharp, H Metcalf | PDF | June 2016
Suicidality among lesbian, gay, bisexual and transgender youth | ILGA Europe | PDF | 2007
Suicide Prevention | Helpguide | US The Recovery Letters | US
Letters are all written with the intention to try and alleviate some of the pain of depression, to make the loneliness slightly more bearable and above all to give hope that you can recover. Back to top
Stress anxiety and depression
Stress, anxiety and depression are closely related; sometimes they’re just different manifestations of the same problem. All of them arise to some extent from a difficulty in dealing with the pressures and demands that we face in everyday life – and although they’re hard work at the time, it’s important to remember that nearly everyone has suffered from some form of stress-related incident in their lives.
- Stress is your response to the reality of a situation when demands outstrip your supply of physical and mental resources and (very often) time.
‘My boyfriend and I seem to be drifting apart, but there’s never time to sit down and talk about it… I just don’t know what to do.’
- Anxiety is the fear or apprehension you feel when you think something unpleasant is going to happen.
‘I’m worried my boyfriend’s seeing someone else and is going to leave… I have sleepless nights thinking about what would happen if he did.’
- Depression is an overwhelming sense of negative thoughts about the past, present and future.
‘My boyfriend left me last week and he’s taken most of the stuff. I feel lonely and can’t stop crying. Life’s just not worth living anymore.’
Stress and anxiety
- You work too hard and for too long
- You have little or no time for rest and relaxation
- You don’t get enough sleep
- You don’t eat enough
- You don’t exercise enough
- Your friendships and relationships are suffering
Anxiety is caused by events, circumstances or situations which are threats, dangers or generate strong emotions. The body’s response is to release hormones such as adrenalin which bring about physical changes preparing us to work at maximum efficiency and which enabled our ancestors to attack wooly mammoths or run like hell. Today, this is known as the ‘fight or flight’ response. The body reacts in the following ways:
- Blood sugar levels rise to provide energy
- Our heart beats more rapidly and we breathe more deeply to increase oxygen supply to the muscles
- We sweat to prevent overheating
- Our pupils dilate to enable us to see better
- Our stomachs churn and we need to shit to reduce body weight for running
- Our balls pull themselves up into the body for safety
While the need to fight mammoths and marauding invaders no longer exists, the response to stress still exists and the threats have evolved. Our worries about where we’re going in life, and our feelings of insecurity and low self-esteem also fuel stress. Furthermore these threats rarely require us to ‘flee or fight’ and so anxiety tends to build up rather than get burned off running like hell or knocking the shit out of the enemy. The symptoms of anxiety are varied. Some happen immediately; others develop over time – weeks, months, even years.
Mental and emotional signs and symptoms
- Inability to cope
- Feeling of helplessness
- Fear of failure (and success)
- Fear of rejection
- Poor memory
- Inability to concentrate
- Being easily distracted
- A build-up of emotions such as anger, jealousy and guilt
- Cumming pre-maturely or not being able to cum at all
- Dependence on alcohol, smoking, and recreational drugs
- A feeling of impending doom
Physical signs and symptoms
- Racing pulse and palpitations (unusually forceful heart beat)
- Trembling and shaking
- Sweating and flushing
- Dry mouth
- Lump in the throat
- ‘Pit’ in the stomach
- Stomach pain and peptic ulcers (raw area in the stomach eroded by excess acid)
- Loose shit / diarrhoea
- Headaches, nausea, dizziness and faintness
- Numbness, pins and needles
- Aching muscles, eg: shoulders and neck
- Eczema and skin conditions
- Insomnia, tiredness and bad dreams
- Depressed immunity with increased susceptibility to infections
- High blood pressure
- Angina (chest pain), stroke and heart attack
- Compulsive or obsessive behaviour, eg: eating
- Loss of appetite
- Loss of interest in sex
- Needing to piss often
When anxiety works
Anxiety is a perfectly normal reaction to a problem or a fear which cannot be resolved or doesn’t have an immediate solution. For example, you may feel mildly anxious starting a new job or very anxious if someone you care about has just received a positive HIV diagnosis. But no one would think they were extreme or out of proportion in the circumstances. While it might be distressing for your friends to see you so worried over the diagnosis of your friend or puzzling to see you worrying about the job, your reactions in both situations would be normal. Both these scenarios involve feelings about something which you think might happen: not getting on with your new work colleagues, for example, or fearing the death or illness of your friend. We use words and phrases like ‘…I’m feeling apprehensive’, ‘…dreading the worst’, or ‘…feeling nervous’. A certain amount of anxiety is part and parcel of life, whether it’s the financial difficulties, interviews, illnesses or losing your mobile phone.
Anxiety uses up energy and feeds on strong emotions, and that is not necessarily a bad thing. When a problem presents itself we can be motivated to make decisions, engage in practical activities and find a solution to deal with the problem. Anxiety can be a good thing insofar as, without it, lots of things would be left undone, and so a degree of stress in our lives is a motivator. Difficulties arise when we dwell incessantly on the result of a threat or problem, feel unable to prioritise the key components of a response, or cannot find a solution. Eventually, the anxiety is out of proportion to the circumstances. In severe cases we can cease to function at all.
Work and home lives are neglected either because we’re too anxious to start anything or we’re easily distracted by some other more worrying job. The fear of anxiety can attach itself to specific areas like agoraphobia or claustrophobia. Some people get panic attacks which trigger overwhelming anxiety, fear and dread. Before we know it we’re pacing up and down (or rooted to the spot), stomach knotted, and feeling as if the world is about to close in on us. An over-active thyroid gland and depression can mimic anxiety in younger persons and heart, lung and digestive problems may produce similar symptoms. However, the more symptoms you have – the more likely anxiety is to blame.
Managing and reducing stress and anxiety
The best way to deal with stress is to be positive and constructive, see situations in perspective, analyse problems logically and find realistic solutions. Easier said than done? Here are some suggestions:
- Work out which situations and people cause stress and why; you may be able to make changes in a positive manner. Talk honestly – but sensitively – to those you see as being at the root cause of your troubles.
- Change those things that can be changed, learn to accept those that cannot
- Find solutions and make decisions as calmly as circumstances allow, and not under the pressure of deadlines
- Break problems or tasks into bite-sized chunks and tackle them one step at the time
- Set realistic targets and goals
- Expect to make mistakes and don’t give up when the going gets tough. It’s all experience, learn from it and use it to your advantage
- Talk more slowly and listen without interrupting
- Learn to be patient and lose your great sense of urgency
- Don’t say something will take two hours when it will take four, just to please someone. If it takes four, say so
- Learn to value your strengths and acknowledge areas that need support – both are part of you
- Don’t compare yourself to others; but if you feel there is a need – don’t be unfair on yourself
- Don’t expect others to change before you are prepared to change yourself
- If things are getting on top of you: say so. Express your emotions.
Struggling with stress | NHS Choices
Stress | Rethink
How to manage stress | MIND Can Stress Actually Kill You? | AsapSCIENCE | 29 Oct 2013 | 3m07s
- Accept that your anxiety is a reality
- Talk to a trusted friend who is a good listener and whose judgement you trust
- Talk to someone who has been through a similar experience through a self help group, for example
- Regular exercise, relaxation techniques and mediation can all help – not just when the crisis is on top of you, but by making it a part of your everyday life
- Keep a note of situations which cause anxiety, and look for patterns. Is your anxiety precipitated by events, circumstances, and/or people? Prioritise the level of stress they cause.
- Identify what helps to relieve and manage your stress
- Examine what measures you can take to reduce anxiety at work and at home. Here are a few suggestions:
- Decide on a range of relaxation techniques, eg: a massage, meditation, swimming, a walk.
- Re-schedule duties or tasks to reduce anxious situations blurring into each other
- Buffer anxious situations with ‘relaxation slots’, eg: a ten-minute break, a full lunch hour or a massage
- Re-allocate priorities, make a list and stick to it
- A realistic ‘hit list’ of things to do for the day/week, tackling tasks and problems one at time, allocating each of them an action plan and ticking them off as you achieve them
- Delegate more
- Be more assertive
- Be more realistic about deadlines and being more assertive when negotiating them
- Improve your most frequently used environments, eg: flowers, incense, a ticking clock, soothing music, a more comfortable chair
- Switch on the answerphone during breaks whether you’re doing the housework or between meetings
If symptoms of anxiety persist, or if you feel there is no noticeable improvement, it’s important to seek professional help. It’s certainly better to receive treatment early. Just talking through the issues with your GP may be enough. Alternatively therapy may be suggested to help you better understand and manage your anxiety. Admittedly it’s heavier stuff, but it’s about helping you to help yourself and not about carting you off to a hospital against your will! In some cases tranquillizers are prescribed as a short time measure to provide some ‘head space’ – however, they don’t deal with the root cause of your anxiety.Why do I feel anxious and panicky? | NHS Choices
Generalised anxiety disorder in adults | NHS Choices
Anxiety disorders | ReThink
Anxiety and panic attacks | MIND
How to overcome fear and anxiety | Mental Health Foundation
Exercise and diet
Regular exercise such as swimming, cycling, going to the gym or other non-competitive sport is essential in managing and reducing stress and anxiety effectively. Look at it as a modern day equivalent to the ‘fight or flight’ response: the body has primed you for activity – exercising will help you use this energy and reset your stress responses at a manageable level. A balanced and healthy diet will help you combat the effects of stress and anxiety. However, caffeine and nicotine mimic the body’s anxiety response and are best avoided when you’re under real pressure.
- Eat high-fibre whole foods
- Lower your intake of sugar, salt and saturated fats
- Eat little and often to prevent hypoglycaemia (low blood sugar levels) which also trigger the release of adrenalin and heighten the symptoms of stress
- If you smoke, try to stop. In the short term, smoking may seem to quell your stress, but in the longer term it will magnify the harmful effects of stress on your health
- Keep alcohol intake to within the safe maximum
Rest and relaxation
- Consider turning off your mobile phone once in a while, or switching on the answerphone
- Set some ‘you’ time aside at home at least twice a week. Cook yourself a favourite meal or experiment with a new recipe. Look forward to a particular TV programme or watch a movie. Settle down with a book. Write a chatty letter or send a few e-mails. Relax in a candlelit bath.
- Consider going to the cinema, theatre, exhibition, art gallery, market or local park. Doing at least one of these each week provides a varied programme of social activities.
- Go out for a meal or invite friends round for a simple meal and fun company
- Go for a walk to a part of town you’ve not been to before, perhaps visiting a landmark or tourist attraction
- If you have a computer, spend some time exploring the internet (having checked out the costs – you don’t want to get stressed over a massive phone bill)
- Make sure you give yourself a holiday at least once a year, and a weekend break at least twice a year. They don’t have to be expensive.
Definitions vary a little but, in a nutshell, body dysmorphia (BDD) is an anxiety disorder related to body image where a person spends a lot of time worrying about flaws in their appearance This results in compulsive behaviours, routines and steps to hide, fix, or change it.
A person will focus intensely on their appearance/ body image; eg: checking the mirror repeatedly, grooming or seeking reassurance, sometimes for hours a day. Their perceived flaw and repetitive behaviours cause distress, impacting on their ability to function in daily life, including work and friends.
A person may work out at the gym obsessively or seek cosmetic procedures to try to ‘correct’ or ‘fix’ what they believe is ‘wrong’. They may feel temporary satisfaction, or a reduction in distress, afterwards but often the anxiety returns and they may resume searching for new and other ways to fix their perceived flaw(s).
Body dysmorphia, muscle dysmorphia, and bigorexia
The terms ‘body dysmorphia’, muscle dysmorphia’ and ‘bigorexia’ are often interchanged but bigorexia is where people feel they have insufficient/ inadequate musculature so need to become bigger or more muscular, regardless of their actual size. Muscle dysmorphia is most common among bodybuilders. Body dysmorphia exists in both gay and straight worlds.
Body dysmorphia: it’s complicated
There is no disguising that aspects of the gay community hold absurdly high standards as to what stacks up as being attractive, and sexually attractive, or not. It’s also a currency used by the media which perpetuates unrealistic notions as to what men and gay men should look like. It’s changing but at a snail’s pace.
For many, shredded and ripped bods, with junk squeezed into itty bitty swimwear, are unattainable, and many gay men struggle to meet these standards. It can be even more distressing if the implication (or underlying message) is that you won’t find a man or been seen as attractive if you don’t look like this or that.
The reasons why body dysmorphia exists is complicated but, as a starting point, Al Jennings said astutely in his June 2020 article for The Gay UK:
“I’ve never really felt happy with the way I’ve looked. I know that being the size I am is putting me at a disadvantage within the gay community. As gay men, we are obsessed with the way we look, and how we present ourselves to the wider community. Most young gay men’s introduction to sex and relationships is from gay porn. All the models and stars of gay porn are toned, with a great six-pack, we see them going at it like rabbits – for young impressionable people, that is what they see as the norm, so they then feel like they have to have that. They have to have the perfect body, and the perfect sex lives.”
Why gay loneliness and body dysmorphia may be epidemics we may never find a cure for | The Gay UK | 26 Jun 2020Body dysmorphic disorder (BDD) | MIND
Body dysmorphic disorder (BDD) | NHS
Body Dysmorphic Disorder (BDD) | Psych Scene Hub
Body dysmorphic disorder | Wikipedia Body Image: How we think and feel about our bodies | PDF | Mental Health Foundation | 2019
Body dysmorphic disorder (BDD) and muscle dysmorphia particularly in males | PDF | BDD Foundation Hungry for words: creative approaches to start the conversation about eating disorders in men | University of Nottingham
About boys and men | First Steps
iObjectify: self- and other-objectification on Grindr, a geosocial networking application designed for men who have sex with men | Anderson, Joel R, Holland, Elise, Koc, Yasin and Haslam, Nick | University of Sussex | 2018
Eating disorders in males | National Centre for Eating Disorders
Men struggle with body image too | Lacuna Voices
Body image: a rapid evidence assessment of the literature | Government Equalities Office | 2013
No more Mr Muscle: the activists championing body confidence for men | The Guardian | 25 Oct 2020
Why gay loneliness and body dysmorphia may be epidemics we may never find a cure for | The Gay UK | 26 Jun 2020
What it’s like to have muscle dysmorphia during lockdown | GQ | 18 May 2020
Too many gay men still hate their bodies | VICE | 8 Dec 2017
Men, eating disorders, and why gender matters | Huff Post | 20 Aug 2017
So, men are obsessed with their bodies. Is that so bad? | The Guardian | 31 Jan 2012 Opening up about my body dysmorphia | Tristan Simpson | 19 Jul 2020 | 12m 51s
Body dysmorphia in the gay community | US | Underdogs Collective | 11 Mar 2020 | 2m 53s
From body dysmorphia to professional nude model | Perk | 5 Oct 2018 | 11m 20s
Gay men and body image | Matthew J. Dempsey | 30 May 2014 | 5m 34s How gay men compare and despair | Matthew J. Dempsey | 7 Aug 2013 | 4m 33s
Shame and vulnerability | Matthew J. Dempsey | 10 Sep 2013 | 5m 53s
Validation | Matthew J. Dempsey | 24 May 2012 | 5m 53s
5 ways to be a happy homo | Matthew J. Dempsey | 28 Feb 2018 | 6m 06s Muscle dysmorphia: when you’re never big enough | ABC Science | 19 Nov 2019 | 6m 36s
Bigorexia: never buff enough | BBC Newsbeat | 21 Sep 2015 | 12m 48s Back to top
Attention deficit hyperactivity disorder (ADHD)
Attention deficit hyperactivity disorder (ADHD) is a behavioural disorder that includes symptoms such as inattentiveness, hyperactivity and impulsiveness. Symptoms of ADHD tend to be noticed at an early age and may become more noticeable when a child’s circumstances change, such as when they start school.
The symptoms of ADHD usually improve with age, but many adults who were diagnosed with the condition at a young age continue to experience problems. People with ADHD may also have additional problems, such as sleep and anxiety disorders.Attention deficit hyperactivity disorder (ADHD) | NHS
Attention deficit hyperactivity disorder (ADHD) | Mental Health Foundation
Attention deficit hyperactivity disorder | Wikipedia
Attention deficit hyperactivity disorder in adults | Royal College of Psychiatrists
Works in partnership with individuals, families, doctors, teachers and other agencies to improving emotional well being, educational attainment, behaviour and life chances through better understanding and self-management of ADHD, ASD and related learning difficulties such as dyslexia, dyspraxia, Irlen’s Syndrome, dyscalculia and Tourette’s Syndrome.
Raises awareness of ADHD in adulthood, advancing the education of professionals and the public at a national and local level in the UK to ensure that all adults with ADHD regardless of age, gender, health, ethnicity, socio-economic status, and religion have fair and equitable access to health, social, employment, and other services as needed, and to promote and support research in the field of adult ADHD.
Focus on children and young adults. Provides information, training and support for parents, sufferers and professionals in the fields of ADHD and related learning and behavioural difficulties. Support a multi-disciplinary assessment and treatment protocol, including education and behavioural interventions, with or without medication.
In a nutshell, mindfulness is about paying more attention to the present, than the past or future.
Its beginnings in Buddhist meditation, mindfulness has become a bit of a thing with a ton of guides, smartphone apps offering guided meditations, and counsellors and therapists keen to introduce you to its ways.
Our brain spends much of the time trying to plan, anticipate, and solve future which can lead to anxiety, stress and panic; eg:
- an upcoming interview
- a first date
- moving home
- coming out
- money problems
The brain’s also pretty good at remembering the past. We play these things over and over in our mind which can lead to sadness, grief and depression; eg:
- a relationship that didn’t end well
- a painful coming out experience
- a diagnosis
- losing someone close to you
- being bullied
Fixating on the past and/ or the future can add more crap to the real pressures of everyday life and our brains can often do both … all the time … and it can be exhausting!
Mindfulness interrupts this sort of thinking, allowing you to tune into what’s going on now (in the present moment) and not rehash the past, imagine things which haven’t happened yet, and/ or be overwhelmed by what’s going on around us.
It also involves thinking about your thoughts and feelings without judging them—without believing that there’s a “right” or “wrong” way to think or feel in a given moment.What is mindfulness? | Mind
Mindfulness | NHS
What is mindfulness and how can mindfulness help me? | Mental Health Foundation
Mindfulness | Wikipedia All it takes is 10 mindful minutes | Andy Puddicombe | TED | 11 Jan 2013 | 9m 24s Mindfulness | BBC Radio 4 Should I try mindfulness? | BBC 2
The madness of mindfulness | FT Magazine | 3 Feb 2017
Forget mindfulness, stop trying to find yourself and start faking it | The Guardian | 9 Apr 2016
Mindfulness: does it really live up to the hype? | The Telegraph | 19 Oct 2014 The Scientific Power of Meditation | AsapSCIENCE | 18 Jan 2015 | 2m 59s Back to top
Books on mental health and wellbeing
There is an ever-growing library of books and other literature about coming out, being gay and/ or being on the LGBTQIA+ spectrum. We can barely scratch the surface here but we have listed a selection of coming out support under YOU:LGBT books and literature | MEN R US
In terms of mental health, we suggest the article “The Epidemic of Gay Loneliness” by Michael Hobbes if you want to dip your toe in the water. For deeper dives, there’s “Straight Jacket” by Matthew Todd and “The Velvet Rage” by Alan Downs, while Matthew’s “Pride: The Story of the LGBTQ Equality Movement” provides context: a rich account of the fight for LGBTQ equality, the gradual acceptance of the LGBTQ community in politics, sport, culture and the media and the ongoing challenges facing the community, and a testament to the equal rights that have been won for many as a result of the passion and determination of this mass movement.
Straight Jacket | Matthew Todd
“Written by Matthew Todd, editor of Attitude, the UK’s best-selling gay magazine, Straight Jacket is a revolutionary clarion call for gay men, the wider LGBT community, their friends and family. Part memoir, part ground-breaking polemic, it looks beneath the shiny facade of contemporary gay culture and asks if gay people are as happy as they could be – and if not, why not?
In an attempt to find the answers to this and many other difficult questions, Matthew Todd explores why statistics show a disproportionate number of gay people suffer from mental health problems, including anxiety, depression, addiction, suicidal thoughts and behaviour, and why significant numbers experience difficulty in sustaining meaningful relationships. Bracingly honest, and drawing on his own experience, he breaks the silence surrounding a number of painful issues, explaining:
- how growing up in the closet can overwhelm the gay child with a deep sense of shame that can leave young people with perilously low self-worth and a powerfully negative body image
- how many gay men overcompensate for childhood shame by pursuing unobtainable perfection, aspiring to have perfect bodies, boyfriends and lives
- how gay culture, so often centred around alcohol, drugs, quick sex and even quicker wit, exacerbates the problem, and what we can all do to make things better
Meticulously researched, courageous and life-affirming, Straight Jacket offers invaluable practical advice on how to overcome a range of difficult issues. It also recognizes that this is a watershed moment, a piercing wake-up-call-to-arms for the gay and wider community to acknowledge the importance of supporting all young people – and helping older people to transform their experience and finally get the lives they really want.” Penguin BooksStraight Jacket | Matthew Todd | Bantum Press | Jun 2016
The Epidemic of Gay Loneliness | Michael Hobbes
“Marriage equality and the changes in legal status were an improvement for some gay men,” says Christopher Stults, a researcher at New York University who studies the differences in mental health between gay and straight men. “But for a lot of other people, it was a letdown. Like, we have this legal status, and yet there’s still something unfulfilled.”
This feeling of emptiness, it turns out, is not just an American phenomenon. In the Netherlands, where gay marriage has been legal since 2001, gay men remain three times more likely to suffer from a mood disorder than straight men, and 10 times more likely to engage in “suicidal self-harm.” In Sweden, which has had civil unions since 1995 and full marriage since 2009, men married to men have triple the suicide rate of men married to women.
All of these unbearable statistics lead to the same conclusion: It is still dangerously alienating to go through life as a man attracted to other men. The good news, though, is that epidemiologists and social scientists are closer than ever to understanding all the reasons why.The Epidemic of Gay Loneliness | Michael Hobbes | The Huffington Post | 2 Mar 2017
The Velvet Rage | Alan Downs
Today’s gay man enjoys unprecedented, hard-won social acceptance. Despite this victory, however, serious problems still exist. Substance abuse, depression, suicide, and sex addiction among gay men are at an all-time high, causing many to ask, “Are we really better off?” Drawing on contemporary research, psychologist Alan Downs’s own struggle with shame and anger, and stories from his patients,
The Velvet Rage passionately describes the stages of a gay man’s journey out of shame and offers practical and inspired strategies to stop the cycle of avoidance and self-defeating behaviour. Updated to reflect the effects of the many recent social, cultural, and political changes, The Velvet Rage is an empowering book that has already changed the public discourse on gay culture and helped shape the identity of an entire generation of gay men. Da Capo PressThe Velvet Rage | Alan Downs | Da Capo Press | 2012
Pride: The Story of the LGBTQ Equality Movement | Matthew Todd
“In June 1969, police raided New York gay bar the Stonewall Inn. Pride charts the events of that night, the days and nights of rioting that followed, the ensuing organization of local members of the community – and the 50 years since in which activists and ordinary people have dedicated their lives to reversing the global position.
Pride documents the milestones in the fight for LGBTQ equality, from the victories of early activists to the passing of legislation barring discrimination, and the gradual acceptance of the LGBTQ community in politics, sport, culture and the media. Rare images and documents cover the seminal moments, events and breakthroughs of the movement, while personal testimonies share the voices of key figures on a broad range of topics. Pride is a unique celebration of LGBTQ culture, an account of the ongoing challenges facing the community, and a testament to the equal rights that have been won for many as a result of the passion and determination of this mass movement. A fully updated edition of Matthew Todd’s essential 2019 book, Pride is a celebration and a clarion call.”Pride: The Story of the LGBTQ Equality Movement | Matthew Todd | Welbeck Publishing Group | 2019/ 21 Back to top
LGBT+ mental health news articles and reports
News articlesLGBT+ young people disproportionately experience depression, anxiety and panic attacks | ITV News | 25 Apr 2021
Will Young on prep school, PTSD and psychotherapy: ‘Shame doesn’t help anything’ | The Guardian | 26 Apr 2021 Lockdown, quarantine and self-isolation: how different COVID restrictions affect our mental health | The Conversation | 20 Jan 2021
How to help someone you live with who has depression | The Conversation | 3 Jul 2020
Mental Health Awareness: Keeping your screen time healthy | BBC News | 20 May 2020
Coping with anxiety, trauma and dissociation during lockdown | Metro Charity | 18 May 2020 The gay community’s obsession with status and looks has huge mental health costs | Them | US | 7 Apr 2020 Pressure to keep up: status imbalance a major factor in stress in gay men | The Guardian | 29 Feb 2020
When Tugay realised he was gay, he tried to erase his sexuality with an extreme form of his religion | BBC 3 | 1 May 2019
Mental health care responses are failing LGBT people – some ideas… | Mental Health Today | 23 Aug 2018
‘I can’t be myself’: elderly LGBT people face isolation and stigma in care homes and hospitals | Huff Post | 21 Jul 2018
Why young LGBT people need alcohol-free safe spaces | BBC News | 28 Jun 2018
Why London’s LGBT communities need their own base more than ever | The Guardian | 21 Jun 2018
We need to talk about how Grindr is affecting gay men’s mental health | Vox | 4 Apr 2018
Adverts for LGBT mental health service ‘crass and exploitative’ | Pink News | 16 Feb 2018
Time to talk 2018: What it’s like to deal with mental health issues when you’re LGBT, and how to find the help you need | Pink News | 1 Feb 2018
How to cope when you’re gay and lonely | GQ | 10 Jan 2018
World Health Organisation definition of mental health
According to the World Health Organisation (WHO), mental health is “a state of well-being in which the individual realizes his or her own abilities can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community”. WHO stresses that mental health “is not just the absence of mental disorder”.LGBT people are prone to mental illness | The Guardian | 12 May 2017
London Assembly Health Committee LGBT+ Mental Health, 2017
- Up to one in ten Londoners (over 800,000 people) identifies as lesbian, gay, bisexual, transgender and/or other definitions of sexual orientation or gender identity
- Around 40 per cent of LGBT+ people experience a mental health issue, compared to 25 per cent of the wider population
- LGBT+ people are often overlooked when health commissioning decisions are made because of a lack of data and poor consultation.
Generic mental health services are not meeting the current needs of LGBT+ people
- Without specialist support LGBT+ people will continue to experience mental health inequality, stigma and discrimination
Stonewall’s Gay and Bisexual Men’s Health Survey, 2013
Stonewall’s Gay and Bisexual Men’s Health Survey 2013 asked respondents a set of questions widely used by health professionals that help determine whether someone is experiencing depression or anxiety at that time and found that:
- One in seven (13%) gay and bisexual men are currently experiencing moderate to severe levels of mixed depression and anxiety compared to 7% of men in general.
- A further 9% of gay and bisexual men are experiencing moderate to severe levels of depression with mild or no anxiety compared to 2% of men in general.
- Thus overall, 22% of gay and bisexual men are experiencing moderate to severe levels of depression.
- Bisexual men are more likely to experience moderate to severe levels of depression (26%).
- 4% of gay and bisexual men are experiencing moderate to severe anxiety with mild or no depression.
- In the last year, 3% of gay men have attempted to take their own life.This increases to 5% for bisexual men and to 5% for black and minority ethnic gay and bisexual men. In the same period, 0.4% of all men attempted to take their own life.
- One in ten (10%) gay and bisexual men aged 16 to 19 have attempted to take their own life in the last year. One in sixteen (6%) gay and bisexual men aged 16 to 24 have attempted to take their own life in the last year. In the same period, 0.7% of all men aged 16 to 24 have attempted to take their own life.
- In the last year, 27% of gay men thought about taking their own life even if they would not do it. This increases to 38% for bisexual men and 35% for black and minority ethnic gay and bisexual men. Just 4% of men in general thought about taking their own life in the last year.
- Half (50%) of gay and bisexual men said they have felt life was not worth living compared to 17% of men in general. Almost half (46%) of gay and bisexual men who have felt this way did so in the last year.
With 6,861 respondents from across Britain, this is the largest survey ever conducted of gay and bisexual men’s health needs in the world. However, it demonstrates that many of those needs are not being met and that there are areas of significant concern – most particularly in mental health and drug use – that have been overlooked by health services which too often focus solely on gay men’s sexual health.Gay and Bisexual Men’s Health Survey 2013 | Stonewall
Mental Health Briefing | Stonewall Through the Rainbow Lens | Kings College London | 11 Apr 2017 | 32m 53
In the summer of 2016 members of the LGBT+ community at King’s College London came together with researchers, service providers, film makers, and diversity and inclusion specialists, with the aims of exploring mental health issues affecting the LGBT+ community. This film is the result. Back to top
Relaxation short films (experimental)
“Life”, “Flow”, “Circle” and Explore” are experimental short films, made by MEN R US volunteers. As we are keen on saying when it comes to making films “Not everything has to go somewhere, not everything has to have a big message. We’re just a bunch of queer, poz, and gay men who write, make films, tell stories, and do stuff.”
You can find more of what we do at Three Flying Piglets one of our other projects at the Gay Men’s Health Collective. Enjoy!
LIFE | 2022 | 10m 0s
Experimental relaxation short.
FLOW | 2022 | 6m 45s
Experimental relaxation short.
CIRCLE | 2022 | 4m 22s
Experimental relaxation short.
EXPLORE | 2022 | 4m 42s
Experimental relaxation short.
Complementary and alternative and therapies can help to overcome stress and encourage relaxation. These include massage, acupuncture, herbal medicine, homoeopathy, yoga, reflexology, aromatherapy. Alternative therapies (eg: herbal medicine and homoeopathy) work in place of conventional diagnosis and treatment from your GP, whereas a complementary therapy (eg: reflexology and tai chi hu’an) works alongside this.
Alternative and complementary therapies have grown immensely in recent decades both in popularity and use. Complementary therapies aim to treat the individual as a whole person (holistically) to mobilise the body’s own defences. Many therapies use the idea of a ‘lifeforce’ and that health and contentment depend on achieving a harmonious balance of our physical, mental, emotional and spiritual natures.
Points to consider
- Personal recommendation or word of mouth is a good way to find a practitioner
- Check the practitioner is a member of the appropriate regulatory body or a professional association where no regulation exists
- Therapists should be willing to provide a scale of fees
- Therapists are unlikely to begin treatment without first building up a picture of you as an individual. Amongst other things, you are likely to be asked about your health, lifestyle and existing medications.
- Therapists should be able to let you know how long it will be before you will see an improvement to your condition or problem
- Session lengths will vary so give yourself plenty of time
- Medicines will often originate from a natural plant, herb, oil or mineral, many of which will be available from pharmacies and health stores
- Orthodox (traditional) drugs and complementary therapies can interact or interfere with each other. Make sure you keep your doctor and complementary therapy practitioner informed.
- If you have any questions, eg: you’re uncertain which remedy to take, talk to a qualified practitioner
- If you have an adverse reaction to your treatment, stop taking it immediately and seek advice
- If in doubt: don’t
All about complementary and alternative medicine | NHS
Difference between complementary and alternative therapies | Cancer Research UK
Complementary and alternative therapy | MIND The Aromatherapy Council | The Aromatherapy Council
British Acupuncture Council | British Acupuncture Council
British Chiropractic Association | British Chiropractic Association
British Holistic Medical Association | British Holistic Medical Association
British Homeopathic Association | http://www.britishhomeopathic.org
British Reflexology Association | British Reflexology Association
British Wheel of Yoga | British Wheel of Yoga
Complementary and Natural Healthcare Council | Complementary and Natural Healthcare Council
Federation of Holistic Therapies | Federation of Holistic Therapies
General Osteopathic Council | General Osteopathic Council
Society of Teachers of the Alexander Technique | Society of Teachers of the Alexander Technique
The Shiatsu Society | The Shiatsu Society Traditional medicines must be integrated into health care for culturally diverse groups | The Conversation | 30 May 2019 Back to top
Acupuncture revitalises the body by rebalancing the body’s flow of energy by stimulating the body’s ‘acupoints’ with fine needles. Factors believed to disturb the flow include a poor diet, hereditary factors, infections, injuries, stress, emotional upset and the weather.
Health problems that can respond well to acupuncture include painful arthritis, headaches, migraines, and neuralgia. Acupuncture can also help healing after fractures and sports injuries and can alleviate depression and anxiety, drug addiction, allergies, sinusitis and conditions aggravated by stress. It can also assist people who feel run-down but do not have any apparent physical illness or disease.
Working on the same principle as acupuncture, acupressure provides an alternative for people who don’t like needles. The other advantage of acupressure is that you can learn to use it on yourself to treat minor ailments such as tiredness, constipation, headaches and colds. However, it is less precise than acupuncture and therefore results are usually slower.Acupuncture | Wikipedia
Acupuncture | NHS Acupuncture | Cancer Research UK
Acupuncture | BUPA Acupuncture | British Medical Acupuncture Society
Acupuncture | The Acupuncture Society Does acupuncture even work? | Seeker | 25 Aug 2016 | 3m 59s Back to top
The use of essential oils started as long ago as 2000 BC, but it wasn’t until the 1920s that the scientific study of their therapeutic properties and the term ‘aromatherapy’ came into being.
Aromatherapy works primarily through the sense of smell that’s closely linked with mood, memory and emotions. It is recognised for its ability to lift the spirits and relieve stress and can also be used to ease pain and tension caused by tight and overworked muscles. In addition to the therapeutic effect of the fragrance, some essential oils are also believed to have healing properties.Aromatherapy | Wikipedia
Aromatherapy | Cancer Research UK
Aromatherapy | BUPA Back to top
Healing with herbs is one of the oldest therapies in the world and aims to restore the body to a state in which it is better able to heal itself. Herbal medicine can promote health by correcting imbalances within the body and encouraging your body to work as efficiently as possible. Treatments are likely to include recommendations about changing diet and lifestyle and reducing the amount of stress in your life.Herbalism | Wikipedia
Herbal medicines | NHS
Herbal medicine | Cancer Research UK Back to top
The principle of homeopathy is that ‘like cures like’ and that if a substance triggers symptoms similar to those from which a patient is suffering, then a small dose of that same substance will encourage the patient’s body to fight the illness or disease.
Homeopathic remedies are derived from plants, minerals, metals, insects and recognised poisons, many of which have been used medicinally for generations. Homeopathy is believed to be suitable for many health complaints including depression and chronic conditions such as arthritis and post-viral fatigue syndrome.Homeopathy | Wikipedia
Homeopathy | NHS
Homeopathy | British Homeopathic Association Homeopathy explained: gentle Healing or reckless fraud? | Kurzgesagt: In a Nutshell | 22 Feb 2018 | 8m 31s
What is homeopathy and is it real science? | Seeker | 18 Jul 2015 | 3m 48s There is no scientific case for homeopathy | The Guardian 12 Mar 2015 Back to top
The aim of meditation is to revitalise the mind by resting it from continuously processing information and responding to the world around us. Meditation can improve your well-being, encourage more positive thoughts and feelings, lift self-esteem and help you to develop a more tolerant and stable attitude towards life.
Research shows that people with stress-related conditions can derive great benefits from practising meditation. There are many ways to meditate; most involve sitting comfortably in a peaceful place and breathing rhythmically while focusing on a single thought or object. There are many groups where you can learn these skills; some are associated with religion others are secular.Meditation | Wkipedia
Meditation | Cancer Research UK
Keep calm and meditate | BUPA The Scientific Power of Meditation | AsapSCIENCE | 18 Jan 2015 | 2m 59s Back to top
Massage is probably the best known alternative therapy, possibly evolving out of our instinctive response to soothe aches and pains by rubbing the affected area. Massage is highly enjoyable and it can be very helpful in dealing with the physical and mental stress that life imposes on you.
Massage can relax and tone the muscles, improve the flow of blood through the body, and encourage the removal of waste products and toxins. It can also reduce stress and increase your body awareness so that you begin to notice areas where you store tension.Massage | Wikipedia
Massage therapy | Cancer Research UK Back to top
Osteopathy is recognised by many conventional doctors and is one of the more accepted complementary therapies. Osteopaths work on the muscles, joints and bones using massage and manipulation to improve the health of the whole body.
By using manipulation to balance the tensions in the body structure and improving the functioning of the framework, it is thought to boost the health of the whole body. Conditions such as back disorders, slipped discs, neck pain and chronic muscular tension can benefit.Osteopathy | Wikipedia
Osteopathy | NHS
General Osteopathic Council | General Osteopathic Council
Institute of Osteopathy | Institute of Osteopathy Back to top
Reflexology works on the theory that health depends on the flow of energy within the body that begins and ends in the hands and feet. Medical conditions upset this flow. Reflexologists interpret the health and condition of the body and – by massaging certain reflex points – believe that it is possible to improve the health of body organs.
Stress is thought to respond well to reflexology, which may be helpful in relieving tension, improving circulation, ridding the body of wastes, and re-balancing the body.Reflexology | Wikipedia
Reflexology | Cancer Research UK
Reflexology | British Reflexology Association What is Reflexology? | Association of Reflexologists | 29 Oct 2013 | 2m 30s Back to top
Shiatsu literally means ‘finger pressure’ although therapists also use the palms and heels of their hands, their elbows and knees. Although Shiatsu cannot cure diseases, the symptoms of stress and stress-related conditions seem to respond to this therapy.
People with asthma, muscular aches and pains, tension headaches, migraine, depression, insomnia and digestive problems can benefit. Shiatsu is believed to help in tuning a person’s general health and keeping the immune system at its best, making it a largely preventive therapy.Shiatsu | Wikipedia
Shiatsu | Cancer Research UK
Shiatsu | The Shiatsu Society (UK) Back to top
Tai chi (as it’s usually referred to in the West) is an ancient Chinese exercise system. It involves sequences of slow, individual movements, each with a symbolic meaning and name, which seek the natural harmony that surrounds and is in each person.
As well as helping you to remain physically strong and supple, it can also centre the mind, putting it in touch with the body and encouraging a state of calm. Ideally you should learn from a teacher, but it is important to practise regularly, setting aside a specific time and place, preferably outside.Tai chi | Wikipedia
A guide to tai chi | NHS
Tai chi health benefits? What the research says | The Conversation | 14 Feb 2020Tai Chi for Beginners: Lesson 1 Basic Training | 21 Aug 2018 | 8m 42s Back to top
Combining physical postures, breath control and relaxation, yoga provides a comprehensive workout for the mind and body. While some practise yoga as a way of working towards the ultimate goal of spiritual realisation, it is perfectly possible to do it simply as a means for relieving stress or improving overall health, with no special knowledge of the philosophy that lies behind it.
The enormous advantage of yoga is that it can be safely undertaken by almost anyone, even those who are unfit or overweight. Yoga postures move all the major joints through a full range of motion, reducing stiffness and stretching and toning almost every muscle and tendon in the body. In the first instance, it is much better to go to a yoga class run by a properly qualified teacher than to attempt to learn yoga out of books.Yoga | Wikipedia
A guide to yoga | NHS
Yoga | British Wheel of Yoga Gay men’s yoga groups in London | Get Out and Active | MEN R US
Yoga isn’t timeless: it’s changing to meet contemporary needs | The Conversation | 19 Jun 2019
How you can manage coronavirus anxiety with yoga | the minded institute Yoga for complete beginners | Breathe and Flow | 28 Dec 2019 | 22m Back to top
Death and dying, bereavement and grief
Death and dying
Perhaps it’s not surprising that MEN R US volunteers have talked about including a section on death and dying for years but never got round to it. Classic avoidance. Though we feel out of our depth, the COVID-19 pandemic has spurred us into action.
MEN R US has volunteers across the age spectrum. Those in their 60s remember the immeasurable loss of friends, boyfriends, partners during the HIV and AIDS epidemic while – at the other end of the spectrum – volunteers in their 20s whose closest experience death has been their 90-year old Nan dying, or something they’ve seen on TV. We are not trying to draw comparisons, but our lived experiences are very different and writing this section has been as difficult as it has been challenging.
What is death?
From a biological standpoint:
- “The cessation of all biological functions that sustain a living organism.”
- “The total and permanent cessation of all the vital functions of an organism.”
- “The act of passing away, the end of life, or the permanent destruction of something.”
- “Irreversible cessation of all integrated functioning of the human organism as a whole, mental or physical.”
More importantly, though, death may mean something different for you if you have a belief, or are a person of faith, or have a religion.Faith and religion | MEN R US
Death is a certain
Despite its certainty, death is one of the least discussed parts of our lives. Furthermore, we’ll take an educated guess that many of us would struggle to know how to start a conversation about death and dying. Why is this?
- Traditionally, Western culture keeps death at a nice, safe distance
- Out of sight out of mind, it’s something best left to hospitals and funeral directors
- We live in a culture of avoidance where we are conditioned to live (busy busy busy) not die
- It’s unsettling to talk about mortality, a fear of the unknown, so best not to tempt fate
- Death can prompt us to reflect on what we haven’t done or accomplished in life
- We can be embarrassed by asking friends and/ or family to handle matters after our death
- The lack of (advance) planning can split families when making difficult decisions, especially if they are not accepting of homosexuality
The awkwardness, embarrassment and fear that death generates means we tend to avoid these essential conversations when we are well and healthy but also those people in our lives who are ageing, ill, dying or grieving.
Not talking about this stuff denies them (and us) the support and comfort needed when they need it most. It also undermines our capacity as friends, mates, boyfriends and partners to relate to those around us, shutting down our more compassionate and empathetic selves. It can also stir up and intensify feelings of isolation, regret and guilt for all concerned. Bottom line: this doesn’t make us good friends.
Death do not always the result from natural causes. There is suicide, accidents, and murder to consider, which can place an intolerable weight on those left behind.
More recently, the trail of devastation chemsex can leave in its wake; and suicide among LGBT+ people which are disproportionately higher when compared to our heterosexual counterparts.
This is adult stuff and, ideally, we should be kind, available, and talk openly about death, particularly with those who need us. We do ourselves, and those who matter most in our lives, no favours by keeping death do distant for so much of lives, or until illness or tragedy strikes.
Death and dying and being LGBT+
You would think this was enough but death also throws up additional issues if you are LGBT+
- You may experience discrimination: making legal arrangements, planning a funeral, or going head-to-head with family
- Complexities and tension if you or your partner are a person of faith or religion
- There can be assumptions about you or your partner’s identity
- Support can be variable, with little support during grief and bereavement
- There is often an emotional toll on boyfriends, partners, husbands and carers left behind
We have been pleased, if a little surprised, to find a number of LGBT+ publications that specifically deal with treatment and care, dying and death, and planning:Your treatment and care: planning ahead for the LGBT community | Opening Doors London
Hiding who I am: the reality of the end of life care for LGBT people | Marie Curie
Fears about death and bereavement | NHS Education for Scotland
Queer funeral guide | The Good Grief Trust | Jun 2019
Lesbian, gay, bisexual or transgender people | Care Quality Commission
National End of Life Care Programme | June 2012
ArticlesPoor communication, discrimination and lack of training: why LGBT people may face inequalities in palliative care | The Conversation | 21 May 2021
The AIDS epidemic’s lasting impact on gay men | The British Academy | 19 Feb 2018
We need to talk about death | Psychology Today | 9 Mar 2017
Era of the death sentence: our AIDS legacy | HuffPost | 6 Jan 2017
‘Archives of Feeling’: the AIDS Crisis in Britain 1987 | Matt Cook | History Workshop Journal | Vol. 83, Issue 1 | 2017
Body or soul: why we don’t talk about death and dying | The Conversation | 24 Nov 2011
“In my experience teenagers read about death and violence because they are fascinated by death and violence and as a society, we shy away from talking about it. When we talk about death – we talk it about it in a historical sense. We discuss the second world war and the tragic waste of human life, or we teach about the death beliefs of the Egyptians, but we don’t tell them what it was like when their grandfather passed away in a hospice, or what it was like when the boy from our class at school was killed by a truck while motorcycle riding. We don’t tell them what we think might happen after we die, we don’t tell them how we feel about it. We treat death like a terrible contagion. Almost as though we are risking the lives of our young if we talk about it – and I mean really talk about it – with them. It’s one of the few things that every single one of us face, and we often ignore it.”Young people are dying to talk about death | Lynnette Lounsbury | The Guardian | 8 Jun 2014
The five stages of grief
“Denial. Anger. Bargaining. Depression. Acceptance. Everyone knows the theory that when we grieve we go through a number of stages – it turns up everywhere from palliative care units to boardrooms. A viral article told us we’d experience them during the coronavirus pandemic. But do we all grieve in the same way?”
Elisabeth Kübler-Ross: The rise and fall of the five stages of grief | BBC | 3 Jul 2020
Giraffe demonstrates stages of grief | Dr Red Shoe | 11 Jan 2014 | 1m 42s
MoreDeath and the LGBT Community: when culture is not defined by country | Death Cafe
Talking about death and dying | Dying Matters
The art of dying well | The Art of Dying Well
Bury your gays | TV Tropes
This trope is the presentation of deaths of LGBT characters where these characters are nominally able to be viewed as more expendable than their heteronormative counterparts. In aggregate, queer characters are more likely to die than straight characters. Indeed, it may be because they seem to have less purpose compared to straight characters, or that the supposed natural conclusion of their story is an early death. What happens when you die? | AsapSCIENCE | 2 Mar 2016 | 3m 11s Back to top
Bereavement and grief
Bereavement is the loss of someone close to you while grief is the response to bereavement. The loss may be a boyfriend, partner, husband, pet, or family member. However, mourning the loss of an LGBT+ partner can carry additional burdens:
- if there is little family or community support
- if family and friends have not approved or been supportive of the relationship
- if the relationship is secret
However, there are other types of loss such as the end of a job, a home, or a relationship. Some of the most common responses include1:
- Feeling overwhelmed, sadness and/ or depression
- Shock, numbness, denial and/ or disbelief
- Panic and/ or confusion
- Anger, guilt and/ or hostility
- Tearfulness and/ or crying
- Tiredness and/ or exhaustion
- Loss of appetite
- Mixed feelings and/ or relief
These feelings may not be there all the time and/ or may come on or disappear unexpectedly. There’s no right or wrong way to feel and grieving is a process (a journey) not a task to tick off. For some, grief may last for several years, for others, it may last for the rest of their life.
Bereavement and griefBereavement and grief | MIND
Coronavirus, bereavement and grief | Cruse
About grief | Cruse
Grief after bereavement or loss | NHS
Grief | Wikipedia
Support around death | NHS Scotland
Helpful contacts | Beravement Advice Centre
Helplines0300 330 0630 | Switchboard+
0808 808 1677 | Cruse
116 123 | Samaritans Helplines | MEN R US
MoreMental health matters | MEN R US
Faith and religion | MEN R US
HIV and AIDS History | MEN R US
FilmsThe Phases of Grief: Understanding Bereavement | The Loss Foundation UK | 21 Jul 2017 | 4m 37s
How to Deal With Loss or Grief of Love Ones | psych2go | 20 Dec 2019 | 5m 11s
1 Adapted from NHS and MINDBack to top
Greater London Services Map
Greater London Services Map
- Accident and Emergency Departments (A&E)
Not all London boroughs have an A&E but this has more to do with how they have evolved and been planned over time.
- Drugs and Alcohol, and Chemsex Services
These are commissioned (provided) by local authorities so you will have to access these services* located in your borough.
- Sexual Health Services and Clinics
Even though there is a drive to use self-test kits, we’ve mapped 30 clinics across Greater London.
- Metropolitan Police Service Stations (Walk-In)
The Metropolitan Police Service website doesn’t provide a list of walk-in stations, so we have.
- Metropolitan Police Service Custody Suites
If you arrested in one Borough, your custody suite may be located in another. We list them because the Metropolitan Police Service doesn’t.
* 56 Dean Street and Antidote that provide chemsex support are London-wide.
Accident and Emergency Services (A&E) listed by London Borough
Not all Boroughs have A&E Departments because this is not how they have been planned and/ or evolved.
020 3456 7890 (Switchboard) King’s College Hospital | Denmark Hill, London SE5 9RS | Map
020 3299 9000 (Switchboard) Back to top
First published in Spring 2020
Initially putting our COVID-19 information under this chapter in April, much of the content was integrated into the rest of the website by June. However, we continue to update information, with a focus on mental health, well-being, and support. It’s now Winter 2020 but this is what we said in April:
“Just about everybody who can has weighed in on COVID-19 so we see little point adding more of the same. Instead, we have scoured the Internet, penned a few words, to bring you our take.
It’s struggle enough getting through COVID-19 and lockdown without feeling pressured to be a better version of yourself by the end of it. That’s not to say you shouldn’t or can’t but the life-coaches and lockdown-motivators are everywhere – beating their drums – and it can be overwhelming.
Getting through this is tough but it’s not a contest. You don’t have to learn 5 languages, reinvent yourself or build a functioning gym in the cat’s litter tray. Some of us live in a room, don’t have gardens or have a Youtube channel to share every waking breath of home quarantine. Keep it real, set the bar low, and have a wank.”
Not everybody needs help and support
Not everybody needs help and support but if you do we hope there’s something here for you.Your mental health | MEN R US
Keeping a routine | MEN R US
Sex and drugs | MEN R US
HIV and COVID-19 | MEN R US
HIV and COVID-19 connections | MEN R US Helplines | MEN R US
Organisations | MEN R US
Searching for services | MEN R US
A smörgåsbord of stuff to do | MEN R US
Letting out our inner geek | MEN R US COVID-19 basics | MEN R US
Social distancing and washing hands | MEN R US
Easing the UK COVID-19 lockdown | MEN R US
Information and advice | MEN R US
Trackers and statistics | MEN R US
Symptom study app | MEN R US The bit at the bottom | MEN R US Contact us if you can’t find a service and we will signpost you the best we can. Covid: UK’s early response worst public health failure ever, MPs say | BBC News | 13 Oct 2021
MEN R US Volunteer’s Video Choice Award Check out Emerson’s awesome Jock Strap Mask tutorial which kinda sums up how we’re feeling at the moment.
COVID-19 lockdowns, tiers and guidance
At MEN R US, we’re finding it an ongoing battle keeping up with COVID-19. Lockdowns, tiers and social distancing guidance continue to be muddled with politicians and public health officials seemingly at odds, more often than not. So, we continue to social distance when/ wherever we are, wear masks when out and about, and work from home. Not everybody can and we are fortunate we can do this.
As we creep into 2021, this is what matters to us (something we wrote in April 2020)
- the COVID-19 reproduction or ‘R’ number
- the take-up of COVID-19 tracker apps
- the COVID-19 testing programme (for all)
- the development and distribution of an effective vaccine
- the supply and distribution of functioning Personal Protective Equipment (PPE)
- the health, well-being and welfare of NHS staff
- the government to get a grip
and as we move into Spring
- the COVID-19 infection rates
- the prevalence of new Coronavirus variants
- tte ‘R’ rate number
- the number of people in hospital
- the impact/ success of the vaccination programme
- the number of deaths
As for the rest: we need a lie-down!*Coronavirus R0: What is the R number and why does it matter? | BBC News | 2 May | 1m 37s
Lockdown mental fatigue rapidly reversed by social contact, study finds | 6 Apr 2021
When Will Lockdown End? It Depends On These 6 Things | HuffPost | 17 Feb 2021
Pandemics throughout history: what can we learn? | The Boar | University of Warwick | 17 Jun 2020
Is the K number the new R number? What you need to know | The Conversation | 16 Jun 2020 Back to top
Your mental health and COVID-19
Stating the obvious here, Coronavirus (COVID-19) has changed our lives for the foreseeable future.
This will affect everybody in different ways whether you’re feeling stressed, anxious, horny, bored, sad, lonely, or frustrated … or maybe something else.
It’s important to remember it’s OK to feel the way you do. The situation is temporary, and for most of us, these difficult feelings will pass.
There are things you can do to take care of your mental health and well-being during these uncertain times.
We have pulled together resources from across the Internet which we hope will be both helpful, and enjoyable!
For starters, the NHS ‘One You’ pages have 10 tips to help if you are worried about coronavirus, part of a wide range of support information:
- Stay connected with people
- Talk about your worries
- Support and help others
- Feel prepared
- Look after your body
- Stick to the facts
- Stay on top of difficult feelings
- Do things you enjoy
- Focus on the present
- Look after your sleep
Helplines and support organisations, including a focus on COVID-19
You should also find our helplines and mental health matters sections helpful.
Mental health matters | MEN R US
Mental health and wellbeing in the time of COVID
Top tips, to help you feel supported, comforted and less alone during this uncertain time.
Coronavirus (Covid-19) updates and resources | Albert Kennedy Trust (AKT)
Wellbeing hub | LGBT Foundation
The A-Z of lockdown life | LGBT Hero
Mental health and counselling | London Friend
9 strategies for quarantining in a non-LGBTQ+ affirming environment | US | Them
Coronavirus and your wellbeing | MIND
Looking after your mental health | Quiz and plans | NHS
How to stay healthy and entertained at home | Cooperative (Group)
Guidance for the public on the mental health and wellbeing aspects of coronavirus (COVID-19) | GOV.UK
Mental health and psychosocial considerations during the COVID-19 outbreak | World Health Organisation (WHO)
Six evidenced-based ways to look after your mental health during a second lockdown | The Conversation | 2 Nov 2020
Nurturing our relationships during the coronavirus pandemic | Mental Health Foundation | 9 Jul 2020
COVID-19: guidance for the public on mental health and wellbeing | Public Health England | 31 March 2020
Three ways people are reacting to coronavirus: ‘accepting’, ‘suffering’ and ‘resisting’ | The Conversation | 29 Apr 2020
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An April briefing from the LGBT Foundation focuses on the impact of COVID-19 on lesbian, gay, bisexual and trans (LGBT) communities and contains information for front-line staff to support the wider healthcare outcomes of LGBT patients during a period of strain across the NHS. This includes not only highlighting the experiences of LGBT communities, but information to guide professionals, and to equip staff to signpost patients to additional support during a time when NHS resources are under stress.Why LGBT people are disproportionately impacted by COVID | LGBT Foundation | April 2020
COVID-19 trackers and statistics2019–20 coronavirus pandemic by country and territory | Wikipedia Back to top
COVID-19 Symptom Study App
Millions of participants have downloaded the app and are using it to regularly report on their health, making it the largest public science project of its kind anywhere in the world. App data is being analysed in collaboration with King’s College London researchers. By using this app you’re helping the NHS and contributing to advance vital research on COVID-19.
App developed by King’s College London and health science company ZOE, and endorsed by the Welsh Government, NHS Wales, the Scottish Government and NHS Scotland.
By combining your reports with software algorithms, we are able to predict who has the virus and so track COVID infections across the UK and now other countries (see COVID Data). Your daily reporting is also being used to generate new scientific understanding of the very different symptoms the virus causes in different people. We are also studying the way that risks vary between individuals because of their own personal characteristics.COVID-19 Symptom Study Google Play App Store
Apple App Store Back to top