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Eben’s question (20): I am a 20-year-old bottom gay, and I have been experiencing very painful pains after my last sex, causing me to have a discharge. I also get constipated with a slimy discharge. I don’t want to go to a health professional or facility for I%E2%80%99m not comfortable having these kinds of conversations. I’m also situated in a very small environment with few gay rights facilities.

Dr Dick’s response: It is very difficult for me to tell you exactly what the problem is if I haven’t examined you. There are however some possible options that we could be dealing with here. The discharge might be due to a sexually transmitted infection (STI). Gonorrhoea, chlamydia and prostatitis can cause you to have a discharge anally. You will need antibiotics to treat all of the above infections if you have one of them as soon as possible.

The other option is that because of the anal sex, your rectum might have stretched a bit too much and did not fully recover. This caused your anal and rectal muscles to not contract properly and faecal matter could leak out and cause the slimy discharge. Unfortunately, whatever the reason behind your condition, you are going to have to bite the bullet and consult with a health care professional.

You may want to contact OUT’s gay-friendly clinic if you are in the Pretoria / Gauteng area (click here). Or you may want to have a look at other gay-friendly clinics around South Africa, which you can find here.