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Anal fissures usually arise from constipation rather than receptive anal sex. Section , an archaic law imposed during British rule that penalized intercourse "against the order of nature," had carried a maximum sentence of life imprisonment. It is therefore useful for a doctor to be forearmed with a basic vocabulary of gay sex, although many men and women who perform these activities will lack the words to describe them, and few people of any orientation are likely to have all the activities in their personal behavioural repertoire. The ruling, which declared sexual orientation to be an "essential attribute of privacy," helped galvanize campaigners. The counsellor must be seen to be completely impartial and not encourage any particular outcome. Gay male oral sex includes two sexual acts, fellatio and irrumation—cock sucking and face fucking respectively—depending on whether it is the mouth sucking or the penis thrusting that is the main act. In an interview earlier this year, lawmaker Subramanian Swamy, a prominent member of the ruling Bharatiya Janata Party BJP , described the legalization of gay sex as a "danger to national security" and "against Hindutva. A topical anaesthetic such as EMLA cream may be used on the first few occasions, until healing is under way. The group, named "Trust," provides counseling, support and sexual health services to gay and transgender persons. Supporters in Mumbai react to the Supreme Court ruling that gay sex is no longer a criminal offense. Minor episodes of diarrhoea may be related to faecal exposure, and are often self limiting. If they persist, stool culture will usually pick up any bacterial cause, and if the culture is negative it is better to treat for presumed giardiasis than do extensive investigations to attempt to prove the diagnosis. Long battle Thursday's historic ruling is the culmination of a lengthy and often fraught legal battle for equality in a country where homosexuality remains taboo. It's a mix of feelings, it's been a long fight," said rights campaigner Rituparna Borah. In the case of India, the original British law had remained in place more or less unchanged since it was introduced by British colonizers in the s. Terminology Once they have sought help, gay men and women are often less reticent in discussing at length and in detail specific sexual acts. If individual clinicians are aware that they are uncomfortable with the issues of gay sex and relationships then they should refer the patient on to somebody else. Gay sexual photo

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Gay sexual photo



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