As gonorrhea goes untreated in the throat, it can swap genetic material with other bacteria lingering back there, such as streptococcus. When this bacteria receives inadequate or incorrect antibiotic treatment, it can become a resistant to first-line medicines. 'We suspect that getting control of throat gonorrhea may be important to prevent the development of antibiotic resistance,' Cornelisse says.ĭriving down rates of all gonorrhea will require a multi-pronged approach. First will be frequent and thorough STI tests for at-risk populations, which must include oral swabs for gonorrhea. Urging gay men to use commercial lube for anal sex, rather than spit, will also reduce the spread. Condoms remain the most effective tool for reducing the spread of all STIs however, Cornelisse's work shows that STIs spread in more complex ways during anal sex without condoms. Public health messaging should embrace these complexities, as well as the realities of the ways in which gay men have sex. It's worth pointing out that anal sex with plenty of lube is way more pleasant for everyone involved. No health professional-or sex advice columnist for that matter-says 'just spit on your dick and shove it in.' Perhaps it's worth showing to gay men that spit fucking is more fantasy than reality. #How do gay men have sex without lubrication driver#.