From Homosexinfo

Sexuality: Homosexuality/Bisexuality and Sexual Compulsion

There is a wide body of literature consistent with a higher prevalence of sexual compulsion disorders among homosexuals and bisexuals, and this literature is important because compulsion disorders are mental illnesses that require behavioral therapy at the very least and pharmaceutical treatment in more severe cases. Not acknowledging the sexual compulsion factor results in a waste of resources in educating nonheterosexuals about safe sex practices. The proper solution is medical treatment, and it would be a waste of time encouraging compulsives to seek treatment on their own since many will refuse to acknowledge that they have a compulsion problem and be offended by the suggestion that they have this problem; the solution to getting these individuals to seek medical treatment is provided here.

Indulgence in risky practices in spite of full knowledge of the risks

The following studies post-date the origin of the AIDS epidemic.

The typical reasons given by MSM for having unprotected sex are: an inadvertent or involuntary encounter, especially resulting from drunkenness, sexual passion, emotional needs, or partner coercion; being in a relationship; and negative moods and self-images.15

Hardly changing lifestyle in spite of devastation by AIDS

If one were to discuss homosexuality and AIDS with homosexuals or homophiles, and manage to make them admit to a high incidence of AIDS among homosexuals, they would promptly point to so-called homophobia as responsible for hampering efforts directed toward risk reduction educational campaigns that target homosexuals and bisexuals. Really? The studies below are a few examples showing that many homosexuals persist with risky sexual practices in spite of good knowledge of HIV/AIDS and other risks. A caveat is pertinent here. The promiscuity of homosexuals declined from the late 1980s to the early 1990s, but this should not be seen as an example of lifestyle change. What happened was that the more promiscuous homosexuals had died of AIDS, which would naturally bring down the average promiscuity of homosexuals, and there were so many AIDS deaths that the remaining homosexuals panicked and diminished their promiscuity.

Good knowledge of AIDS among sexually active individuals with mental illnesses such as schizophrenia often coexists with risky sexual behaviors,27 and homosexuals/bisexuals are much more likely than heterosexuals to be mentally ill.

Clustering of paraphilic and sexual compulsion disorders

Literature from the clinical, forensic and general population samples abundantly illustrates a positive correlation between paraphilias and sexual compulsion disorders, in addition to a tendency for multiple paraphilias to co-occur. It would be remarkable if the prevalence of sexual compulsion disorders were not higher among homosexuals and bisexuals given an association of same-sex attraction/homosexual behaviors with paraphilias such as pedophilia, sadomasochism, zoophilia, etc.

Disinhibited sexual practices

The sexuality section within this site cites plenty of evidence for higher rates of various disinhibited sexual practices among homosexuals and bisexuals. It is unlikely that developmental processes disinhibiting nonheterosexuals toward various atypical sexual practices would not also tend to disinhibit libido.


Some insist that the greater promiscuity of male homosexuals simply reflects the fact that they are not limited by female availability like heterosexual men are. This notion fails to take into account the nature of the sexual behaviors of male homosexuals such as a higher prevalence of paraphilic behaviors and greater indulgence is sexual practices that would normally require some level of disinhibition. Even if heterosexual men are limited by female availability and female willingness to indulge in atypical sexual practices, a number of heterosexual men have the option to satiate their desires by using female prostitutes, but to the best of my knowledge, there is no literature showing that heterosexual men indulge in insertive oral-anal sex and anal sex with female prostitutes at rates anywhere close to the prevalence of these practices among homosexual/bisexual men. It is also difficult to argue that heterosexual men's behaviors with prostitutes are limited by fear of venereal diseases. The HIV/AIDS epidemic originated among MSM, not female prostitutes, just as outbreaks of various STIs are often documented among MSM. Sex with MSM is more risky, yet MSM are more likely to indulge in risky sexual practices than heterosexual men.

It may be argued that elevated promiscuity among homosexuals does not reflect a stronger sex drive, but the libido rejuvenating effect of a novel partner. However, no homosexual can be promiscuous unless he comes across a large number of other homosexuals. Given the rarity of homosexuality, how would it be possible for a homosexual to come across a large number of homosexuals? An easy answer is to move to a big city, and cruise for sex, both of which a number of homosexuals do. Therefore, a parsimonious explanation of elevated promiscuity in homosexuals is that more intense sexual desire drives them to satiate their desires.

Bisexually behaving women are more heterosexually promiscuous than exclusively heterosexual women.28 What explains this apart from a less inhibited libido?

Gay relationships

A classic study on male homosexual couples by McWhirter and Mattison on The male couple revealed that open relationships were the norm among male homosexual couples, at sharp odds with heterosexual couples among whom such relationships are rare. Among heterosexual couples even if one partner wanted to be promiscuous, he/she would typically not want his/her partner to also be promiscuous, but among homosexual couples this is typically not applicable, which is another type of disinhibition pertaining to sexuality that is more prevalent among them. After the initiation of the AIDS epidemic, confirmation of McWhirter and Mattison's pioneering study has come in the form of the interesting observation that homosexuals are more liable to get infected with HIV by a stable partner than by a casual sex contact:

The finds above would be curious if not for the fact that homosexual relationships are typically open and homosexuals are more likely to indulge in unprotected anal intercourse with a stable partner; some examples:


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