Methamphetamine suppresses autonomic response and can cause sores and abrasions in the mouth. As well, since most chemsex takes place in private home parties, it is hard for public health staff to reach these participants to inform them of safer practices, as compared to reaching gay men in nightclubs, who can be approached by outreach workers". Men who have sex with men in the chemsex scene who inject drugs tend to use 'clumsy injecting practices and knowledge', which increases the risks of injection problems. fisting) typically lasting two to three days, multiple sexual partners. The use of crystal methamphetamine or mephedrone for chemsex is associated with "high-risk sexual behaviour… with little regard to consequences, poor ARV adherence for HIV, poor use of condoms, extended episodes of (often traumatic) sexual pursuits (e.g. The phrase party and play – and pay has emerged as a warning that partying and playing may result in neurological damage, and leads to bareback sex which increases the chances of contracting HIV, and of resistance to HIV drugs. Men in the chemsex scene have stated that sexual consent is not clearly defined and there can be a perception that anyone at a "party and play" get-together is assumed to consent. The same drug-induced loss of inhibitions makes PNP enthusiasts more vulnerable to more immediate threats, such as robbery, date rape, assault, or murder, by someone whom they meet for sex. Popular discourses of "disinhibition" provide a commonly accepted alibi for activities engaged in when under the influence of stimulants. Imodium is often taken by participants in passive anal sex in order to be clean for longer.įor some PNP participants, substance use may facilitate a process of "cognitive disengagement" from the fears and stipulations associated with sex in the time of HIV/AIDS. Consequently, many men who engage in PNP use erectile dysfunction drugs such as sildenafil, vardenafil, and tadalafil. These drugs tend to inhibit penile erection, a phenomenon known by the slang term crystal penis or tweaker dick. Internet posts by men seeking PNP experiences often resort to slang to identify what drug they are partying with. Ī 2014 study on chemsex in London, UK, indicated that the drugs associated with chemsex include mephedrone, GHB/GBL, crystal meth, ketamine, and cocaine. Ī study of sauna participants in Barcelona, Spain, in 2016, found that the most commonly used drugs in chemsex are "GHB/GBL, cocaine, ecstasy, silver bars ( MDMA), poppers and Viagra". Ketamine is used in chemsex encounters to "improve the experience of receptive anal intercourse or fisting". Ketamine is very different from the main chemsex drugs, as it is a dissociative hallucinogen that distorts perceptions and creates a sense of detachment. The crash following the use of methamphetamine in this manner is very often severe, with marked hypersomnia. Methamphetamine is used to create euphoria, "heighten sexual appetite", and increase sexual stamina.
In some cases, these sexual encounters will sometimes occur continuously for several days along with repeated methamphetamine use. Methamphetamine taken in excess of amounts prescribed or recommended will prolong symptoms of intoxication for up to eight hours. Since stimulant drugs such as methamphetamine drastically delay the need for sleep, increase sexual arousal, and tend to inhibit ejaculation, PNP sexual encounters can continue for many hours or even days. On such sites, men often include notations such as "chems" or "PnP". It has been further described that "an entire subculture known as party and play is based around methamphetamine use." Gay men belonging to this subculture will typically meet up through internet dating sites to have sex. Methamphetamine is often used recreationally for its effects as a potent aphrodisiac, euphoriant, and stimulant. For this reason, it is considered "a public health priority". Some studies have found that people participating in such sex parties have a higher probability of acquiring sexually transmitted infections, including HIV/AIDS, by having unprotected sex with large numbers of sexual partners.
The term slamsex is associated with users who inject the drugs. The drug of choice is typically methamphetamine, known as crystal meth, tina or T, but other drugs are also used, such as mephedrone, GHB, GBL, and alkyl nitrites (known as poppers).
This can include unprotected sex during sessions with multiple sexual partners that may continue for days. Sociologically, it refers to a subculture of recreational drug users who engage in high-risk sexual activities under the influence of drugs within sub-groups. Party and play ( PnP), also called chemsex or wired play, is the consumption of drugs to facilitate or enhance sexual activity. Methamphetamine is the drug most associated with party and play.