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That patient, who was a middle-aged man, had no other symptoms.

He said he'd had those sneezing fits immediately after thinking sexual thoughts throughout his adult life.

Joining me today are several individuals, all of whom either as public health officials, researchers, safe sex advocates or some combination thereof, have a particular interest and expertise in Internet chat room use among MSM. Frank has worked on men's sex and health issues for more than 15 years. He is assistant research psychologist and has studied and worked on a number of community-based interventions among gay men.

He is co-creator of a new website called Safe Sex City.com, which is a cyber-community geared towards creating a community of like-minded MSM who are committed to promoting and practicing of safe sex. He has conducted research on the role of the Internet in the sexual lives of MSM and has found a number of interesting trends that I am sure he will share with us in our discussion today.

If it’s just sex and you aren’t looking for a commitment from it, be sure to make that clear.

Be open about your expectations and what sex will mean for you in the relationship.

Not all collegiettes are necessarily doing it, but for those who are, you have to be responsible for your own sexual health. Some conversations with a new partner can be awkward to bring up, but if you’re going to be intimate with someone, you need to be able to talk openly.

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Participants: Philip Huang, Asian Health Service, Oakland, California; Jeff Klausner, MD, San Francisco Department of Public Health; Deb Levine, Internet Sexuality Information Services, San Francisco; Greg Rebchook, UCSF Center for AIDS Prevention Studies; Frank Strona, Mark Vogel: Welcome to today's roundtable discussion sponsored by HIV In Site and The Center for AIDS Prevention Studies, both at UCSF.“Both people have to be really honest and understand that sex will change the relationship,” Wanis says.“You both need to agree on the meaning that you are going to give the sexual relationship.” If having sex means you’re in love with this person and this is your way of expressing it, make sure your partner knows that.Sexual behaviors become less common, less frequent, or more covert after five years of age.Sexual behavior problems are defined as developmentally inappropriate or intrusive sexual acts that typically involve coercion or distress.Most of us are here because we are probably familiar with the recent studies that report high rates of unprotected sex and outbreaks of STDs among men who meet other men in Internet chat rooms.