Chemsex – Info, Risks & Support

Chemsex = Sex + psychoactive substances. Often with multiple partners and extended sessions. Common among gay, bisexual, queer men, and trans* people.

People use it to enhance pleasure, intimacy, stamina, or disinhibition. For some, it’s a conscious choice; for others, it can become challenging or distressing.

Common Substances

• Methamphetamine (Crystal, Tina)

• GBL/GHB (G, Liquid Ecstasy)

• Mephedrone (Meph, 4-MMC)

• Ketamine, Cocaine, Ecstasy/MDMA

• Sometimes: Viagra, Poppers, Benzodiazepines (e.g., Diazepam)

Taken by swallowing, snorting, smoking, or injecting ("slamsex" – high risk).

Risks of Chemsex

Medical

• Higher risk of HIV/STIs from prolonged/unprotected sex

• Anal or genital injuries

• Hepatitis C (especially with slamsex)

• Drug interactions & overdose

Psychological & Social

• Sleep loss, exhaustion, low mood

• Loss of control or ability to consent

• Stress on relationships or social life

• Isolation, shame, feeling unable to stop

Protect Yourself

• Educate yourself: doses, effects, interactions

• Use clean equipment; never share needles/straws

• Use condoms or PrEP/PEP and get regular STI tests

• Set agreements on consent, breaks, and limits

• Trust your instincts – you can stop anytime

Support at Our Clinic

• Confidential Chemsex counseling

• HIV & STI testing (anonymous options available)

• PrEP & PEP support

• Safe-use info & harm reduction guidance

• Connections to queer-friendly addiction or psychotherapy services

Important

Not all Chemsex use is a problem. But if sex without substances feels impossible, or you lose control, or experience distress – support is available.