Meth and Sex

Tweakers, straight and gay, are obsessed with sex. The result is that pregnancy and HIV-infection rates among meth-heads are increasing at alarming rates

"The meth user who is also a sex addict is either incredibly, highly motivated to make a change or there's nothing we can do in therapy," Earle says. "There has to be a reason the patient has enough motivation to come to us. They have to hit the bottom."

Randy did just that on that summer night long ago.

Now, Randy wants what Theresa has. She's in a committed, monogamous relationship, and is learning what is and isn't "appropriate sexual behavior" on a daily basis.

Stop AIDS Project's Jason Riggs refills display cases throughout San Francisco for the group's "Crystal Clear" campaign. A Stop AIDS survey says meth use by gays there has decreased by almost 50 percent.
Stuart Goldstein
Stop AIDS Project's Jason Riggs refills display cases throughout San Francisco for the group's "Crystal Clear" campaign. A Stop AIDS survey says meth use by gays there has decreased by almost 50 percent.
County health investigator Steven Varnadore visits a gay bathhouse in Phoenix once a week to perform free HIV screenings.
Peter Scanlon
County health investigator Steven Varnadore visits a gay bathhouse in Phoenix once a week to perform free HIV screenings.

"What I want sex to be is a communion," Randy says. "I worry that I'll never feel an emotional attachment again.

"I worry that sex will be just," he pauses, "nothing."

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