This is it, the elephant in the gay sex room. So many people, gay and straight do their best to avoid talking about digestion and bowel movements in a serious manner. Yes, jokes are almost constantly told but most have no real idea how all of these systems work to help us to actually stay alive.
Saliva is a major mode of gonorrhoea infection. Spit, when used during rimming, as lubrication for anal sex, exchanged during kissing and even during oral sex is the most likely way oral, anal and penile infections are occurring.
Ever since we were little boys, our parents told us the importance of washing our hands. Just a few moments over a sink, with warm water and some soap and then we were clean. But, as adults this lesson seems to be lost on some and it is causing some major healthcare issues.