Did you know faggots have to wear adult diapers?
(media.scored.co)
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Honestly, I think this has less to do with just having anal sex, and having the amount of anal sex that would cause this.
If you've had 1,600 partners by 30, then yeah this is gonna happen.
I live in a deep blue city and know a number of people who are gay. And I can't name a single one who isn't seeing a therapist, has no health problems, or has no enmity with one or both parents.
And they celebrate living this way.
That's not even a gay thing, that's a Leftist thing. The Left have effectively fetishized and institutionalized mass mental health medicalization. This is because they have institutionalized Cluster B personality disorders as a moral imperative.
Part of the problem here is that a block of those gay people probably aren't even gay. They are straight people who are have been emotionally, psychologically, and sexually abused.