Blaming the rapid increases in syphilis cases on PrEP is an oversimplification of a complex problem.
The sexualized use of crystal meth by gay men is one of the key drivers of rising HIV rates and has many negative mental health consequences. Integrated sexual and substance use care is vital.
Modern factors are seeing a revival of the STI that was once consigned to history.
How can we increase safety and reduce the likelihood of sexual violence in chemsex settings? Addressing wider issues surrounding sexual consent might be a start.