So, 21 of 22 cases are openly gay men. The 22nd case is likely a gay man who is still in the closet.
The other case is a heterosexual woman here in the USA.
https://www.hawaiinewsnow.com/2022/06/03/officials-find-2-monkeypox-strains-us/
“One heterosexual woman is among the U.S. cases under investigation, officials said.”