It actually usually has a penalties of its own, mainly among men (excerpts from Negative effects of homosexual relations (and heterosexual fornication) :
As regards STD's as well as suicides in the US among MSM and lesbians and "transgendered" persons:
Overall, the practice pf sodomy has (historically) resulted in a greatly increased incidence of other infectious diseases and effects besides HIV, from Meningitis to premature death. Which diseases includes Chlamydia, Gonorrhea, Hepatitis A and B, HPV, Syphilis, HIV to Meningitis and body dysmorphia and eating disorders and recently Monkey pox. Gay, bisexual, and other men who have sex with men have accounted for 83% of primary and secondary syphilis cases where sex of sex partner was known in the United States. Gay, bisexual, and other men who have sex with men have been found to be 17 times more likely to get anal cancer than heterosexual men. (https://www.cdc.gov/mmwr/volumes/71/wr/mm7138a1.htm)
Vanderbilt University Medical Center states: Men who have sex with men and gay men are at increased risk for certain types of chronic diseases, cancers, and mental health problems… #1: HIV/AIDS. #2: Anal Papilloma #3: Hepatitis #4: Substance Use #5: Depression and Anxiety #6: Sexually Transmitted Diseases (STDs) #7: Prostate, Testicular, and Colon Cancer #8: Alcohol #9: Tobacco #10: Body image problems and obesity. (https://www.vumc.org/lgbtq/key-health-concerns-msm-men-who-have-sex-men)
Anal cancer is particularly one of the diseases that is far more prevalent among MSM than other population groups, being diagnosed in about 2 people out of every 100,000 people in the general population. In contrast, it is estimated that MSMs that are not infected with HIV are 20 times more likely to be diagnosed with anal cancer. HPV is present in approximately 65% of HIV negative MSMs and 95% of MSMs who are HIV positive. Anal cancer is caused by the same strains of HPV (Human Papillomavirus) that cause cervical cancer in women. (https://cancer-network.org/cancer-information/gay-men-and-cancer/anal-cancer-hiv-and-gaybisexual-men)
Also reported, "People living with HIV in Canada had eight times the risk of Alzheimer’s disease and other non-AIDS-related dementia as their HIV-negative counterparts, and they were diagnosed 12.5 years earlier [which in part may be due to more medical attention], according to an analysis published in BMJ Open. They also had higher rates of several other age-related chronic conditions....Antiretroviral treatment has been associated with kidney damage and cardiovascular disease, and viral hepatitis and alcohol use—both common among HIV-positive people—can cause liver disease." (https://www.poz.com/article/people-hiv-diagnosed-dementia-13-years-earlier)
Even when their disease is well controlled, people with HIV can develop aging-related conditions such as cardiovascular disease, certain cancers, kidney and liver disease, osteoporosis, and cognitive impairment decades ahead of their HIV-negative counterparts, and their life expectancy is significantly reduced.)
And a new study shows evidence that "HIV-positive people are at an increased risk of age-related diseases such as some cancers, frailty, osteoporosis, kidney disease, and neurocognitive disease. Researchers think that it is the HIV itself that accelerates the aging process by 14 years, rather than medications used to treat it." (https://www.hivplusmag.com/treatment/2015/03/25/study-people-hiv-age-14-years-faster)
Moreover, while (2020) one "life expectancy study has shown that HIV-positive people who start antiretroviral therapy (ART) promptly and have good access to medical care live as long as their HIV-negative peers," yet "the researchers found that HIV-positive people were living with additional health problems for many of those years – on average, they had major co-morbidities 16 years earlier than HIV-negative people." (https://web.archive.org/web/20220625103005/https://www.aidsmap.com/news/mar-2020/yes-same-life-expectancy-hiv-negative-people-far-fewer-years-good-health)
A 2021 study of comparison of dementia incidence and prevalence between individuals (90% male) after age 50 with and without HIV infection in primary care from 2000 to 2016 found that HIV was associated with an 80% increase in dementia diagnosis overall compared with HIV-negative people. (https://www.poz.com/article/even-modern-era-people-hiv-increased-risk-dementia; https://journals.lww.com/aidsonline/Abstract/2022/03010/Comparison_of_dementia_incidence_and_prevalence.13.aspx
Furthermore LGBTQ and transgender persons medically serious attempts at suicide are 4 times more likely among LGBTQ youth than other young people. (https://save.org/about-suicide/suicide-facts/)
LGBQ young people are more than twice as likely to feel suicidal, and over four times as likely to attempt suicide, compared to heterosexual youth (Kann 2016)
In a 2016-2017 survey from the Human Rights Campaign Foundation, 28 percent of LGBTQ youth — including 40 percent of transgender youth — said they felt depressed most or all of the time during the previous 30 days, compared to only 12 percent of non-LGBTQ youth (HRC Foundation 2017: https://suicidepreventionlifeline.org/wp-content/uploads/2017/07/LGBTQ_MentalHealth_OnePager.pdf)
A large study also found that of 10,270 transgender patients identified, approximately 58% of transgender patients had at least one DSM-5 diagnosis compared with 13.6% of cisgender patients, indicating transgenders had about 4.5 times higher rate of psychiatric illness than straight persons. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830528/)
LGBQ young people are more than twice as likely to feel suicidal, and over four times as likely to attempt suicide, compared to heterosexual youth (Kann 2016)
In a 2016-2017 survey from the Human Rights Campaign Foundation, 28 percent of LGBTQ youth — including 40 percent of transgender youth — said they felt depressed most or all of the time during the previous 30 days, compared to only 12 percent of non-LGBTQ youth (HRC Foundation 2017: https://suicidepreventionlifeline.org/wp-content/uploads/2017/07/LGBTQ_MentalHealth_OnePager.pdf)
A large study also found that of 10,270 transgender patients identified, approximately 58% of transgender patients had at least one DSM-5 diagnosis compared with 13.6% of cisgender patients, indicating transgenders had about 4.5 times higher rate of psychiatric illness than straight persons. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830528/)
Psychiatric disorders were more prevalent among homosexually active people compared with heterosexually active people. Homosexual men had a higher 12-month prevalence of mood disorders and anxiety disorders than heterosexual men. Homosexual women had a higher 12-month prevalence of substance use disorders than heterosexual women. (https://jamanetwork.com/journals/jamapsychiatry/fullarticle/481699)
The suicide attempt rate among transgender persons ranges from 32% to 50% across the countries. Fifty percent of transgender persons in Australia have attempted suicide at least once in their lives.[12] In England, 48% of the transgender young people had attempted suicide at least once in their lives.[13] The prevalence of suicide remains high among transgender persons irrespective of disclosing their transgender status to others and undergoing sex reassignment surgery.[8] (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178031)
"41% of trans adults said they had attempted suicide, in one study. The same study found that 61% of trans people who were victims of physical assault had attempted suicide." (https://save.org/about-suicide/suicide-facts/)
"41% of trans adults said they had attempted suicide, in one study. The same study found that 61% of trans people who were victims of physical assault had attempted suicide." (https://save.org/about-suicide/suicide-facts/)
(Note that compassion toward such is to be shown, while the high suicide rate among LGBTQ persons is blamed on societal rejection, yet in the West it is actually those who oppose homosexual relations that face the most widespread persecution, and minorities such as evangelical Christians face great persecution worldwide without being suicidal.)
