"[L]ife expectancy at age 20 years for gay and bisexual men is 8 to 20 years less than for all men. It is estimated that “nearly half of gay and bisexual men currently aged 20 years will not reach their 65th birthday.” (Modelling the Impact of HIV Disease on Mortality in Gay and Bisexual Men. Author: Hogg, R. S.; Strathdee, S. A.; Craib, K. J. P.; O'Shaughnessy, M. V. Source: International journal of epidemiology. Year: 1997 Volume 26, Number 3 PAGES: 657 YEAR: 1997 TYPE: Article ISSN: 0300-5771)
"Other authors have reported on the treatment of homosexual men with anorectal diseases, and on the unusual manifestations of AIDS. Croxson et al. reported nine intraepithelial carcinomas of the anus in homosexual men, two of whom already carried the diagnosis of AIDS. Four of the remaining seven patients were reclassified as either ARC or AIDS-P prior to publication of the manuscript. Otherwise "healthy" homosexual men with anorectal diseases have been reclassified as AIDS patients soon after presenting with anorectal disease. The gay bowel syndrome has been described as a constellation of diseases in homosexual men at high risk for AIDS. This syndrome includes anal and colorectal infections with gonorrhea, secondary syphilis, condylomata lata and condylomata acuminata, chlamydia, salmonella, cryptosporidium, campylobacter, shiegella, giardia, entamoeba, herpes simplex virus and cytomegalovirus. All of these are diseases for which the colorectal surgeon is likely to be consulted with increasing frequency and widening geographic distribution over the next few years. In this study, 116 of 340 patients (34 percent) with AIDS, ARC, and AIDS-P had anorectal pathology. Fifty-two patients (15 percent) presented with a complaint of anorectal disease and had an average life expectancy of 7.4 months. Fifty-one patients (15 percent) were treated surgically, resulting in a postoperative complication and mortality rate approaching 90 percent. This compares with a less than 5 percent postoperative complication rate following anorectal surgery in otherwise healthy patients. Because the colorectal surgeon may be first to evaluate the homosexual patient, an exhaustive history must be taken. Homosexual men with anorectal pathology must be queried about recurrent anorectal venereal disease, colonic enteric infection, herpses zoster, and oral candidiasis." (Diseases of the Colon & Rectum 1986; 29: 719-723 (J. B. Lippincott Company) November, 1986 Section: Presidential Address The Surgical Management of Anorectal Diseases in AIDS and Pre-AIDS Patients Steven D. Wexner, M.D., William B. Smithy, M.D., Jeffrey W. Willsom, M.D., Thomas H. Daly, M.D.)
Enjoy your life while you can because I doubt it will last much longer.