Men who have sex with men MSM refers to men who engage in sexual activity with other men, regardless of how they identify themselves; many choose not to accept social identities of gay or bisexual. They have been together with me. In the U. Retrieved 21 May Nobody knows what makes people gay, lesbian, bisexual or transsexual.
As a byproduct of growing Western cultural dominance, this form is spreading from Western culture to non-Western societies although there are still defined differences between the various cultures.
Hubbard, Review of David M. This is up to you. This type of same-sex relationship is prevalent in modern Western societies.
The coming-out of comedian Ellen DeGeneres on her show Ellen was front-page news in America and brought the show its highest ratings.