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A hedonistic party lifestyle is a cliché perhaps unfairly associated with the gay community for decades but in recent years a new, extreme sub-culture of sex and drugs has become a way of life for a growing minority of gay men.

The so-called chemsex scene involves an unholy trinity of drugs – Mephedrone, GHB/GBL and Crystal Meth – and together they can keep men awake for days. While ecstasy and cocaine have been used by clubbers for decades, these relatively new drugs are taken to enhance one thing in particular - sex.

Mobeen Azar travels to San Francisco - one of the first cities to see the ‘party and play’ scene emerge - and London, where chemsex is a relatively new phenomenon. He speaks frankly to men involved in the lifestyle, from young club kids to middle-aged professionals.

While chemsex drugs may enable men to push their sexual boundaries, they also lower inhibition and unprotected sex is common, making men vulnerable to life-changing infections such as HIV, Hepatitis and Syphilis. So how do you protect men who are unwilling to use condoms?

The programme investigates a new treatment which prevents the transmission of HIV. Pre-Exposure Prophylaxis – or Prep – has proven highly effective yet controversial, with critics claiming it will encourage condom-less sex.

Chemsex is complex and not all men are victims. For some, ‘chems’ provide instant pleasure without boundaries. For others, they are a convenient escape from the reality of a world in which they feel rejected.

(Photo: A man holds a brown bottle)