The US Food and Drug Administration announced on 11 May 2023, that it has officially dropped restrictions that prohibit gay and bisexual men from donating blood under many circumstances on 11 May 2023.
While a step in the right direction, these updates didn't change the blunt assessment by the FDA that men who have sex with men are performing high-risk sexual behaviors and are themselves high-risk donors.and fail to realistically consider the differences in risk associated with the type of sex, type of relationship, number of partners, and frequency of sexual encounters.
Under the new guidelines, there is a way to differentiate between individuals who are monogamous and those who are not, as well as between those who have not engaged in anal sex in the prior three months and those who have. The recommendation now suggests that blood donor history questionnaires be used to evaluate an individual's risk rather than a reliance on broad categorizations. If the assessment finds an individual to be high-risk, then the guidelines recommend that person be prevented from donating blood for three months.
In addition, removing gender and sexual orientation from the risk assessment for blood donation will take the US one step further in addressing stigma and discrimination against men who have sex with men.
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