The same drug-induced loss of inhibitions makes PNP enthusiasts more vulnerable to more immediate threats, such as robbery, date rape, assault, or murder, by someone whom they meet for sex. Men in the chemsex scene have stated that sexual consent is not clearly defined and there can be a perception that anyone at a<unk> " get-together is assumed to consent. The phrase<unk>  – and pay has emerged as a warning that<unk> ing and<unk> ing may result in neurological damage, and leads to bareback sex which increases the chances of contracting HIV, and of resistance to HIV drugs. The use of crystal methamphetamine or mephedrone for chemsex is associated with "high-risk sexual behaviour… with little regard to consequences, poor ARV adherence for HIV, poor use of condoms, extended episodes of (often traumatic) sexual pursuits (e.g. fisting) typically lasting two to three days, and multiple sexual<unk> ers. Men who have sex with men in the chemsex scene who inject drugs tend to use 'clumsy injecting practices and knowledge', which increases the risks of injection problems. As well, since most chemsex takes place in private home<unk> es, it is hard for public health staff to reach these<unk> cipants to inform them of safer practices, as compared to reaching gay men in nightclubs, who can be approached by outreach workers". Methamphetamine suppresses autonomic response and can cause sores and abrasions in the mouth. Open wounds or damaged mucous membranes can turn typically low-HIV-risk sex acts such as oral sex into much-higher-risk sexual activity unless all HIV-positive<unk> cipants are undetectable on HAART, or all HIV-negative<unk> cipants are taking TRUVADA for PrEP in strict accordance with prescription instructions.
Party and play
Hope in Hell 
Splinter skill
Neuro-linguistic programming
Performing arts medicine
Fit for Life
Run for Moore
Flight for Life