It may be showing up there because a portion of gay men are quite promiscuous. (Sorry, I'm not sure how to put it politely, even as a gay man.) There's not re

It may be showing up there because a portion of gay men are quite promiscuous. (Sorry, I'm not sure how to put it politely, even as a gay man.) There's not really a heterosexual equivalent to the gay sauna/bathhouse. It has shown up in populations of men who have attended such gay venues, as in the Portugal and Spanish outbreaks. [1] This does not automatically imply it requires anal sex, or even particularly favours anal sex as a vector. Anal sex would obviously count as close contact, of course. But the massages, and hand-genital, and oral-genital contact common in such venues (more so than anal sex, probably) would fit the transmission profile of monkeypox, too. [1] https://nationalpost.com/pmn/health-pmn/spain-monkeypox-cases-tally-reaches-31-mostly-linked-to-sauna https://nationalpost.com/pmn/health-pmn/spain-monkeypox-case...