What was your sex life like before you started having chemsex?
Karl-Anton Gerber: My desire for a stable relationship has never been fulfilled in my life, so I was never one to mope around. And judging by what I did when I was intoxicated, it never went beyond „vanilla sex“ before. Later on, my consumerist sex was uninhibited; it was sex for sex's sake. It didn't matter who it was with. The main thing was that someone was there. It was different before. I was very careful about who I had sex with.
Getting started with chemsex - from first contact to intoxication
Do you remember how you came into contact with chemsex?
The first time I was offered "Tina" (scene name for crystal meth; editor's note) was around 2012. That was long before my first use. But the guy who offered it to me couldn't really explain to me what it actually was and how it worked. That's why I declined. The next day I had to google what it was. I was really clueless. At the same time, I was working at RTL-NITRO at the time and we had the series "Breaking Bad" in the programme - when I saw that, it was clear to me: Crystal doesn't work at all.
Would you like to tell us how you ended up using after all?
My first time using drugs was with a guy in his early twenties, incredibly fit, kind of like a porn star. We knew each other from various group parties and I also knew that he used drugs. And then suddenly I had this super-hot guy all to myself. On top of that, I had just become single again, things weren't going well at work and he was also feeling down, suffering from heartbreak. Then something happened that I only really realised afterwards. I thought: Man, the sex with this guy was really hot, if we can take it to the next level and get on the same wavelength by using together, then we'll ride off into the sunset together. The old dream was back: relationship, marriage, children. So I had found my drug in crystal meth. And I immediately had a craving for it (craving stands for „irresistible desire“; editor's note).
What happened next?
It didn't happen so quickly at first, because I realised that something really big had happened to me. The next chemsex wasn't until three months later. It was after a friend's wedding. It was super romantically staged, it was incredibly cheesy and everyone was so warm and loving towards each other. When I left the party, I was drunk and very melancholy. When I got home, I opened the "blue pages" and actually wanted to find something for my heart.
For the heart?
No, for bed, of course. But the ulterior motive was always to find the right guy at some point. During this search, I came across a guy who said he'd been "on" for three days and still had something there. I then met up with him, but was kicked out after half an hour.
Why?
In my melancholy, I was very cuddly and had the feeling that he needed closeness rather than sex. But he just wanted to be taken roughly, which didn't work for me anymore. I had previously gone through a phase with amphetamines and ended up on Androskat (a medication to aid erections; editor's note) because the blue pills were no longer working, and on my second attempt, I immediately injected myself with priapism.
That's a permanent erection, isn't it?
Yes, but I didn't realise that straight away at the time and only went to the hospital 28 hours later, which was almost too late. As a result, my penis looked so damaged that I didn't want to subject anyone else to it. I can count myself lucky that everything is working again today and I don't need a prosthesis.
But that hasn't stopped you from continuing to use Chems?
No. I had spoken to friends about it at the time. They advised me to look for a call boy. They certainly wouldn't reject me because of my damaged cock. Everything had healed, but the scars were visible. I then found one who felt so warm and cosy again. Suddenly he said that he had something else with him and asked if we wanted a smoke.
And by smoking you don't mean weed?
No, I always mean crystal meth.
But I have to say, and I'm really glad about this, I only ever smoked crystal and never used it intravenously. At some point, it started to affect my voice, so I used it rectally.
Chemsex changes everything - When sex becomes a minor matter
Can you describe when you only had sex with substances?
It started with this callboy, with whom I then had an affair. I no longer had to pay for sex, but I made sure that there was always enough stuff. In the beginning, we only did it at the weekend. At some point, he came round on a Wednesday and said: Let's have some. I refused at first because I had an incredibly important appointment at the office the next day. But we took it after all and, surprisingly, the appointment somehow still worked out. But then the "weekend rule" was broken and I also used during sex during the week.
From then on, your consumption increased?
Yes, and the crazy thing was that no one seemed to notice. Neither my colleagues nor my friends. But it's important to me to emphasise that I only used it regularly for a very short period of time – from September 2019 to March 2020.
Would you have liked more support from your friends?
They couldn't have helped me because my consumption took place in a parallel universe. To the outside world, I was the "successful philistine" with a subscription to the Philharmonie who sang in the Catholic choir. And at the same time, I was living in a consumer universe that was taking up more and more space and even liked to go out on Thursday evenings.
How has your sex changed as a result?
That also crept up on me. At first, I was still focused on closeness and connection. But that changed. In the beginning, when I was still active, with the help of Androskat, it was still okay; but at some point, I became passive and treated my partners very rudely.
I wanted cocks and cum. The more, the better, and if one couldn't cum, I left him standing there.
The turning point in the chemsex cycle - time to get out
You've already said that you only really used for six months. Why did you stop?
It became increasingly unsatisfactory. The turning point came in a conversation with friends. I had promised them I would drive them. Even though I was in a state where I shouldn't have done it. I am so grateful that I didn't have an accident. The next day, my friends wanted to talk to me and confronted me with the fact that they asked me three times yesterday if I had consumed anything. I said no three times. Honestly, I couldn't remember anything. Nothing at all. That was the point for me to say: Enough. I need help. This is not the life I want for myself.
Where did you find help?
I then summoned up the strength and went straight to the SHALK self-help group on Monday. There I was advised very strongly to go to a clinic. After a lot of back and forth and another relapse, I was finally admitted to a private clinic shortly before the first lockdown. And it's really difficult to find a good clinic that is really open about this topic. But I was lucky enough to have a good GP who knew about the subject and referred me to this clinic.
Therapy, self-help and the book about chemsex
Did you come into contact with David Fawcett's book during the cure?
Yes, but funnily enough not through the therapist team at the clinic, but through another client there. He had lived in London for a long time and recommended the English version to me. I then read the book and thought that I would like to talk to lots of people about it.
When you take all the factors together, can you estimate how much the book, the clinic and the therapy sessions have helped you in your recovery?
Fifty-fifty, I would say. The book introduced me to topics that were not addressed at the clinic, nor in the chemsex group. I also learned a lot about myself while reading it.
What moved me most was the self-deprecation that David Fawcett addresses in his book. Specifically in relation to me: my self-deprecation as a gay man on the one hand, and as an HIV-positive gay man on the other. At the clinic, I began to learn to treat myself with respect as a gay man and in all aspects of my life.
Chemsex and community - what needs to change now
What would you say we as a community need from doctors, but also from ourselves, in order to treat ourselves well - with or without Chems?
Doctors need more expertise and understanding. And I expect less marginalisation, more acceptance and more knowledge about HIV prevention from the so-called community. Rejecting someone as a sexual partner in 2023 because they are HIV-positive is not an option.
Do you like your cock again now?
Yes, I like him again!
Questions and answers about chemsex
Testimonials about chemsex, crystal meth and gay sexuality make it clear how thin the line is between lust and addiction.
What exactly does chemsex mean, what are the risks - and what does treatment look like?
The following questions and answers will give you an overview of the most important aspects of chemsex.
Chemsex is the use of substances such as crystal meth, GHB or mephedrone in combination with sex - often in the gay scene. The aim is to reduce sexual inhibitions, increase stamina and enable more intense experiences.
Chemsex therapy combines addiction support, sexual counselling and psychosocial support. Therapy is about understanding patterns of use, recognising emotional triggers and finding ways to lead a self-determined life - with or without substance use.
The experiences range from extreme euphoria and loss of control to isolation and damage to health. In the article, Karl-Anton Gerber describes his personal chemsex experience - including his withdrawal.
Yes, in addition to specialised self-help groups (such as SHALK), there are clinics and counselling centres that deal with the realities of gay life. It is important to seek support early on - no one has to go it alone.
A stable social environment, therapeutic counselling, medical support - and often an exchange with other sufferers. Books such as "Lust, Men and Meth" can also help you to understand yourself better.
A first warning sign is when sex without substances no longer seems fulfilling or possible. Neglecting work, friendships or health can also be an indication of a problematic pattern of use. If shame, loss of control or psychological stress are added to this, it is time to get help.
Shame is a central issue - often based on one's own sexual identity, HIV status or social expectations. Many of those affected use drugs to numb these feelings. Good therapy helps to understand shame and transform it into self-acceptance.
Blog posts
Exciting articles and voices from the community: find out more about everyday life with HIV, prevention methods and personal experiences.
Materials to inform and share
Here you will find various materials on HIV, AIDS and queer health - digital or printed, to read, look at and pass on.
HIV / AIDS, hepatitis and sexually transmitted diseases
Basic information on transmission, protection, diagnosis, treatment | 2023 „HIV/AIDS, hepatitis and sexually transmitted diseases“...
AIDS Relief 2024
Yearbook of the German AIDS Service Organisation In this issue, we provide brief...
Fentanyl and Nitazene
Minimising risks Synthetic opioids such as fentanyl and nitazene are gaining...
Counselling and help with chemsex - nationwide contact points
Here you will find important nationwide offers for people who are dealing with chemsex, drugs and sexuality - anonymously and competently.
| Provider | Description of the | Link |
|---|---|---|
| German AIDS service organisation | Information on chemsex, prevention and counselling nationwide. | aidshilfe.de |
| SHALK / PostChemSex | Self-help groups for MSM with chemsex experience - offline & digital. | postchemsex.com |
| Gay counselling Berlin | Psychosocial support for chemsex, addiction and identity issues. | gaycounsellingberlin.com |
| LVR Clinic Essen | Specialised outpatient chemsex consultation with medical care. | klinikum-essen.lvr.de |
| Check It NRW | Information and counselling portal on substance use & sexuality. | check-it.nrw |
| Gay Health Chat | Anonymous online chat for gay, bi and trans men - also for chemsex. | gayhealthchat.com |
| Addiction & Drugs Hotline | 24-hour hotline for all addiction issues - available nationwide & anonymously. | addiction-and-drugs-hotline.com |