What is Chemsex?
Chemsex is when people use certain drugs before or during sex to enhance pleasure, confidence, or connection. Whilst chemsex is typically associated with the drugs crystal methamphetamine, GHB/GBL, and mephedrone, other drugs like ecstasy, ketamine, poppers, viagra, and alcohol can also be part of the experience which also known as Sexualised Drug Use (SUD).
People might refer to chemsex in different ways—terms like ‘Party and Play’ (PnP), ‘High Fun,’ or ‘Chill Fun’ are often used. Symbols like snowflakes, ice-cream, lightning, fire, or airplane emojis can sometimes indicate interest in chemsex in online conversations.
Is Chemsex common?
Chemsex is not a new phenomena. It has been around for over 15 years, particularly within the GBMSM (gay, bisexual, and other men who have sex with men) community. Its rise has been linked to changes in social spaces, the popularity of dating apps like Grindr and Scruff, and the increasing availability of different substances.
Estimates vary, but globally, around 10% of GBMSM have engaged in chemsex. In Asia, estimates range from 3% to 31%, while in Malaysia, between 7% and 13% of MSM report engaging in chemsex in the past six months and 32.3% of female sex workers (FSW) enganged in chemsex for past 30 days. Among PrEP users, this number can be even higher (35-45%, unpublished data). While the numbers differ based on the definition used, one thing is clear, chemsex is a common practice, and there is a real need for support and harm reduction services.
Why Do People Engange in Chemsex?
People have different reasons for engaging in chemsex, and these motivations can be personal, psychological, social, or cultural. Some people use chems to overcome anxiety, boost confidence, or feel more connected to their partners. Others enjoy the heightened sensations, increased stamina, or sense of freedom that chemsex can bring. In some social circles, chemsex has become a normalized part of the experience of meeting and connecting with others. The rise of hookup apps has also played a role in shaping how people access and experience chemsex.
Chemsex and Health
While chemsex can be pleasurable, it also comes with potential risks. These can include:
- Sexual health risks– Increased risk of HIV, STIs, and hepatitis B & C due to condomless sex, multiple partners, and longer, more intense sessions.
- Physical health risks– Dehydration, overdose, infections, heart issues, malnutrition, and long-term cardiovascular problems.
- Mental health impacts– Anxiety, paranoia, depression, social isolation, memory loss, and in some cases, suicidal thoughts.
- Social and legal consequences – Financial issues, work or study performance problem, fear of disclosing substance use due to social criticism, possession of certain substance is illegal in Malaysia and carries severe penalties
- Relationship and emotional challenges– Some people find it difficult to navigate intimacy and sober sex after engaging in chemsex.
However, not everyone who engages in chemsex experiences these challenges. Many people manage their use safely and maintain control through personal strategies, social support, and self-awareness. At COMRED, we recognize that every person’s experience is unique. Our goal is to provide a safe and judgment-free space where you can access information, harm reduction tools, and support to help you make the best choices for yourself.
Making Informed Choices
At COMRED, we believe everyone has the right to make informed choices about their bodies, pleasure, and experiences. Chemsex is not inherently problematic or addictive, and our goal is to support individuals in making decisions that align with their personal needs and goals without judgment, shame, or stigma.
At COMRED, we offer:
- A safe and judgment-free spaceto talk openly about chemsex.
- Support in managing or controlling usein a way that aligns with personal goals.
- Access to health professionals and peer support, without pressure to stop using chems.
- Advocacy for sexual health, mental well-being, and harm reduction, including access to PrEP and other HIV/HCV prevention strategies.
Everyone deserves the freedom to express their sexuality and seek pleasure in ways that feel right for them—without shame, stigma, or discrimination. At COMRED, we’re here to support you, no matter where you are in your journey.