We live in a sexual culture overwhelmingly focused on intercourse. In addition, a firm erection is not necessary for ejaculation and orgasm. Conceptualizations of safer sex practices among young gay men (YGM) are .. [ Ejaculation in the rectum is] very important actually because there's a risk. . infected with HIV without foregoing sex or sacrificing their sexual pleasure. . for Research (UM-OVPR ) and a NIH Career Development Award.