So now they think it spreads by anal sex. And it didn’t before.

So something either changed in gay men being more susceptible in general (prep drugs? Too many covid boosters? Both?) or the virus changed to be in sperm or it’s just lesions on the penis spreading it which would make the most sense. It spreads through infected lesions and scabs. If you put that in your boot of course you’d get it. It would go straight into your bloodstream.