Alcohol and substance abuse

Drink, drugs and sex

Drink and drugs can make people feel less nervous, which might make having sex while drunk or high seem like a good idea. However, sex and alcohol and/or drugs can be a dangerous combination.

These are just some of the dangers you might face if you have sex while drunk or under the influence of drugs:

• You may be more likely to forget to use a condom. It’s best to use a condom to avoid sexually transmitted infections (STIs) and/or pregnancy
• If you use another form of contraception, e.g. the pill, you may forget to take it
• Both alcohol and drugs can lower your inhibitions, which might make you more likely to do something you don’t really want to
• You may lose self-control, which could put you in a position where you may be more susceptible to sexual assault, including rape

Umbrella can help if you have any sexual health concerns, for example if you think you may have an STI because you had sex without a condom.

Chemsex

Understanding chemsex: support and safety

Chemsex refers to the use of drugs to enhance or facilitate sexual experiences,
often within certain social or community settings. While some people engage in
chemsex for pleasure, connection, or confidence, it’s important to be aware of
the potential risks and how to stay safe.

Commonly used substances in chemsex

• Methamphetamine (Crystal Meth) – can heighten pleasure and energy but also
  increase the risk of paranoia and dependency
• GHB/GBL – a depressant that can cause relaxation but also carries the risk of
  overdose and memory loss
• Mephedrone – a stimulant that can enhance euphoria but may lead to anxiety or
  erratic behaviour
• Ketamine – often used for relaxation but can lead to confusion and
  dissociation

Risks associated with chemise

• Sexual Health Risks – increased chance of sexually transmitted infections
  (STIs) due to prolonged sessions and potential condomless sex
• Mental Health Risks – anxiety, depression, paranoia, or dependency can
  develop with frequent use
• Physical Health Risks – risks such as overdose, dehydration, or drug-related accidents
• Consent & Safety – the influence of drugs may impair judgment, making clear
  consent difficult to establish

Tips for safer chemsex

• Know your limits – understanding the effects of different substances can help
  you make informed decisions
• Stay hydrated & rested – Drinking water and taking breaks reduce physical
  strain
• Use protection – condoms and regular STI testing help maintain sexual health
• Set boundaries – trustworthy environments and communication ensure personal
  safety
• Reach out for support – if chemsex is affecting your mental health or
  well-being, there are services that can help

Where to get help

If chemsex is having a negative impact on your life, support is readily
available.

You can self-refer to the Umbrella Sexual Health Advising Team via ChatHealth, by texting 07312 263287.

Or, you can access confidential advice and assistance through Birmingham LGBTQ+ health services:

Alcohol and drug addiction and abuse

If you or somebody you know is having problems with misuse of drugs and/or alcohol, Umbrella’s partner organisations can help.

Aquarius

Aquarius helps young people up to 25 in Birmingham overcome the harm caused by alcohol, drugs and gambling. (Aquarius does not offer an adult service in Birmingham – support services are for young people up to 25 only. Adult drug and alcohol services are provided by Change Grow Live.)

Change Grow Live (CGL)

Change Grow Live offers treatment and recovery services to support anyone experiencing difficulties with drugs and/or alcohol in a range of local community settings across Birmingham. Services are free and confidential.

Solihull Integrated Addiction Services (SIAS)

SIAS is a partnership between four organisations which are jointly responsible for the delivery of drug and alcohol services in the Borough of Solihull.