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New FDA Guidelines Allow Gay, Bisexual Men in Monogamous Relationships to Donate Blood

The change, part of a yearslong effort to reverse discriminatory restrictions, shifts the focus from sexual orientation to sexual activity in determining donation eligibility.

  • New FDA guidelines now allow gay and bisexual men in monogamous relationships to donate blood without abstaining from sex, a significant change from previous restrictions.
  • The guidelines were finalized in May and have been adopted by many blood centers, including Bloodworks Northwest, where Dylan Smith, a gay man, was able to donate for the first time.
  • The FDA's new guidelines are part of a yearslong effort to reverse restrictions that were designed to protect the blood supply from HIV, but were criticized as discriminatory.
  • The American Red Cross, which accounts for about 40% of blood and blood component donations in the U.S., began implementing the new guidance in August.
  • The change puts the emphasis on sexual activity rather than on sexual orientation, with potential donors screened with a new questionnaire evaluating their HIV risk based on sexual behavior, partners and other factors.
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