The median number of female sexual partners was two (range 1 to 20). In in-depth interviews, all participants expressed in same-sex relationships, partners playing an active/insertive role are socially labeled cochonero and the passive/ receptive partner is called coch๓n. Some said they had experienced violence from their partners, and were very often threatened or humiliated. They felt isolated and unsupported because they kept this issue a secret. Ricardo explained, “My family says I’m a cochonero because I hang out with friends who look effeminate. In the beginning I was concerned, but I do not care now. I am not a coch๓n.”