Men who have sex with men (abbreviated as MSM, also known as males who have sex with males) are male persons who engage in sexual activity with members of the same sex, regardless of how and whether they identify themselves. The term MSM was coined in the public health context, when it was found that interventions designed for ‘gay’ men did not succeed in reaching out to a majority of men who had sex with men who did not inhabit ‘gay’ spaces such as gay bars and clubs, and did not identify with other aspects of ‘gay’ sub-culture, often identified with white/privileged Anglophone middle-class men. In India, the government uses the term MSM in its HIV prevention programs, recognizing that huge numbers of men who fit this behavior category do not consider themselves homosexual, bisexual, pansexual or gay. While the term is sometimes considered derogatory because it defines individuals solely by their behavior, it has also grown to become a term of self-identity among some men in the Indian context.