Scanning the cafe between sips of his latte, Abir says caution is the byword of every gay man in Bangladesh. “People have been killed for talking about homosexuality,” he told This Week in Asia, using a pseudonym for his safety. “I guess I am always rightfully paranoid.” A doctor in his mid-30s who is a success by any measure and firmly upper middle-class, Abir remains unable to come out, fearing a rupture with his family, friends, colleagues and the patients at a job he loves.