That’s because the lining of the rectum is fragile and can tear easily during anal sex, even if blood isn’t observed and there is no pain. Bottoming carries more risk than topping. HIV can be transmitted to either partner regardless of who is topping or bottoming, especially during anal sex without a condom. The person bottoming is in the receptive position - the one whose anus/rectum is being penetrated by the other partner’s penis. The person topping is the partner inserting their penis into the anus/rectum of their partner. “Topping” and “bottoming” are common names for positions in anal sex. Rimming (mouth on partner’s anus) is also thought to very low risk. Oral sex (either mouth on penis or vulva/vagina) is thought to be very low risk. Vaginal sex can also lead to HIV transmission if other prevention methods are absent, especially for the “receptive” partner whose vagina is being penetrated by the penis.īoth anal and vaginal sex can also carry a risk of HIV transmission for the “insertive” partner (that is, the person whose penis is inserted into the anus or vagina). When a person doesn’t use a condom during sex, it’s easier for semen, vaginal fluids, blood, and anal secretions to enter their body - either being absorbed across the mucous membrane of the vagina or anus or entering the bloodstream directly.Īnal sex is a known risk factor for contracting HIV if other prevention methods are absent, especially for the “receptive” partner whose anus is being penetrated by the penis. HIV can be transmitted through semen, vaginal secretions, blood, and anal secretions. It’s important to understand the risk level based on actual factors in preventing the transmission of HIV. use of PrEP, PEP, condoms, or having an undetectable viral load. sharing needles for drug use or tattoos.
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