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The participation of Dr. McGovern in this Forum is made possible in part by an independent educational grant from Roche Laboratories.

Ask the Experts about Hepatitis and HIV Coinfection
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how rough is rough
Jun 8, 2008

Just wondering your take: I dated someone shortly that wanted unsafe anal sex (he is a bottom. both of us are poz and he never questioned my viral load for HIV.) Then when I told him about finding out about also having HCV he used the excuse that his doctor advised him against seeing me any further. What level of "roughness" do you consider to be "traumatic rectal sex."?

Response from Dr. McGovern

Traumatic rectal sex that is of concern is anything that would tear the skin enough to have blood to blood contact. This could facilitate transmission of HIV, HBV or less commonly HCV.



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