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I have read many articles about unprotected insertive anal sex and there seems to be
concensus that it is not high risk...why is that.
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Response from Mr. Kull
It is possible to become HIV infected as the insertive (top) partner during anal sex without a condom. Unprotected insertive anal sex seems to be less risky than unprotected receptive anal sex, but is probably more risky than performing oral sex on an HIV infected person.
HIV infected fluids coming into contact with the urethra could lead to infection. There is also evidence that uncircumcised men may be at greater risk for infection during unprotected insertive sex than circumcised men. The main concern during anal sex is that trauma to the rectum during anal sex can lead to bleeding. Blood can be highly infectious for HIV.
During insertive anal sex, you may be at risk for sexually transmitted diseases besides HIV. There is a high incidence of STD transmission among men who have unprotected anal sex with other men.
While the risk for transmission is lower, maybe even much lower, for the insertive partner, it is possible and does happen. Cut down on the odds and try using condoms.
RMK
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Response from Mr. Kull
