Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
          
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Risk of Unprotected anal sex for a top
Feb 28, 2002

I am a bisexual man and 100 TOP when with another man. I have been told that the risk of HIV infection for a TOP during unprotected anal sex is small. I would like your opinion.

Response from Mr. Kull

The risk is small compared to what? Risk for HIV infection is always relative, so make sure that you understand the context when getting information about transmission.

Terms like "high" or "low" risk are often necessary, but not always useful. For instance, compared with being the bottom in anal sex, being the top is often considered low risk. However, compared to unprotected oral sex without ejaculation, being the top in unprotected anal sex could be considered high risk. There are multiple variables that are considered in each encounter that change the relative risk as well (how much fluid were you exposed to, how much virus were you exposed to, what was your immmune response, etc.).

Risk is also based on a person's subjective interpretation of risk. One person might consider performing oral sex on an HIV infected man high risk, while another might consider it low risk.

So, high or low risk might not be useful in the situation you describe. The facts might be more relevant:

1) A person who is the receptive partner in anal sex is considered to be at a greater risk for infection than the insertive partner. The insertive partner is not without risk if no condom is used.

2) Exposure to HIV infected blood poses a significant risk for infection. Having anal sex can cause rectal bleeding, which increases the risk for the insertive partner.

3) The odds of transmission in one episode of UNPROTECTED anal sex with an infected partner are lower than many people think. However, the more unprotected anal sex you have, the greater your risk for exposure becomes over time. Using a condom greatly reduces the odds of infection.

4) Men who have sex with men are at increased risk for exposure to HIV in the U.S. The more male partners you have, the greater the odds are that your partner will be HIV infected.

RMK



Previous
Is it safe to have male to male unprotected sex
Next
Risky love

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement