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

Which Is Safer Sex Bottom Or Top

Here's a taste of what has to offer on this topic:
Get the Facts
AIDS InfoNet

Safer Sex Guidelines

Stick to your limits. Don't let alcohol or drugs or an attractive partner make you forget to protect yourself. The Bottom Line HIV infection can occur during sexual activity. Sex is safe only if there is no HIV, no blood or sexual fluids, or no way for HIV to get into the body. You can reduce the risk of infection if you avoid unsafe activities or if you use barriers like condoms. Decide on your limits and stick to them.
Ask the Experts

Everyone says Have safer sex - What is safer sex? From your Friend Mikey in the Bronx

What truly is safer sex? Everyone says have safer sex - what is safe anymore? I am a gay 23 year old living in NYC. I hook up some - but I want to be safe and try to find some answers - GMHC tells me that I am big risk with my "oral...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello Mikey in the Bronx,You're a gay 23-year-old stud living in NYC and you don't know what safer sex is???? That either means (1) you've been living under a rock for your entire adult life, (2) you're the illegitimate lovechild... Read more »

Understanding risk levels (SAFER SEX GUIDELINES, SAFER SEX METHODS, 2011)

I understand that sex acts (and life in general) include levels of risk. I get that unprotected anal sex with a known HIV+ partner is very high risk (even higher for the receptive partner) and I get that kissing carries negligible risk, and I get...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hi,The best we can offer is relative levels of risk associated with various sexual activities. Check out Table 1 in the CDC document about nPEP. It can be found at However, it's important to note there are... Read more »

Which is safer for me, being top or bttm?

I'm in a committed gay relationshiop and my partner is HIV+ and I'm negative. We are both versatile when it comes to anal sex and always use condoms. In terms of safety and not contracting HIV, would it be safer for me to be the top or...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello,Certainly the most important factor in staying safe is consistently using a latex condom properly and with plenty of water-based lubricant. As for top vs. bottom, pitcher vs. catcher, tab A vs. slot B whatever you want to call it receptive... Read more »

Can HIV be passed along from a "bottom" sexual partner to a "top" partner?

Hi,I am finding The Body website to be very informative and helpful. What I need clarafied is if it is possible to transmit HIV through anal sex with my partner, him being the "top" and me the "bottom". If easy is it to...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hi,Top-bottom, pitcher-catcher, drive or ride, Batman-Robin, whatever. I understand your question and the answer is yes, it is indeed possible. The estimated per-act risk for HIV transmission as a consequence of insertive anal intercourse (topping,... Read more »
Connect With Others

tops and bottoms question.

Posted by Anonymous, 6 Replies
is been a top expose you more? if the chances are low as they had said, how come straight guys get infected by a girl?
i knew a couple that the top never used condoms, i am just very comfused about this. i am a top myself, and try the best to... Read more »

Top (-) bottom (+) Can the top get it ?

Posted by Anonymous, 3 Replies
My boyfriend is neg.(Top) i'm bottom and (+) his dream is have sex with his loved one without condom,is the risk high for him to get it???
If i don't bleed during the penetration and he doesn't have a hurt on his penis can he get the virus??
Any help... Read more »

safer sex?

Posted by Anonymous, 3 Replies

To whom it may concern,

I recently became HIV positive and since have discovered a few facts that could be of benefit to the wider community.

I came out in my late 20s. When I did, I wasnt upset at being a late starter because HIV had come out... Read more »


Posted by Anonymous, 2 Replies
I read a post where a gay man said he performed oral sex on a guy and then he inserted him. He then said the guy inserted him and gave him oral.
Is that common among gay sex? I thought only one guy played the female role.

Read more »