Who Is At Greater Risk To Get Hiv Top Or Bottom Transmission

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Ask the Experts

HIV Transmission from bottom to top

What is the risk of transmission from unprotected anal sex between an HIV+ "bottom" to an HIV- "top"? ...

Response from Ryan M. Kull, C.S.W

Columbia University's Health & Related Services

It is possible to become HIV infected as the insertive (top) partner during anal sex without a condom. Unprotected insertive anal sex poses a smaller risk for transmission than unprotected receptive anal sex, but the risk is there. HIV infected... Read more »

HIV transmission from a "Bottom" to a "Top"

Hi! Im not sure how to ask this so I'll just start from the beginning. I had sex with someone... Read more »

Response from Robert J. Frascino, M.D. »

"bottom to top transmission"

i had unprotected sex with a hiv+ bottom who's undetectable, now i'm worried i was... Read more »

Response from Erik Glenn, M.A. »

Go to Ask the Experts »

Articles

Risk of Vertical HIV Transmission in Developing Countries Greater for Infants Not Exclusively Breast-Fed, Study Says

HIV-positive women in developing countries could reduce the risk of transmitting the virus to their infants if they exclusively breast-feed rather than supplement breast milk with formula, animal milk or solid food, according to a study published in... Read more »

U.S. Centers for Disease Control and Prevention

Older People Face Greater HIV Infection Risks: Study

Physicians are failing to diagnose HIV infection among older patients, even as many people over age 50 enjoy extended sex lives thanks to erectile dysfunction drugs, the World Health Organization reported Tuesday. Sexually active people age 50 and... Read more »

HIV-Infected Women Who Breast-Feed Face No Greater Risk of Mortality Than HIV-Infected Women Who Formula Feed, Study Finds

In this study summary, Shahin Lockman, M.D., of Brigham and Women's Hospital in Boston, Mass., summarizes her study on the effect of breast-feeding versus formula feeding on maternal HIV disease progression, mortality and micronutrient levels in a... Read more »

Eight Strategies to Trim Transmission Risk in People With HIV

Table of Contents First Step in Positive Prevention: Telling Partners Second Step to Positive Prevention: Undetectable Viral Load "Drinking the Kool-Aid" on Treatment as Prevention Risk Screening and STI Testing for Positive Prevention ... Read more »

Connect With Others

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 »

Where does transmission occur for bottoms and tops

Posted by Anonymous, 1 Reply

Does anyone know exactly how the virus transmits between bottoms and tops?

I can understand how it happens in the bottoms case, the intestinal wall absorbes all types of things, however what about the just inside the sphincter? Could you... Read more »

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 »

Skin Abrasion on Penis / HIV Transmission Risk

Posted by Anonymous, 2 Replies

Hello.
I just felt compelled to share an experience regarding potential HIV expousure through a tiny skin abrasion on the penis. In a trip abroad last year, I topped for a man of unknown status. I wore a condom, but after ejaculation I noticed that... Read more »

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