HIV Risk: Tops vs. Bottoms

11:29 AM

In anal sex, a top is the insertive partner and a bottom is the receptive partner. Numerous studies have shown that a bottom is at much greater risk for HIV infection than a top during unprotected anal sex. The reason for this is that the lining of the rectum is more likely to come into contact with more HIV infected fluids and is more vulnerable to infection than the urethra.

However, the risk is still very real for even the most devout tops. During unprotected anal sex, the rectum is prone to microscopic tearing that could expose the top to infected blood. Additionally, any sores on the penis dramatically increase risk, and may be evidence of an STD that needs attention. The risk for HIV infection is higher for uncircumcised tops since semen, rectal fluids and vaginal secretions can get trapped beneath the foreskin and create a place for prolonged contact with the penis.

To learn more, check out the following:

http://www.sfaf.org/aids101/sexual.html#anal


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