the possibility of getting HIV differs commonly with respect to the sort of sexual intercourse. Rectal intercourse (sex), involving inserting your penis to the rectum, holds the greatest danger of transmitting HIV if either partner is HIV-positive. You’ll reduce your danger so you can get and transmitting HIV making use of condoms the way that is right time you’ve got intercourse; selecting reduced danger intimate tasks; using day-to-day medication to stop HIV, called pre-exposure prophylaxis (PrEP); and using medications to deal with HIV for those who have HIV, called antiretroviral therapy (ART).
Danger of HIV
Anal intercourse may be the highest-risk behavior that is sexual HIV transmission. Vaginal intercourse has a reduced danger, and pursuits like dental intercourse, pressing, and kissing carry little to no danger for getting or transmitting HIV. The majority that is vast of whom have HIV have it through rectal intercourse. But, rectal intercourse can be one of many real means ladies could possibly get HIV.
Receptive Versus Insertive Intercourse
During anal intercourse, the partner placing your penis is called the insertive partner (or top), while the partner getting your penis is known as the receptive partner (or base).
Receptive anal sex is much riskier to get HIV. The partner that is bottom 13 times prone to get diseased than the most truly effective. But, it is feasible for either partner to have HIV through rectal intercourse from particular human body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), or rectal fluids—of someone who has HIV. Utilizing condoms or medications to guard against transmission can decrease this danger.
- Being a receptive partner during anal intercourse could be the highest-risk sex to get HIV. The bottom’s risk of having HIV is quite high as the liner regarding the anus is slim and will allow HIV to go into the physical human body during anal intercourse.
- The partner that is insertive additionally at an increased risk to get HIV during rectal intercourse. HIV may enter the partner’s that are top through the opening during the tip for the penis (or urethra) or through little cuts, scratches, or open sores from the penis.
Chance of Other Infections
Along with HIV, an individual may get other sexually transmitted conditions (STDs) like chlamydia and gonorrhea from rectal intercourse without condoms. Just because a condom can be used, some STDs can nevertheless be sent through skin-to-skin contact (like syphilis or herpes). One could additionally get hepatitis A, B, and C; parasites like Giardia and amoebas that are intestinal and germs like Shigella, Salmonella, Campylobacter, and E. coli from anal intercourse with out a condom because they’re sent through feces. Getting tested and addressed for STDs reduces a person’s opportunities of having or transmitting HIV through anal sex. If an individual hasn’t had hepatitis A or B, there are vaccines to avoid them. A physician will make suggestions about vaccines.
Decreasing the danger
Condoms and Lubrication
Latex or polyurethane condoms that are male noteworthy in preventing HIV and particular other STDs whenever utilized properly from beginning to end for every single act of anal intercourse. Those who report making use of condoms regularly paid down their danger of getting HIV through insertive rectal intercourse with a partner that is hiv-positive an average of, by 63%, and receptive anal intercourse by having an HIV-positive partner, an average of, by 72%. Condoms are a lot less efficient you should definitely utilized regularly. Additionally it is essential that enough water- or lubricant that is silicone-based used during anal intercourse to avoid condom breakage and tearing of tissue. Female nitrile condoms can additionally avoid HIV plus some other STDs. Since condoms aren’t 100% effective, contemplate using other avoidance techniques to further reduce your risk.
Those who are HIV-negative as well as extremely risky for HIV takes day-to-day medication to avoid HIV called pre-exposure prophylaxis (PrEP). If taken daily, PrEP is impressive for preventing HIV from intercourse. PrEP is much less efficient if it is perhaps not taken regularly. The right way every time you have sex since PrEP does not protect against other STDs, use condoms.
Post-exposure prophylaxis (PEP) means using antiretroviral medicines—medicines utilized to deal with HIV—after being possibly confronted with HIV during intercourse to avoid becoming contaminated. PEP should really be utilized only in crisis circumstances and must certanly be started within 72 hours after an exposure that is possible HIV, nevertheless the sooner the higher. PEP must certanly be taken a few times daily for 28 times. Whenever administered properly, PEP works well in preventing HIV, not 100%. To have PEP, contact your healthcare provider, your neighborhood or state wellness division, or head to an urgent situation space.
If you have HIV, HIV medication (called antiretroviral therapy or ART) can lessen the total amount of virus into the bloodstream and the body liquids to really low amounts, if taken as recommended. This might be called viral suppression—usually understood to be having lower than 200 copies of HIV per milliliter of blood. HIV medication could possibly make the viral load therefore low that a test can’t detect it. This might be known as an invisible load that is viral. Individuals who simply simply simply take HIV medicine as recommended and acquire and stay virally suppressed or invisible can remain healthy for several years, and they’ve got effortlessly no danger of transmitting HIV to a partner that is hiv-negative intercourse. Just condoms often helps force away various other STDs.
Alternative methods to cut back the chance
Individuals who participate in anal intercourse will make other behavioral alternatives to lower their danger of getting or transmitting HIV. These people can:
- Select less behaviors that are risky dental intercourse, that has little to no threat iceland mail order bride of transmission.
- Get treated and tested for any other STDs.
Find out about just how to protect your self and obtain information tailored to generally meet your preferences from CDC’s HIV Risk decrease Tool (BETA).