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Please let us know any comments you have about the content on this page. At best, HIV remains a serious chronic disease requiring a lifetime of treatment and medical follow up; at worst it can result in mortality. Of course — as with all types of sexual activity — there are both emotional and physical pitfalls. Heterosexual anal intercourse predominantly impacts the health of young females as compared to young males.

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Global information and education on HIV and AIDS

While the risk is less for the 'top' or insertive partnerHIV can still enter through the opening at the top of the penis urethraor through cuts, scratches and sores on the penis. Being safe will help you both feel more relaxed and make sex more enjoyable. Please enable it in your browser settings.

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For penetrative sex, make sure you use a condom and lots of lube — some people feel safer using extra-thick condoms for anal sex. You may be able to take post-exposure prophylaxis PEP to prevent HIV infection, but it has to be taken within 72 hours to be effective. This means that if you are the receptive partner often called the 'bottom' you have a higher risk of STIs and HIV from unprotected anal sex than it pee used woman has anal by man types of sexual activity. Dental dams also offer good protection for rimming. Again, it is the woman experiencing heterosexual anal intercourse who is at risk.

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