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Anal sex is the highest-risk sexual behavior for hiv transmission. Vaginal sex has a lower risk, and activities like oral sex, touching, and kissing carry little to no risk for getting or transmitting hiv. The vast majority of men who get hiv get it through anal sex. In fact, anal sex is the riskiest type of sex for getting or transmitting hiv. Hiv can be found in certain body fluidsblood, semen (cum), pre-seminal fluid (pre-cum), or rectal fluidsof a person who has hiv. Although receptive anal sex (bottoming) is much riskier for getting hiv than insertive anal sex (topping), its possible for either partnerthe top or the bottomto get hiv. the risk of hiv transmission during anal intercourse may be around 18 times greater than during vaginal intercourse, according to the results of a meta-analysis published online ahead of print in the international journal of epidemiology. Moreover, as well as this empirical work, the researchers from imperial college and the london school of hygiene and tropical medicine carried out a. Key points for unprotected anal intercourse with an hiv-positive partner with a fully suppressed viral load, the estimated risk of infection is zero. If hiv is not fully suppressed by effective treatment, anal intercourse without condoms is a high-risk route of sexual hiv transmission for both the insertive and receptive partner. Sexually transmitted infections and the hiv-positive partner. The chance of being infected with hiv from anilingus (oral-anal sex) is also considered to be very low. The bigger risk is that you become sick from certain other viruses or bacteria that live in. the first model predicted that, in this case, there was just a 0. 06 percent chance of hiv being transmitted from an insertive partner to a receptive partner during a single act of unprotected anal sex -- thats 96 percent less risk than if the insertive partner were not on hiv treatment. for every 10,000 instances of receptive anal intercourse with a partner who has hiv, the virus is likely to be transmitted 138 times. having vaginal or anal sex with someone who has hiv without using a condom or taking medicines to prevent or treat hiv. Sharing injection drug equipment (works), such as needles, with someone who has hiv. Less common ways are from mother to child during pregnancy, birth, or breastfeeding.