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In their review of 16 different high-quality studies, researchers at the imperial college and the london school of hygiene and tropical medicine concluded that the per-risk act of hiv through condomless anal sex was roughly around 1. 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.   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. 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. Having anal sex increases your risk of hiv and other sexually transmitted infections (stis) including chlamydia, genital herpes, genital warts, gonorrhoea and syphilis. However, there are simple steps you can take to protect yourself and your partner.

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