If you bottom and do not wear condoms percent of the time, the use of PrEP will afford you with the certainty of protection. The sensitive lining of the anus is more susceptible to cuts and abrasions during sex. If your partner is HIV-positive, you are still at risk but that risk is reduced, especially if he is on treatment and undetectable.
The receptive partner in same-sex anal sex for cisgender gay men or transgender gay men, or vaginal sex with transgender gay men. However, they are not all created equally. If your partner is HIV-positive, you are still at risk but that risk is reduced, especially if he is on treatment and undetectable. Having another STI can further increase your risk for transmission. By Tyler Curry November 23 But while tops and bottoms are equal, their differing roles do come with different health issues and responsibilities that every gay and bisexual man should be well informed about, regardless of sexual position. For a top who is HIV-positive, maintaining an undetectable viral load through consistent use of antiretroviral medication and consistent medical care is the best method of protecting himself from transmitting the virus. A condom or PrEP are your best options for protection, because it places you in control of protecting your partner and protecting yourself. However, there is a general misconception that there are little to no health risks associated with topping, but a good top knows that he has to think about his sexual health and safety just like any bottom out there. Regardless of his answer, your best option for protection is the use of Truvada as PrEP, because it places you in control of your own health regardless of his status or condom use. If an HIV-positive guy is always the bottom, he will never transmit the virus. The sensitive lining of the anus is more susceptible to cuts and abrasions during sex. In any sexual encounter, gay, straight or otherwise, one person typically assumes the dominant role while the other takes on a submissive role. As a bottom, you can negotiate condom use, but your partner is the one who wears the rubber. Quite simply, tops have it easy when it comes to gay sex because being a good bottom is no easy job. STIs that spread through skin-to-skin contact Herpes, HPV can still spread with condom use, especially if either partner has any open sores or lesions. If you bottom and do not wear condoms percent of the time, the use of PrEP will afford you with the certainty of protection. To be a good bottom a guy has to know what works for his body, how to maintain a healthy and hygienic rear end, and how to navigate his sexual health without compromising his pleasure. All STIs are bad for your health. Once again, a bottom who is HIV-positive can protect himself from transmitting by consistently taking their HIV medication and staying in care. If you are HIV-positive and not on treatment, you may have a high viral load that places your sexual partner at higher risk for transmission. Staying Safe While Topping or Bottoming This is the second installment in a series designed to educate today's queer youth on healthy gay sex. A guy who exclusively tops will never get HIV. Simply put, a gay man who bottoms is more at risk for HIV. In general, condoms do protect against STIs that are spread through body fluids semen, blood and anal or vaginal fluids. A guy who is topping is generally at a lesser risk for HIV than the guy who is bottoming, but both topping and bottoming during unprotected anal sex is considered high-risk behavior. Research also suggests that uncircumcised tops are at a higher risk for HIV infection than those who are circumcised.
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