Learn about our Medical Review Board Print The risk of HIV through unprotected anal intercourse is seen to be extremely high, as much 18 times greater than vaginal intercourse. The 10 studies reviewed were conducted only among gay or bisexual men and included neither the length of the relationship nor the frequency of condomless sex. An HIV-negative partner who engages solely in insertive anal sex without condoms has a summary risk of Strategies to Reduce Risk As with any other mode of HIV transmission, prevention requires a combination of strategies to more effectively: Reduce the infectivity of the HIV-positive partner Reduce the susceptibility of the HIV-negative partner Current evidence has shown that the consistent use of antiretroviral therapy ART in the HIV-infected partner completely eliminates the risk of HIV transmission when viral activity is suppressed to undetectable levels.
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