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After couple-years of follow-up and 77, acts of unprotected anal intercourse, no HIV transmission from HIV-positive partners took place and the researchers concluded that the risk of HIV transmission in these circumstances was effectively zero Rodger. If viral load is detectable, condomless anal intercourse is a highly efficient way of transmitting HIV, and it is considered a high-risk activity for both partners, although the exact degree of risk can depend on many factors. For each condomless act with an untreated HIV-positive partner, the risk of infection has been estimated at 1. However, it may be 10 to 25 times higher if the positive partner is recently infected. Studies have identified several other factors that further increase the risk of transmission.
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Anal Sex and HIV Risk

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Anal sex and the risk of HIV transmission | aidsmap

The risk of getting HIV varies widely depending on the type of sexual activity. Anal sex intercourse , which involves inserting the penis into the anus, carries the highest risk of transmitting HIV if either partner is HIV-positive. 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.
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So You Want to Try Anal Sex

Anal cancer and its precursors, anal dysplasia and neoplasia abnormal cell growth and tissue changes , are more common among people living with HIV — especially men who have sex with men — than in the general population. Most studies indicate that prevalence has increased in the era of effective antiretroviral therapy as HIV-positive people live longer. Yet not enough is known about how best to screen for and manage anal abnormalities in this group.
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An increased incidence of anal squamous cell carcinomas has been noted in these patients. The purpose of this study was to determine the outcome of HIV-positive patients with anal squamous cell carcinomas. In the HIV-positive group, 9 had in situ squamous carcinomas and 14 had invasive squamous cell carcinomas.
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