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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 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. For example, you have a 1 in 72 chance of an hiv infection each time you are the person receiving 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. Oral sex ranks very low on the list of ways hiv can be transmitted. Its more likely to transmit hiv through anal or vaginal sex. Its also possible to transmit the virus by sharing needles or.   unprotected heterosexual anal sex probably plays an important role in hiv transmission among heterosexuals, although reliable estimates are lacking (baggaley). The first few weeks or months after hiv has entered a persons body, their viral load is usually extremely high and they are very infectious. When discussing hiv risk, people often try to ascertain which type of sex is riskier vaginal, anal, or oral. From a purely statistical standpoint, anal sex is considered the highest risk activity with an almost 18-fold greater risk of infection compared to vaginal sex.

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