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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 fact, anal sex is the riskiest type of sex for getting or transmitting hiv. Hiv can be found in certain body fluidsblood, semen (cum), pre-seminal fluid (pre-cum), or rectal fluidsof a person who has hiv. Although receptive anal sex (bottoming) is much riskier for getting hiv than insertive anal sex (topping), its possible for either partnerthe top or the bottomto get hiv. Anal sex is a common practice among men who have sex with men, heterosexual men and women, and transgender individuals and is a known risk factor for hiv infection and transmission. 11,12,13,14 in a recent nationally representative survey of almost 6,000 men and women in the united states (of which the majority were heterosexual), approximately 20 of women between the ages of 18 to 39. 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. Hiv treatment significantly reduces the risk of someone with hiv passing it on. Most people diagnosed with hiv in the uk acquire the virus through unprotected vaginal or anal sex. For every 10,000 instances of receptive anal intercourse with a partner who has hiv, the virus is likely to be transmitted 138 times. But the risk is still very low, and much lower than with anal or vaginal sex. Though the risk of hiv transmission through oral sex is low, several factors may increase that risk, including sores in the mouth or vagina or on the penis, bleeding gums, oral contact with menstrual blood, and the presence of other sexually transmitted diseases (stds). Having vaginal or anal sex with someone who has hiv without using a condom or taking medicines to prevent or treat hiv. Sharing injection drug equipment (works), such as needles, with someone who has hiv. Hiv is spread through specific body fluids blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk.