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New England Journal of Medicine. If rectal fluid is excluded, it could lead an HIV-negative person who is the insertive partner during anal sex to underestimate their risk of HIV infection; or a person with HIV who is the receptive partner during anal sex to underestimate their risk of transmitting HIV. They estimated that HIV transmission risk during a single act of unprotected, receptive anal sex may be 18 times higher than can anal sex cause aids, receptive vaginal sex: 1. If HIV is not fully suppressed by effective treatment, anal intercourse without condoms is a high-risk route of sexual HIV transmission for both the insertive and receptive partner. Lowering the viral load in the blood and rectal can anal sex cause aids through successful antiretroviral treatment eliminates the risk for sexual HIV transmission even when STIs are present.
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