Risks to insertive and receptive partners Published: There is a misperception among many gay men that the insertive or 'active' partner in anal intercourse is at minimal or no risk of HIV infection. Safer sex information that has focused on blood, semen, vaginal fluids and breast milk as the main or 'only' possible means of HIV transmission as well as difficulty understanding how the penis could be vulnerable to infection may have helped fuel this perception. However, the risk for the insertive partner has been clearly shown in cohort studies 2 and by the high levels of HIV in rectal secretions. A review of seroconverters from three US cities calculated that unprotected receptive anal intercourse posed a ten-times greater risk of infection than insertive anal intercourse. The per-contact risk of acquiring HIV from unprotected insertive anal intercourse with any partner HIV status unknown was more than ten times lower 0.
anal sex lowdown | Scarleteen
Heterosexual risk of HIV-1 infection per sexual act: Lancet Infect Dis 9: Risk to a female having sex with an HIV-positive male A combined analysis of all studies of HIV-transmission risk undertaken to date in high-income countries has found that unprotected vaginal intercourse with an HIV-positive man who is chronically infected and not on antiretroviral treatment ART carries an estimated 0. In other words, an average of one transmission is expected to occur for every instances of exposure.
HIV risk levels for the insertive and receptive partner in different types of sexual intercourse
For one thing, good communication is important, and so is having great intimacy with your partner — which relies on both of you being emotionally open and honest with each other, and in particular, discharging any hostility or negative emotion you feel towards each other. You are not going to get the most out of different sexual techniques unless the emotional foundation of your relationship's solid. On a practical level, we strongly recommend that you view this website with your partner and discuss everything. That way, it'll be a bit like an ancient Japanese pillow book, the sexually arousing book given to newlywed couples to look at together, so they could get over their embarrassment before they got into bed.
Prostate massage Male genital anatomy, showing the location of the prostate with respect to the rectum The abundance of nerve endings in the anal region and rectum can make anal sex pleasurable for men or women. An Encyclopedia states that "the inner third of the anal canal is less sensitive to touch than the outer two-thirds, but is more sensitive to pressure" and that "the rectum is a curved tube about eight or nine inches long and has the capacity, like the anus, to expand". With its glans or body as a whole estimated to have around 8, sensory nerve endings,   the clitoris surrounds the vagina and urethra ,  and may have a similar connection with the anus. In pornography, anal sex is commonly portrayed as a desirable, painless routine that does not require personal lubricant ; this can result in couples performing anal sex without care, and men and women believing that it is unusual for women, as receptive partners, to find discomfort or pain instead of pleasure from the activity.