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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. Hiv can be transmitted through semen, vaginal secretions, blood, and anal secretions. When a person doesnt use a condom during sex, its easier for semen, vaginal fluids, blood, and anal. 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. You have unprotected sex with someone from the opposite sex, just that once. You realize later that the person is hiv positive, meaning that heshe is infected with the hiv (human immunodeficiency virus). 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. 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. Avert is a charitable organization based in the united kingdom that was founded in 1986 with the specific aim of fighting the spread of hiv and aids by providing reliable information about the diseases 1 2. According to the organization, the chances of acquiring hiv via anal sex are about 70 percent. most gay and bisexual men get hiv from having anal sex without using condoms or without taking medicines to prevent or treat hiv. Anal sex is the riskiest type of sex for getting hiv or passing it on to others (called hiv transmission ). Having anal sex (receptive) 1 in 72 the receptive (or bottom) partner is 13 times more likely to be infected with hiv than the insertive partner, according to the cdc.