Science Translational 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. Does rectal fluid contain HIV?
It just requires more planning, prep, and communication than some other forms of sexual activity. Sexual Behavior in the United States:
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