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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is HIV Possible Through Anal Sex?

ok im really worried and was wondering whether anyone has any thoughts on whether i am justified in feeling like this. 4 weeks ago i had unprotected receptive anal sex with a guy, although he did not ejaculate. he said several times afterwards that he was a virgin (im pretty certain he was) and also that he had no stds or HIV, so i keep telling myself its unlikely that i could contract it, but im still really worried. im going to have a test anyway in 2 or 3 weeks, but can anyone tell me what they think the risk is here??? ps im a 20 yr old guy



also, what are the chances of:

1. him having hiv but not knowing about it (he is early 20s and had never had sex before)?

2. contracting hiv when he didnt ejaculate?



                                                                 
Mon, 22 Sep 2014
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General & Family Physician,  's  Response
Hello
Here is an important thing , if your partner is not an HIV infected , NO chance of getting infection by you.
If he is HIV infected , there is chance of getting HIV infection by you is much more.
Ejaculation matter but this is not only a way of transmission of HIV infection because HIV has been demonstrated in SEMINAL FLUID both within infected mononuclear cells and in the cell free state.
There is a strong association of transmission of HIV infection with RECEPTIVE ANAL INTERCOURSE ( as you are ) , probably because only a thin, fragile rectal mucous membrane separated the deposited semen from potentially susceptible cells in and beneath the mucosa and trauma may be associated with anal intercourse ( however , this is in detail but it was necessary so that you can understand in better way ).
So , a big IF is there , if he is HIV infected there is chance of getting infection by you is much more .
And about ejaculation I mentioned .
So get in P 24 test test nucleic acid amplification ( rapid )after 2 weeks of initial infection.
Good luck.
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Is HIV Possible Through Anal Sex?

Hello Here is an important thing , if your partner is not an HIV infected , NO chance of getting infection by you. If he is HIV infected , there is chance of getting HIV infection by you is much more. Ejaculation matter but this is not only a way of transmission of HIV infection because HIV has been demonstrated in SEMINAL FLUID both within infected mononuclear cells and in the cell free state. There is a strong association of transmission of HIV infection with RECEPTIVE ANAL INTERCOURSE ( as you are ) , probably because only a thin, fragile rectal mucous membrane separated the deposited semen from potentially susceptible cells in and beneath the mucosa and trauma may be associated with anal intercourse ( however , this is in detail but it was necessary so that you can understand in better way ). So , a big IF is there , if he is HIV infected there is chance of getting infection by you is much more . And about ejaculation I mentioned . So get in P 24 test test nucleic acid amplification ( rapid )after 2 weeks of initial infection. Good luck.