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The HIV virus is transmitted through the exchange of body fluids.
Some exchanges, such as French kissing, present a minimal risk
unless there are sores in the mouth or bleeding gums. By far the
most dangerous practice is anal sex. In anal sex, the greatest risk
is to the receptive individual (the “bottom”) and this is magnified
greatly by the presence of any condition in the anal canal which
could place the virus into the blood supply of the non-infected
individual. Anal fissures, hemorrhoids or an unusually mismatched
anal canal and penis size (that causes micro-tears) are all ways to
transmit the virus very effectively. If a man has ejaculated into
your anal canal, the HIV virus can get into your bloodstream if
there are “micro-tears” caused by fucking.

If
someone is already HIV-positive do they still need to use condoms?
YES. New evidence suggests that cross-infection between different
strains of the HIV virus can produce virus mutations which are far
more resistant to conventional treatment. It is now strongly
advocated by immunologists that individuals who are HIV-positive proceed as if they were not and still use condoms to protect
themselves against "cross-infection."

If
you must engage in anal sex always use condoms—even if you are
already HIV-positive. Keep in mind that condoms are not a 100%
guarantee against the spread of any STD including, but not limited
to: HIV infection, hepatitis, syphilis, herpes and gonorrhea.
Chances for infection are reduced the most when you use a brand-name
condom that has been sealed in foil. “Novelty condoms” and condoms
that are several months old should be avoided.

If
an “accident” does occur and ejaculate does go into the anal canal
it may be of some benefit to douche (clean out with water) as soon
as possible (within 30 minutes). Also, see a doctor (within 24
hours), especially if there is evidence of blood washed out with the
semen. A knowledgeable MD can prescribe a mixture of several HIV
drugs to be taken in the short term. This has been shown (in some
cases) to prevent the transmission/infection of HIV.
Oral sex carries
a lower risk but there is still a risk. If semen is ejaculated into
the mouth of a non-infected individual HIV could get into the
bloodstream though bleeding gums or an open cut. Good dental and gum
hygiene is important but brushing your teeth or flossing right
before having sex may not be a good idea as it may cause bleeding.

The following site---Avert.org---is
run by an AIDS charitable organization and has lots of plain-talking
information about AIDS and other sexually transmitted diseases that
effect gay men.
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