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  key points for unprotected anal intercourse with an hiv-positive partner with a fully suppressed viral load, the estimated risk of infection is zero. If hiv is not fully suppressed by effective treatment, anal intercourse without condoms is a high-risk route of sexual hiv transmission for both the insertive and receptive partner. Sexually transmitted infections and the hiv-positive partner. For insertive penile-vaginal sex, the risk of transmission lowers to 4 out of 10,000 exposures. Receptive anal intercourse with a partner who is hiv-positive is the sex act thats most likely to. Anal sex is the highest-risk sexual behavior for hiv transmission. Vaginal sex has a lower risk, and activities like oral sex,. People who report using condoms consistently reduced their risk of getting hiv through insertive anal sex with an hiv-positive partner, on average,. The risk estimates for the sexual transmission of hiv, per sex act, range widely, from 0. The second, more complex, calculation reflects transmission being extremely rare at low viral loads and also transmission rates being pretty constant at higher viral loads. Using the first method, the hiv transmission risk for unprotected receptive anal intercourse is 0.

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