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  so as long as youre actually monogamous, and hiv negative, you can have all the unprotected sex you want without worrying about hiv. In his recent slate article is unprotected anal sex ever ok?, mark joseph stern argued that unprotected anal sex should be seen as a. Along with emotional intimacy as a reason for unprotected sex, having a negative hiv status and being in a monogamous relationship were highly cited reasons for not using condoms among ymsm. However, in 30 of the couples, one member of the partnership did not know or was unsure of his partners hiv status and nearly 40 of couples were discordant in their understanding of their current. If you and your partner are hiv-negative, not infected with other stis, and monogamous, then unprotected anal sex would not put either of you at risk for sexually transmitted infections. 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.   having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids.

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