How can I prevent HIV and STI transmission during anal sex?

Unprotected anal sex with a person who has HIV or another STI, or whose HIV/STI status you don’t know, is the highest-risk sexual activity, regardless of gender.

External latex condoms, used with a water-based lubricant, reduce the chances of tissue and skin tearing and lowers the risk of transmitting disease during anal sex. However, even with lubrication, external condoms fail more often during anal sex than during vaginal or oral sex. An internal condom should not be used for anal sex, because it is unlikely to stay in place during anal intercourse.


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