| Ask GMHC
How easy is it for a top to get HIV from barebacking?
Question
I'm wondering about having bareback sex and I have a question.
What exactly is the risk to the guy who's the top? I understand
what the risk could be for the bottom, but I don't bottom. I know
that anal sex is considered high risk activity in general and that
wearing condoms is best for anal sex but that doesn't always happen.
So if I'm only a top, can you tell me what my risks are?
Thanks much.
Answer
Unprotected anal sex is an effective way to pass on HIV. You asked
about the difference in risk level for the top versus the bottom.
For the guy who is penetrating (the top), it's more difficult to
get HIV because of two factors. One, the top would have to have
contact with blood from the bottom's anus, which may or may not
happen. The mucous membranes of the anus are more sensitive than
skin and can bleed more easily, but don't always.
The second factor is that the urethra is a small opening, so it's
harder to get your partner's blood into your bloodstream through
the hole. For these reasons, it's more difficult for the top to
get HIV than for the bottom, but it does happen. It's
also possible to contract other STI's as the top without protection.
How do you feel about this information? You mentioned that using
condoms doesn't always happen, so I'm wondering what your thoughts
or concerns might be about barebacking and staying negative. It
can help to talk things out, so feel free to call our Hotline if
you want to go over anything in this email or for more information
or support. You can reach us at 800-243-7692.
Sincerely,
The GMHC Hotline
Questions or concerns? Email us at hotline@gmhc.org.
For more information, visit our Hotline.
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