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. anal sex is the highest-risk sexual behavior for hiv transmission. Vaginal sex has a lower risk, and activities like oral sex, touching,. People who report using condoms consistently reduced their risk of getting hiv through insertive anal sex with an hiv-positive partner, on average, by 63, and receptive anal sex with an hiv-positive. Anal sex is a common practice among men who have sex with men, heterosexual men and women, and transgender individuals and is a known risk factor for hiv infection and transmission. 11,12,13,14 in a recent nationally representative survey of almost 6,000 men and women in the united states (of which the majority were heterosexual), approximately 20 of women between the ages of 18 to 39. In fact, anal sex is the riskiest type of sex for getting or transmitting hiv. Hiv can be found in certain body fluidsblood, semen (cum), pre-seminal fluid (pre-cum), or rectal fluidsof a person who has hiv. Although receptive anal sex (bottoming) is much riskier for getting hiv than insertive anal sex (topping), its possible for either partnerthe top or the bottomto get hiv. Research suggests the risk of hiv transmission from receptive anal sex is 3 to 23 times higher than from insertive anal sex. The risk from receptive vaginal sex is about twice as high as that from insertive vaginal sex. It is unclear exactly how much less risky oral sex is compared to. The risk is less than vaginal or anal intercourse, but the risk is real, and transmission can occur. Digital-anal or digital-vaginalfrontal sex is the clinical term for using a finger(s) or fist for insertive sex. While it is theoretically possible that someone with an open cut or fresh abrasion on his or her finger or hand could contract hiv if it comes into contact with blood or secretions in the anus or vagina, there has never been a documented case of hiv transmission through fingering. The passive partner in anal sex (receptor) faces a higher risk than the active partner (inserter). Research suggests the risk of hiv transmission from a single receptive anal sex is 3 to 23 times higher than from insertive anal sex. Oral sex ranks very low on the list of ways hiv can be transmitted. Its more likely to transmit hiv through anal or vaginal sex. Its also possible to transmit the virus by sharing needles or.