Key points
- The estimated risk of infection is zero for unprotected anal intercourse with an HIV-positive partner with a fully suppressed viral load.
- If HIV is certainly not completely suppressed by effective therapy, rectal intercourse without condoms is a high-risk path of intimate HIV transmission for both the insertive and receptive partner.
- Intimately transmitted infections and also the HIV-positive partner being recently contaminated boost the danger of transmission.
In the event that partner that is HIV-positive using antiretroviral therapy and has now a completely suppressed viral load (‘undetectable’), the possibility of HIV transmission through rectal intercourse is zero.
The PARTNER-2 research observed 783 male partners when the partner that is HIV-positive an invisible viral load with no condoms had been utilized in rectal intercourse. No HIV transmission from HIV-positive partners took place and the researchers concluded that the risk of HIV transmission in these circumstances was effectively zero (Rodger) after 1596 couple-years of follow-up and 77,000 acts of unprotected anal intercourse.
If viral load is detectable, condomless intercourse that is anal a extremely efficient means of transmitting HIV, which is considered a high-risk task both for lovers, even though precise amount of danger can be determined by numerous facets.