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What is the risk of HIV from unprotected anal sex?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My fiancee and I are not known HIV positive. But we have had unprotected anal sex ten times so far. Can we be infected with HIV?

Hi,

Welcome to icliniq.com.

If you both do not have HIV (human immunodeficiency virus), then from where can HIV come?

Only certain body fluids from a person who is infected with HIV can transmit the infection to an uninfected person through sex (anal, vaginal, or oral), through blood transfusion, and exchange of syringes during intravenous drug use. An HIV-infected mother can transmit HIV to the child during pregnancy, delivery, or through breast milk. Unprotected anal sex is considered to be the riskiest for sexually transmitted diseases due to the anatomy of the anus. It is a narrow passage and does not self-lubricate. Anal skin is very fragile and likely to tear during the act, and thus forms the easy passage for pathogens to pass into the bloodstream. Pathogens love the warm and moist environment of the anus. Therefore, a person who has HIV or, for that matter, any STD, it becomes an easy passage for transmission. Therefore barrier contraceptives (consistent and correctively using condoms) are recommended, which prevents not only HIV but also other STDs. But if you both do not have HIV and other STDs, it cannot be transmitted in a monogamous relationship. These infections are transmitted when an infected person has unsafe sex with an uninfected person. Hope your query is answered, but if you still have any other query, please revert. Best wishes.

Medically reviewed byiCliniq medical review team

Published At August 16, 2017
Reviewed AtDecember 28, 2025

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