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Rectal fluid may not be the only fluid involved in the risk of HIV transmission during this type of sex. Several recent studies conclude that the frequency of this behavior is a significant independent predictor of HIV seropositivity. As people are usually unaware of their infection at this stage, they are not taking treatment and may inadvertently expose sexual partners to Hiv through anal sex. However, being the insertive partner in condomless sex remains a high-risk activity. Both the urethra and foreskin are vulnerable to HIV infection.
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