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Getting Anal With HIV

  Who knew that anal sex could be such a pain! There are so many things that we need to PrEPare for prior to sealing the deal the homosexual way. Luckily, for those who are negative there is a great new tool called PrEP (Pre-Exposure Prophylaxis) that has been shown to be up to 99% effective in preventing HIV. Recently, the Center for Disease Control and Prevention (CDC) even released a set of guidelines for how it should be used.


For many of us, however, prevention of HIV is a moot issue. Regardless of how we arrived at this point in our journey, we are here. This doesn’t mean that we like it up the rump any less, and it also doesn’t mean that we have nothing else to worry about. Okay, okay… So I am being a bit cheeky but you get my drift.

If you are a bottom, and from the look of most cities you are, then we need to get to the bottom of this bottoming thing. There is nothing more attractive than a pretty… hold on one minute. I have never heard someone talk about how attractive someone’s anus is. I have definitely seen a few that should never have allowed a camera to get anywhere near it. For some of you, your bottoms need to be like Kim and Kanye’s wedding… No Camera’s allowed!

If we want to keep those booties all camera-worthy and healthy, there are a few things that we need to know. HIV is the largest target of everyone’s prevention efforts, however, there are a few other things that we all need to cautious about.

HPV (Human Papillomavirus) is the most common sexually transmitted infection in the United States. It is actually so common that nearly all sexually active people will contract it at some point during their lifetime. In most cases, HPV goes away on its own and does not cause any health problem. When it does not go away, it can cause health issues like genital warts and cancer. People with weak immune systems may be less able to fight off HPV and more likely to develop health problems from it, and this includes people with HIV/AIDS.


But wait… there is more! You can also get syphilis by direct contact with a syphilis sore during anal, vaginal or oral sex. The painless syphilis sore that you would get after you are first infected can be confused for an ingrown hair, zipper cut, or other seemingly harmless bump.

There is so much to think about prior to maneuvering that cylindrical shape into your love canal! Chlamydia is a common STD that can infect both men and women. It can cause serious, permanent damage to a woman’s reproductive system, making it difficult or impossible for her to get pregnant later on. Gay, bisexual and men who have sex with men; as well as pregnant women should all be tested for chlamydia if they have been sexually active… you know, taking things up their love-highway.

All of that is just the tip… of the iceberg. Beyond all of the things that we cannot see there are plenty of things that we can see or feel. Those of us living with HIV are at a much higher risk of developing anal cancer than those who are not HIV positive and there is a 5 year survival rate once it is diagnosed. Anal dysplasia alarms doctors to pre-cancerous changes in the lining of the anus. It is also associated with HPV that was previously discussed. Those who are at highest risk are men who have sex with men; a person who has had anal receptive intercourse; a person with a history of anogenital condylomas; women with abnormal cervical or vulvar histology and smokers.

For something that can give us so much pleasure, it can also be a huge pain in the ass! There is more to getting anal than simply shoving something in. Any good bottom already knows this, however, I wanted to take a moment and share these words of wisdom with you. Although these concerns are present for everyone, they are especially imperative for those of living with HIV. Getting Anal with HIV is no joke.

Take care of your anus because you never know when you will have to lend your anus to someone else!