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As a bottom, you can negotiate condom use, but your partner is the one who wears the rubber. Regardless of his answer, your best option for protection is the use of Truvada as PrEP, because it places you in control of your own health regardless of his status or condom use. Responsibility: When bottoming, you should always inquire about your partner’s HIV status since your position places you more at-risk for transmission. These cuts and abrasions allow for HIV that is present in the top’s cum or pre-cum to come into contact with the bottom’s bloodstream. The sensitive lining of the anus is more susceptible to cuts and abrasions during sex. Risk: Simply put, a gay man who bottoms is more at risk for HIV. (Popular myth: If an HIV-positive guy is always the bottom, he will never transmit the virus.) Quite simply, tops have it easy when it comes to gay sex because being a good bottom is no easy job.
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To be a good bottom a guy has to know what works for his body, how to maintain a healthy and hygienic rear end, and how to navigate his sexual health without compromising his pleasure. Tops may get the glory, but bottoms make the world go round. Synonyms: The Hole Jane Power Bottom The Brains For a top who is HIV-positive, maintaining an undetectable viral load through consistent use of antiretroviral medication and consistent medical care is the best method of protecting himself from transmitting the virus.ĭefinition: The receptive partner in same-sex anal sex for cisgender gay men or transgender gay men, or vaginal sex with transgender gay men. A condom or PrEP are your best options for protection, because it places you in control of protecting your partner and protecting yourself. If your partner is HIV-positive, you are still at risk but that risk is reduced, especially if he is on treatment and undetectable. If you are HIV-positive and not on treatment, you may have a high viral load that places your sexual partner at higher risk for transmission. Responsibility: When topping, it is arguably more important to know your HIV status. Either way, topping doesn’t protect you from HIV. Research also suggests that uncircumcised tops are at a higher risk for HIV infection than those who are circumcised. Having another STI can further increase your risk for transmission. When a condom isn’t used, HIV can enter through the opening of the penis through small cuts, abrasions or open sores. Risk: A guy who is topping is generally at a lesser risk for HIV than the guy who is bottoming, but both topping and bottoming during unprotected anal sex is considered high-risk behavior. (Popular Myth: A guy who exclusively tops will never get HIV.) In fact, the top’s sexual health is probably the most important, as his status is what could place the bottom at risk for HIV transmission. However, there is a general misconception that there are little to no health risks associated with topping, but a good top knows that he has to think about his sexual health and safety just like any bottom out there. Overview: There is nothing like a good top. Synonyms: The Knob Handy Man The Unit Tarzan The Muscle In terms of focus and clarity, this discussion will singularly focus on HIV rather than other STIs.ĭefinition: The insertive partner in same-sex anal sex with cisgender gay men (men whose bodies align with their identification as men) or transgener gay men, or vaginal sex with pre-op or non-op transgender gay men. STIs that spread through skin-to-skin contact (Herpes, HPV) can still spread with condom use, especially if either partner has any open sores or lesions. In general, condoms do protect against STIs that are spread through body fluids (semen, blood and anal or vaginal fluids). However, they are not all created equally. Preface: All STIs are bad for your health. But while tops and bottoms are equal, their differing roles do come with different health issues and responsibilities that every gay and bisexual man should be well informed about, regardless of sexual position. And while the “give and receive” of actions and pleasures may ebb and flow during intercourse, many people generally prefer one role or another. In any sexual encounter, gay, straight or otherwise, one person typically assumes the dominant role while the other takes on a submissive role. The age-old binary relationship between the top and the bottom is as simple as it is complex.