This is actually the second installment in a string built to teach today’s queer youth on healthier homointercourseual intercourse.

Gay Intercourse Ed: Remaining Secure While Topping or Bottoming

The age-old relationship that is binary the most notable as well as the base can be as straightforward as it really is complex. In just about any intimate encounter, homosexual, directly or elsewhere, anyone typically assumes the principal part although the other assumes on a submissive part. And even though the “give and receive” of actions and pleasures may ebb and move during sex, many individuals generally choose one part or any other. But while tops and bottoms are equal, their differing roles do have various medical issues and duties that each homosexual and man that is bisexual be up to date about, no matter intimate place.

Preface: All STIs are detrimental to your quality of life. Nonetheless, they’re not all developed similarly. Generally speaking, condoms do force away STIs which are spread through human anatomy liquids (semen, bloodstream and anal or genital liquids). STIs that spread through skin-to-skin contact (Herpes, HPV) can nevertheless distribute with condom usage, particularly when either partner has any sores that are open lesions. This discussion will singularly focus on HIV rather than other STIs in terms of focus and clarity.

The Most Effective

Definition: The partner that is insertive same-sex anal intercourse with cisgender homosexual guys (males whoever figures align making use of their recognition as guys) or transgener homosexual guys, or genital intercourse with pre-op or non-op transgender homosexual males.

Synonyms: The Knob; Handy Guy; The System; Tarzan; The Muscle Mass

Overview: Nothing is such as for instance a top that is good. But, there clearly was a general myth that you will find small to no health problems related to topping, but a great top understands that he has got to give some thought to their intimate safety and health as with any base on the market. In reality, the top’s health that is sexual the absolute most essential, as their status is really what could put the base at an increased risk for HIV transmission.

(Popular Myth: a man whom solely tops will never ever get HIV.)

Danger: some guy that is topping is normally at an inferior danger for HIV compared to the man that is bottoming, but both topping and bottoming during unprotected rectal intercourse is recognized as high-risk behavior. Whenever a condom is not used, HIV can enter through the opening associated with penis through small cuts, abrasions or open sores. Having another STI can further raise your danger for transmission. Analysis additionally shows that uncircumcised tops are in an increased danger for HIV illness compared to those that are circumcised. In either case, topping doesn’t protect you from HIV.

Duty: whenever topping, it really is perhaps more essential to learn your HIV status. You may have a high viral load that places your sexual partner at higher risk for transmission if you are HIV-positive and not on treatment. Should your partner is HIV-positive, you may be nevertheless at an increased risk but that danger is reduced, particularly when he could be on treatment and invisible. A condom or PrEP are your absolute best choices for security, in control of protecting your partner and protecting yourself because it places you. For a premier that is HIV-positive, keeping an undetectable viral load through consistent usage of antiretroviral medicine and constant health care bills may be the method that is best of protecting himself from transmitting the herpes virus.

The Underside

Definition: The partner that is receptive same-sex rectal intercourse for cisgender homosexual males or transgender homosexual guys, or genital intercourse with transgender homosexual guys.

Synonyms: The Opening; Jane; Energy Bottom; The Brains

Tops may get the glory, but bottoms result in the globe get round. 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 to be a good bottom. Simply, tops get it simple in terms of gay sex because being a great base isn’t any effortless work.

(Popular misconception: If A hiv-positive man is constantly the base, he can never ever send the herpes virus.)

Danger: to put it simply, a homosexual man who bottoms is much more at an increased risk for HIV. The lining that is sensitive of anal area is more prone to cuts and abrasions during intercourse. These cuts and abrasions provide for HIV this is certainly contained in the top’s cum or pre-cum in the future into experience of the bottom’s bloodstream.

Duty: When bottoming, you need to constantly ask regarding the partner’s HIV status as your place puts you more at-risk for transmission. Aside from their response, your very best selection for security could be the usage of Truvada as PrEP, since it puts you in charge of your personal wellness no matter their status or condom usage. Being a base, you can negotiate condom use, however your partner may be the person who wears the plastic. If you bottom and never wear condoms 100 % of times, the usage PrEP will pay for you aided by the certainty of security. Once more, a base that is HIV-positive can protect himself from transmitting by regularly using their HIV medicine and residing in care.

The Top/Bottom that is perfect Dynamic

You may have a position preference, but chances are you will change it up every now and then if you are a gay man. That you can be pleasing to your partner while protecting yourself whether you are a guy who prefers to top or just a big ‘ole bottom, make sure you know the ins and outs of both roles so. Then it won’t matter if the top is on bottom, the bottom is on top, or if both of you are tangled sideways because you both with be equal, and equally protected if you do so.


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