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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 general, condoms do protect against STIs that are spread through body fluids (semen, blood and anal or vaginal fluids).

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. 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 terms of focus and clarity, this discussion will singularly focus on HIV rather than other STIs.

The Top Definition: 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. 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.

(Popular myth: If an HIV-positive guy is always the bottom, he will never transmit the virus.) Risk: Simply put, a gay man who bottoms is more at risk for HIV.

The sensitive lining of the anus is more susceptible to cuts and abrasions during sex.

"I think we could do a better job of making that clear in the UI," Rad says.If you bottom and do not wear condoms 100 percent of the time, the use of Pr EP will afford you with the certainty of protection.Once again, a bottom who is HIV-positive can protect himself from transmitting by consistently taking their HIV medication and staying in care.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.(Popular Myth: A guy who exclusively tops will never get HIV.) 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.Research also suggests that uncircumcised tops are at a higher risk for HIV infection than those who are circumcised. Responsibility: When topping, it is arguably more important to know your HIV status.