Here is the 2nd installment in a set built to teach today’s queer youth on healthier homointercourseual intercourse.

Here is the 2nd installment in a set built to teach today’s queer youth on healthier homointercourseual intercourse.

Gay Intercourse Ed: Remaining Secure While Topping or Bottoming

The age-old binary relationship between the very best plus the base can be as straightforward as it really is complex. In every intimate encounter, homosexual, right or elsewhere, one individual typically assumes the principal part even though the other assumes on a role that is submissive. Even though the “give and receive” of actions and pleasures may ebb and move during sex, lots of people generally choose one part or any other. But while tops and bottoms are equal, their differing roles do have various health problems and obligations that each and every gay and man that is bisexual be up to date about, no matter intimate place.

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

The Most Notable

Definition: The insertive partner in same-sex rectal intercourse with cisgender gay guys (males whoever systems align due to their recognition as males) or transgener homosexual guys, or genital intercourse with pre-op or non-op transgender gay guys.

Synonyms: The Knob; Handy Guy; The Machine; Tarzan; The Muscle Tissue

Overview: you’ll find nothing such as for instance a good top. But, there clearly was a basic misconception that you can find small to no health threats related to topping, but an excellent top understands that he’s to give some thought to their intimate safety and health exactly like any base on the market. In reality, the top’s health that is sexual the absolute most crucial, as their status is really what could position the bottom at an increased risk for HIV transmission.

(Popular Myth: some guy whom solely tops will never ever get HIV.)

Danger: some guy that is topping is usually at an inferior danger for HIV compared to the man that is bottoming, but both topping and bottoming during unprotected rectal intercourse is regarded as behavior that is high-risk. Whenever a condom is not utilized, HIV can enter through the opening associated with penis through little cuts, abrasions or available sores. Having another STI can increase your risk further for transmission. Research additionally implies that uncircumcised tops are in a greater danger for HIV disease compared to those who will be circumcised. In any event, topping doesn’t protect you from HIV.

Obligation: whenever topping, it really is perhaps more essential to understand your HIV status. If you should be HIV-positive and never on therapy, you have a top viral load that places your sexual partner at greater risk for transmission. In the event your partner is HIV-positive, you may be nevertheless in danger but that risk is paid off, particularly if he is on therapy and invisible. A condom or PrEP are your very best choices for security, since it puts you in charge of protecting your spouse and protecting your self. For a premier who’s HIV-positive, keeping an undetectable viral load through constant usage of antiretroviral medicine and consistent health care bills may be the most practical method of protecting himself from transmitting the herpes virus.

The Underside

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

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

Tops could get the glory, but bottoms result in the global globe get round. To be a great base some guy has to understand that which works for their human body, how exactly to keep an excellent and hygienic tail, and exactly how to navigate their intimate wellness without compromising their pleasure. Basically, tops get it effortless with regards to gay sex because being a great base isn’t any job that is easy.

(Popular misconception: If A hiv-positive guy is constantly the underside, he can never ever transfer the herpes virus.)

Danger: to put it simply, a man that is gay bottoms is more at an increased risk for HIV. The lining that is sensitive of rectum is much more prone to cuts and abrasions while having sex. These cuts and abrasions enable 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 ask regarding the partner’s HIV status as your place puts you more at-risk for transmission. Aside from his solution, your very best selection for security may be the usage of Truvada as PrEP, since it places you accountable for yours wellness no matter their status or condom usage. As a base, you can negotiate condom use, however your partner could be the a person who wears the plastic. With the certainty of protection if you bottom and do not wear condoms 100 percent of the time, the use of PrEP will afford you. Once more, a base who is HIV-positive can protect himself from transmitting by regularly using their HIV medicine and residing in care.

The Perfect Top/Bottom 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. Regardless if you are some guy whom would rather top or simply a large ‘ole bottom, be sure you understand the intricacies of both functions to enable you to be pleasing to your lover while protecting your self. 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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