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Vaginal sex has a lower risk, and activities like oral sex, touching, and kissing carry little to no risk for getting or transmitting HIV. Anal sex is the highest-risk sexual behavior for HIV transmission. The risk of getting HIV varies widely depending on the type of sexual activity. Questions and Answers Fact Sheet: PrEP is much less effective when it is not taken consistently. November 13, Page last updated:

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This page gives effectiveness estimates for the prevention options above.

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One can also get hepatitis A, B, and C; parasites like Giardia and intestinal amoebas; and bacteria like ShigellaSalmonellaCampylobacterand E. It is also important that sufficient water- or silicone-based lubricant be used during anal sex to prevent condom breakage and tearing of tissue. Even if a condom is used, some STDs can still be transmitted through skin-to-skin contact like syphilis or herpes. Only condoms can help protect against some other STDs. This is called viral suppression —usually defined as having less than copies of HIV per milliliter of blood. If one has never had hepatitis A or B, there are vaccines to prevent them.

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