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It is due for review in July However, it may damage the rectal lining and remove protective naturally occurring bacteria. Although HIV can be sexually transmitted, the term is most often used to refer to chlamydia, gonorrhoea, syphilis, herpes, scabies, trichomonas vaginalis, etc. Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. Sexually Transmitted Infections, online ahead of print, They provide a direct physical route of entry for HIV in an uninfected person. This creates a risk of transmission to the insertive partner through the tissue in the urethra and on the head of the penis — particularly underneath the foreskin.

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If the same douching bulb, showerhead or other tool is used by different people, infections could also be transmitted that way.

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Rectal douching is the insertion of a liquid, such as tap water or soapsuds, into the rectum via a tool, to cleanse the rectum before or after anal sex and is a common activity among gay and bisexual men. It is true that HIV infection occurs less frequently in men who solely take the insertive role than in men who engage in both roles, or men who practise receptive anal intercourse only Jin. The strongest evidence is for herpes simplex virus type 2 HSV

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