How risky is protected anal sex? My understanding is that if a condom is used and doesn’t break then there is no risk. When people talk about risk with condom protected anal sex are they talking about risk due to possible breakage?
Yes and no. While some risk is due to condom breakage other risk can occur from misuse like putting it on inside out, using it after dipping (early penetration), removing it after ejaculation and continuing to have sex or slippage—when the condom falls off during sex. Condoms should be used completely from start to finish. Because semen carries HIV, any exposure of the rectum to semen can result in the spread of HIV infection. Using condoms consistently and correctly is highly effective in protecting both partners during anal sex. Pinch the air out of the tip, unroll the condom all the way to the base of the penis, and remember to use plenty of lube. Carefully remove the condom right after ejaculation, keeping the ejaculate inside. If both partners want to have more sex, another new condom should be used.
For more information about condoms, see http://www.sfcityclinic.org/stdbasics/condoms.asp and see http://www.safeinthecity.org and the condom demonstration of that program on YouTube http://www.youtube.com/watch?v=tcpfZKvOFZ4.
To your health,