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HIV and AIDS

Could Anal Sex Be A Reason For AIDS In Africa?

10/11/1999

Question:

In years past, two men I know spent time in Africa. Both saw prostitutes. Both prostitutes indicated that they wanted to perform anal sex(presumably, to keep from getting pregnant). Could this be a reason for heterosexual AIDS in Africa since the anus is not designed for this and easily is torn?

Answer:

Heterosexual transmission of AIDS in Africa seems to be doing just fine with vaginal intercourse, multiple heterosexual partners and a higher prevalence of genital ulcer diseases (that facilitate passage of the virus). No other explanation is needed to understand this.

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Response by:

Kenneth   Skahan, MD Kenneth Skahan, MD
Assistant Professor in Infectious Diseases
College of Medicine
University of Cincinnati