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#AskTheHIVDoc Episode 3: Top or Bottom?

#AskTheHIVDoc Episode 3: Top or Bottom?


When it comes to HIV treatment, there is a difference between tops and bottoms.

Yes, there is a difference between tops and bottoms in terms of risk around HIV infection, and it's finally discussed in the newest episode of the YouTube series #AskTheHIVDoc.

“What’s important to think about with HIV is that HIV has to get into the blood stream to actually set up infection,” Dr. David says.

He then explains that the since the skin of the penis is a little tougher, men who top during anal sex with other men have a lesser risk of HIV getting into their bloodstream than with a bottom whose rectal lining is not as tough.

Watch Dr. David’s full explanation of the difference in HIV for tops and bottoms in the video below.

#AskTheHIVDoc is a YouTube series created by the Greater Than AIDS organization to help gay men learn more about HIV and sexual health through honest, fun, and no-nonsense discussions. For more information, visit

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