A member asked:

I have seen some docs on this forum saying condom sex is not 100% safe with regards to anal and hiv but is that just if the condom was to break or slip of are condoms safe if used properly ?

2 doctors weighed in across 2 answers

Regardless of proper use of condom, that is even if it does not slip or break, it is not 100% protection. However regards to HIV if combined with the person being on treatment with low viral load the chances of transmission is even decreased further.

Answered 4/21/2022

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Dr. Hunter Handsfield answered

Specializes in Infectious Disease

Condoms are more effective against STIs transmitted by genital fluids (e.g. gonorrhea, chlamydia, HIV) than those transmitted by skin to skin contact (e.g. HPV, HSV, syphilis) because of skin contact above the condom. On a per-exposure basis, condoms probably are ~70% protective against HPV. Therefore, over many exposures, almost all sexually active persons acquire HPV even with 100T condom use.

Answered 4/21/2022

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