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Why do you need to test for Hep C after insertive anal sex?

I keep hearing that you can get Hep C from anal sex.

How is this possible? In order to get Hep C, infected blood must enter your bloodstream. The skin on the penis and inside the urethra would act as a barrier preventing infected blood from the anus getting in. If your penis were bleeding you would surely know about it.

Isn't it possible that the gay men who are getting Hep C are only getting it from sharing sex toys and fisting, and not actual penis in anus sex?
1 Responses
683231 tn?1467323017
Anal sex can cause tearing of tissue. So anal sex could somewhat be considered rough sex and not without at least some risk. Especially true in the presence of HIV

TREATMENT NEWS
Hepatitis C Sheds Enough in the Rectum to Transmit Through Anal Sex
November 29, 2016
  

Researchers have come up with the first direct evidence that enough hepatitis C virus (HCV) sheds into the rectums of HIV-positive men who have sex with men (MSM) to transmit directly to another man’s penis during anal sex, even when no blood is present.
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317787 tn?1473358451
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