Strategic Positioning

Strategic positioning involves two men not using condoms, PrEP or treatment as prevention (one HIV negative and the other being HIV positive) sexually positioning themselves to reduce the risk of passing on HIV. This usually involves the HIV negative partner taking on the insertive position (the top) because a penetrative partner is less likely to acquire HIV than a person who is taking the receptive position (the bottom). Although this reduces the risk, HIV can still be transmitted through rectal fluids.