Main article: Sexually transmitted disease A study reported that two large population surveys found "the majority of gay men had similar numbers of unprotected sexual partners annually as straight men and women. Also, condoms are more likely to break during anal sex than during vaginal sex. Thus, even with a condom, anal sex can be risky. According to a federal study, one in five men who have sex with men are HIV positive and nearly half don't realize it.
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