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Want to receive publications straight to your inbox? Subscribe now. Anal sex is a common practice among men who have sex with men, heterosexual men and women, and transgender individuals and is a known risk factor for HIV infection and transmission. Therefore, it is important that education on HIV prevention includes accurate information on the fluids that can transmit HIV through this type of sex. If one of these fluids is excluded from prevention messaging, it could lead a client to underestimate their risk of HIV transmission.

While there is no doubt that semen, pre-ejaculate pre-cum , and blood can contribute to the risk of HIV transmission through anal sex; it seems there is less clarity among frontline service providers on whether rectal fluid should also be included on this list.

This article looks at what rectal fluid is, whether or not it can contain and transmit HIV, and the implications for prevention education. Rectal fluid is the mucus that lines the rectum. Mucus is a slippery secretion produced by certain parts of our body known as the mucous membranes.

These membranes are located at the entrances into the body and line the internal passages of many of our organs, including the gastrointestinal tract mouth, intestines and rectum , the vagina and cervix, and the foreskin and urethra.