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Directory of Services · Lesbian Gay Bisexual & Trans + · Psychosexual Insertive anal sex (topping) is generally a lesser risk for HIV than receptive anal sex Men who have sex with men made up 45% of new HIV diagnoses in in the UK. Health Promotion Team or email [email protected]net. If having anal sex was as easy as it appears in gay porn, I'd probably do it every day. However, there is more to it and gay men (women too).