How Do You Get Hiv From Semen Or Vaginal Fluid
Body fluids including semen and vaginal secretions can contain HIV. If a person has HIV and a detectable viral load, HIV can passed on to someone if their semen or vaginal secretions get into the body of a sexual partner during vaginal or anal sex.
If a man has HIV and a detectable viral load, one of his body fluids where the virus is found is his semen.
If he has a detectable viral load and his semen gets into the body of his sexual partner during sex, then HIV can get into the other persons bloodstream.
Pre-cum also contains HIV this is why there is a risk of infection even if a man pulls out of his partner before he ejaculates.
If a woman has HIV and she has a detectable viral load, one of her body fluids where the virus is found is in her vaginal secretions.
If these come into contact with a penis during sex, then HIV could be transmitted. The virus in her secretions can enter through the delicate skin of the penis or foreskin.
How Do You Get Hiv From Sex
HIV is transmitted through semen , vaginal fluid, blood, and anal mucus. During sex without a condom the bodily fluids from one person can pass into the body of their sexual partner. This can happen through the mucous membranes of the penis, vagina and rectum, or sores in the mouth and throat.
You can only get HIV from someone who is living with HIV and has a detectable viral load.
Is There A Connection Between Hiv And Other Sexually Transmitted Infections
Yes. Having a sexually transmitted disease can increase the risk of getting or spreading HIV.
If you are HIV-negative but have an STD, you are at least 2 to 5 times as likely to get HIV if you have unprotected sex with someone who has HIV. There are two ways that having an STD can increase the likelihood of getting HIV. If the STD causes irritation of the skin , breaks or sores may make it easier for HIV to enter the body during sexual contact. Even STDs that cause no breaks or open sores can increase your risk by causing inflammation that increases the number of cells that can serve as targets for HIV.
If you are HIV-positive and also infected with another STD, you are 3 to 5 times as likely as other HIV-infected people to spread HIV through sexual contact. This appears to happen because there is an increased concentration of HIV in the semen and genital fluids of HIV-positive people who also are infected with another STD.
CDC recommends sexually active gay and bisexual men test for:
- Hepatitis B and C.
- Chlamydia and gonorrhea of the rectum if youve had receptive anal sex, or been a bottom in the past year.
- Chlamydia and gonorrhea of the penis if you have had insertive anal or oral sex in the past year.
- Gonorrhea of the throat if youve performed oral sex in the past year.
Sometimes your health care provider may suggest a herpes test.
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Is There Anything You Can Do To Prevent Other Forms Of Transmission
Blood-to-blood contact between people sharing drug equipment like needles and syringes is the most common nonsexual form of HIV transmission.
If youre injecting drugs recreational or medical always use clean equipment. Dispose of needles and other paraphernalia properly to avoid accidental needle sticks and exposure.
Though the risk is low, its possible to contract HIV from contaminated tattooing and piercing equipment. Avoid home tattoos and piercings and stick with a reputable studio that follows proper sterilization practices.
Potential exposure to HIV can be stressful for all involved. Finding someone to talk with about your concerns and getting support can help.
Talk with your doctor or another healthcare professional if you or your partner needs help with:
- HIV and other STI testing
- treatment and prevention drugs
Anal Sex And Hiv Risk
The risk of getting HIV varies widely depending on the type of sexual activity. Anal sex , which involves inserting the penis into the anus, carries the highest risk of transmitting HIV if either partner is HIV-positive. You can lower your risk for getting and transmitting HIV by using condoms correctly and consistently, choosing lower risk sexual activities, taking daily medicine to prevent HIV, called pre-exposure prophylaxis and taking medicines to treat HIV if living with HIV, called antiretroviral therapy . Using more than one of these options at the same time provides even greater protection.
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When Is The Risk Greater
These risk factors can increase the chances for transmission of HIV:
- Status: Risk varies based on whether the person with HIV is giving or receiving oral sex. If the person with HIV is receiving oral sex, the person giving it may have a higher risk. Mouths may have more openings in the skin or lesions. Saliva, on the other hand, is not a carrier of the virus.
- Viral load: The risk of contracting HIV is higher if the person with HIV has a high viral load. Higher viral loads increase infectivity.
- Ejaculation: During oral sex, ejaculation may increase risk for sharing the virus, but ejaculation alone isnt the only possible way of contracting HIV.
- Cuts or sores: Openings in the mouth, vagina, anus, or on the penis are possible routes for HIV. These may be cuts or lesions from another infection or condition. For example, HIV-related infections like candidiasis can cause sores that compromise the integrity of the tissue in the mouth. Any break in the skin puts a person at risk for transmitting or contracting the virus.
- Menstruation: HIV-bearing cells do shed from the cervix during menstruation. Coming into contact with menstrual blood with the mouth may increase contraction risk.
- Urethritis: This condition causes inflammation and irritation in the urethra. It may increase the chances of HIV contraction, too. People with HIV are likely to shed the virus when they have this condition.
Sex Toys Fingering Fisting And Hiv
Sex toys, such as dildos, come into direct contact with rectal/vaginal fluids and mucous membranes. This means sharing an uncleaned dildo or other toy can pass on HIV. Using sex toys on your own has no risk.
There is no direct risk of HIV from fingering or fisting , but be aware of being rough. Damage to anal/vaginal tissues, especially if there is any bleeding, will increase risk of HIV transmission if you then have anal, vaginal or oral sex later.
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Giving And Receiving Oral Sex
Though semen and pre-cum are not the only routes for contracting HIV, they are two avenues. Ejaculating during oral sex increases the risk. If you or your partner feels ready to ejaculate, you can remove your mouth to avoid exposure.
Barrier methods like latex or polyurethane condoms and dental dams can be used during every oral sex act. Change condoms or dental dams if you move from the vagina or penis to the anus, or vice versa.
Also use lubricants to prevent friction and tearing. Any holes in the barrier methods can increase exposure risk.
Abstain from oral sex if you have any cuts, abrasions, or sores in your mouth. Any opening in the skin is an avenue for possible viral exposure.
Be careful not to cut or tear your partners skin with your teeth during oral sex. This opening can expose you to blood.
Treatments That Help Reduce The Risk Of Hiv Transmission
If your partner is HIV positive, talk to your doctor about whether you should start taking a medication called pre-exposure prophylaxis, or PrEP. These pills, which help prevent HIV from establishing itself in the body, can reduce a persons risk of permanent infection by up to 92 percent if taken consistently, according to the CDC.
If youre HIV negative and believe you might have been exposed to the virus, you can take an emergency medication called post-exposure prophylaxis, or PEP, which can lower your odds of being permanently infected with HIV. In order to work as effectively as possible, the medication has to be started within 72 hours of exposure and must be taken consistently once or twice a day for 28 days.
Finally, if your partner is HIV positive, he or she can drastically reduce the odds of passing along the virus by taking antiretroviral therapy, or ART. These medications can lower the amount of HIV that resides in the body to a level thats undetectable by modern testing. An international study published in the Journal of the American Medical Association in July 2016 found that none of the more than 1,000 HIV-positive people whose levels were undetectable passed the virus to their HIV-negative partners during unprotected anal or vaginal sex during an average of two years.
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Whats The Risk For Types Of Oral Sex
Oral sex ranks very low on the list of ways HIV can be transmitted. Its more likely to transmit HIV through anal or vaginal sex. Its also possible to transmit the virus by sharing needles or syringes used for injecting drugs or tattooing.
However, the risk of contracting HIV through oral sex is not zero. The truth is, you can in theory still contract HIV this way. Theres just been from years of research to show that it has happened.
Why is it hard to get data?
Its difficult to know the absolute risk of transmitting HIV during oral sex acts. Thats because many sex partners who engage in oral sex of any type also engage in vaginal or anal sex. It may be difficult to know where the transmission occurred.
Fellatio carries some risk, but its low.
- If youre giving a blowjob. Receptive oral sex with a male partner who has HIV is considered exceptionally low-risk. In fact, a 2002 study found that the risk for HIV transmission through receptive oral sex was statistically zero.
- If youre receiving a blowjob. Insertive oral sex is an unlikely method of transmission, too. Enzymes in the saliva neutralize many viral particles. This may be true even if the saliva contains blood.
There are no documented cases of HIV being transmitted between partners through cunnilingus .
Anilingus , or rimming, has some risk, but it is negligible. Its especially low for receptive partners. In fact, the lifetime risk of transmitting HIV during rimming is
No 1 Sharing A Needle: 1 In 159
About 6 percent of the HIV diagnoses in 2015 can be attributed to the use of injection drugs, according to the Centers for Disease Control and Prevention . The reason is that needles, syringes, and other equipment can contain blood, and therefore HIV, which can then be directly transmitted into the bloodstream. Under the right environmental circumstances, the virus can survive in a used needle for up to 42 days, according to the U.S. Department of Health and Human Services. In addition, using drugs can lower peoples inhibitions, making them less likely to use a condom during sex or to take preventive HIV medications, further increasing their risk.
- Reduce the risk. Although the number of HIV diagnoses among people who inject drugs has declined by 48 percent from 2008 to 2014, according to the CDC, experts worry that the rising opioid epidemic is putting new people at risk for getting the virus. To find substance abuse help, call the Substance Abuse and Mental Health Services Administrations national helpline at 1-800-662-HELP or visit its website, findtreatment.samhsa.gov, for a list of treatment facilities near you.
- Reduce the risk. People who inject drugs can help lower their risk of exposure to HIV by using a sterile needle and syringe for each injection sterile needles can be obtained without a prescription at pharmacies and through syringe services programs at state or local health departments.
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Against All Odds: What Are Your Chances Of Getting Hiv In These Scenarios
Playing the HIV numbers game is lessand morerisky than you think.
EDITORS NOTE: Although the underlying ideas and messages in this article remain relevant, much HIV prevention research has been published since 2014, notably about there being effectively no risk of transmitting the virus if you are HIV positive and undetectable , as well as the effectiveness of pre-exposure prophylaxis . Go to #Prevention, #Undetectable, #TasP and #PrEP for the latest related updates.
Theres not a lot of certainty in these numbers. But they can be a good tool for understanding risk.
During sex, our risk perception is replaced by love, lust, trust and intimacy.
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Tops Bottoms And Prep: What You Need To Know About Hiv Prevention
Nearly 70% of people living with HIV are homosexual and bisexual men and thankfully the use of PrEP for HIV prevention is increasing among this group. According to a recent study, the number of gay and bisexual males taking PrEP increased by 500% from 2014 to 2017. However, only 35% of gay and bisexual males who were at high-risk of HIV transmission were taking the medication.
It is important that everyone takes the proper precautions to protect themselves from HIV transmission. While some people are at more risk than others due to lifestyle choices or other practices, there is a common misconception that your risk of HIV transmission is higher or lower depending on your sexual orientation or preferred sexual position.
PrEP is designed to help protect any person regardless of sexual orientation from HIV transmission. But, you may be wondering if PrEP could affect you differently or be more or less effective depending on if you are a top, bottom, or vers.
For instance, many tops assume they do not need to take PrEP since they are at a lower risk of contracting HIV than a bottom since they are not penetrated.
So, does PrEP work differently for tops and bottoms?
Well first, lets explain what puts you most at risk for HIV transmission and why you should consider taking PrEP in the first place regardless of sexual orientation.
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Use Condoms And Other Barrier Methods
If theres any chance youll be putting the tip into any orifice, putting a condom on it significantly reduces the risk of HIV and other infections.
Adding lube to the mix can help, too, and is especially important during anal sex.
Lube helps with dryness and friction and reduces the risk of tears that can allow the virus to enter the bloodstream. It also lowers the chances of the condom breaking.
Can I Get Hiv From A Piercing Or Tattoo
Getting HIV from a piercing or tattoo is rare. But it is possible to get HIV from tattoo and piercing tools that are not sterilized correctly between clients. Tools that cut the skin should be used once, then thrown away or sterilized between uses.
Before you get a tattoo or have your body pierced, ask the right questions. Find out what steps the staff takes to prevent HIV and other infections, like hepatitis B and hepatitis C. A new, sterilized needle should be used for each person.
Learn more about .
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What Medication Is Available
There are currently two medications approved by the FDA for PrEP: Truvada and Descovy.
Both of these medications can be up to 99% effective at HIV prevention when taken correctly. However, the notable difference between these medications is that Descovy is currently only approved for use in cisgender males and transgender females, while Truvada is approved for all genders.
PrEP does not have any significant health effects even with long-term use, but you may experience some side effects, such as:
- Abdominal pain
- Changes in weight
Some more severe side effects that may occur can be kidney issues, liver problems, or bone density loss. But these often occur in people who had health issues prior to taking PrEP. Ultimately, it is between you and your doctor to determine whether or not PrEP is the best choice for you.
Is The Risk Of Hiv Different For Different People
Although HIV risk factors and routes of transmission apply to everyone equally, some people are at higher risk because of where they live and who their sex partners are.
The percentage of people living with HIV is higher in major metropolitan areas, so people who live there are more likely to encounter an HIV-positive person among their possible sex partners. In the same way, because the prevalence of HIV is higher among gay and bisexual men and among black and Latino men and women, members of these groups are more likely to encounter partners who are living with HIV.
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How Is Hiv Spread From Person To Person
HIV can only be spread through specific activities. In the United States, the most common ways are:
- Having vaginal or anal sex with someone who has HIV without using a condom or taking medicines to prevent or treat HIV. Anal sex is riskier than vaginal sex.
- Sharing injection drug equipment , such as needles, with someone who has HIV.
Less common ways are:
- From mother to child during pregnancy, birth, or breastfeeding. However, the use of HIV medicines and other strategies have helped lower the risk of mother-to-child transmission of HIV to 1% or less in the United States.
- Getting stuck with an HIV-contaminated needle or other sharp object. This is a risk mainly for health care workers. The risk is very low.
HIV is spread only in extremely rare cases by:
- Having oral sex. But in general, the chance that an HIV-negative person will get HIV from oral sex with an HIV-positive partner is extremely low.