Monday, September 26, 2022

Is Hiv Transmitted Through Oral Sex

If I Get Infected Fluid From An Hiv

Does oral sex lead to transmission of HIV? – Dr. Shailaja N

No, HIV is not always passed on from someone living with HIV. There are lots of reasons why this is the case. For example, if the HIV-positive person is on effective treatment it will reduce the amount of HIV in their body. If a doctor confirms that the virus has reached undetectable levels it means there is no risk of passing it on.

If youre concerned that youve been exposed to HIV you may be eligible to take post-exposure prophylaxis , which stops the virus from becoming an infection. However its not available everywhere and has to be taken within 72 hours of possible exposure to be effective.

Its really important to take a HIV test every time you think you have been at risk of HIV.

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Is Deep Kissing A Route Of Hiv Transmission

Deep or open-mouthed kissing is a very low risk activity in terms of HIV transmission. HIV is only present in saliva in very minute amounts, insufficient to cause infection with HIV. There has been only one documented case of someone becoming infected with HIV through kissing a result of exposure to infected blood during open-mouthed kissing. If you or your partner have blood in your mouth, you should avoid kissing until the bleeding stops.

Estimating The Risk Per Exposure

A satisfactory answer to the question, How high is the risk of HIV transmission through oral sex? has been notoriously elusive. Collecting reliable data is challenging for several reasons:

  • Very few people report oral sex as their sole risk.
  • Self-reported data on sexual behaviour are hard to collect accurately, with participants failing to report condomless anal or vaginal sex they have had.
  • If a person practises any other form of unprotected intercourse in addition to unprotected oral sex, any resulting HIV infection is usually attributed to the higher risk behaviour.
  • Studies have frequently grouped all oral sex practices together, often not distinguishing receptive from insertive roles, whether ejaculation occurred in the mouth, etc.

Many reports of oral transmission are in the form of isolated and anecdotal reports, rather than from observational cohorts or other studies with more rigorous follow-up.

Most cohort studies following men who only practiced oral sex, or serodiscordant couples, have tended to show very low levels of risk, in many cases approaching zero. A few studies have given higher estimates which are difficult to reconcile with the others.

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Can I Transmit Hiv To My Baby During Pregnancy Or Breastfeeding

An HIV-infected pregnant woman can pass the virus on to her unborn baby either before or during birth. HIV can also be passed on during breastfeeding. If a woman knows that she is infected with HIV, there are drugs she can take to greatly reduce the chances of her child becoming infected. Other ways to lower the risk include choosing to have a caesarean section delivery and not breastfeeding.

Oral Transmission In Natural Hosts

Can oral sex transmit HIV?

SIV natural hosts are African non-human primates who develop non-pathogenic SIV infection in the wild without progression to AIDS. These natural hosts include sooty mangabeys, African green monkey, mandrill, and many others. Key features of SIV infection of natural hosts include: high viremia , normal peripheral CD4+ T-cell counts , lack of microbial translocation despite significant loss of mucosal CD4+ T cells , and lack of immune activation during chronic infection . These studies have led to a working hypothesis that the lack of disease progression in natural hosts is due to a lack of chronic immune activation .

We propose three non-mutually exclusive hypotheses to explain the restriction of breast milk SIV transmission in natural hosts: lower levels of SIV in natural host breast milk than those observed in pathogenic infections, a relatively non-permissive breast milk and/or gastrointestinal microenvironment, with lower immune activation and the presence of innate and adaptive inhibitory factors, and insufficient target cells for establishment of infection in the natural host infant. To date, no definitive studies have yet been performed that test one hypothesis while controlling for all other potential confounding factors , but a preponderance of data suggests target cell restriction in the infant GI tract is a defining feature of natural hosts that limits MTCT.

Oral mucosa immune activation and HIV susceptibility

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How Safe Is Oral Sex

Although it is possible to become infected with HIV through oral sex, the risk of becoming infected in this way is much lower than the risk of infection via unprotected sexual intercourse with a man or woman.When giving oral sex to a man a person could become infected with HIV if infected semen came into contact with damaged and receding gums, or any cuts or sores they might have in their mouth.

Giving oral sex to a woman is also considered relatively low risk. Transmission could take place if infected sexual fluids from a woman got into the mouth of her partner. The likelihood of infection might be increased if there is menstrual blood involved or if the woman is infected with another sexually transmitted disease.

The likelihood of either a man or a woman becoming infected with HIV as a result of receiving oral sex is extremely low, as saliva does not contain infectious quantities of HIV.

Myth : You Cant Get Hiv If Youre On Birth Control

The pill might protect you from an unwanted pregnancy, but its no match for HIV. Same goes for other types of birth control, like IUDs, patches, and rings.

If you want to get down without risking HIV transmission, your best bet is to use a condom or other barrier method or PrEP.

Nope, swapping spit doesnt spread HIV . Feel free to hold hands, hug, and share a soda while youre at it.

HIV can be transmitted only through:

  • blood
  • anal mucous
  • breast milk

Saliva doesnt carry enough traces of the virus to worry about, and research as far back as the mid- to late 80s has found that kissing is not a risk factor for transmission of HIV.

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Can I Get Hiv From Someone Who Is Living With Hiv But Has Undetectable Viral Load

Recent studies show that people who are HIV positive, on treatment with non detectable viral load are not able to transmit HIV. That said its important to understand that there is still a potential risk as viral loads can change over time.

Viral load refers to the amount of HIV in the blood. An undetectable viral load is when the amount of HIV in the blood is so low that it cant be measured. Antiretroviral therapy reduces viral load, ideally to an undetectable level, when taken consistently and correctly. A person with HIV can still potentially transmit HIV to a partner even if they have an undetectable viral load, because

  • HIV may still be found in genital fluids . The viral load test only measures virus in blood.
  • A persons viral load may go up between tests. When this happens, they may be more likely to transmit HIV to partners.
  • Sexually transmitted diseases increase viral load in genital fluids.

How Can You Avoid Transmitting Hiv To A Partner

HIV/AIDS: Preventing Sexual Transmission of HIV

For a person living with HIV, the best way to prevent transmitting it to others is by taking antiretroviral therapy . The medicine reduces the amount of HIV particles in the blood to the point that a test can’t detect it anymore, which is known as having an undetectable viral load. ART prevents HIV from multiplying and makes it a more manageable condition.

“Someone with HIV who takes their medications and is virologically suppressed won’t transmit HIV to sexual partners,” says Neilan. It is possible to get the virus under control within six months. With proper treatment, people living with HIV can live long and healthy lives.

There are plenty of FDA-approved antiretroviral drugs to treat HIV, says Neilan. Some of the most common side effects are nausea, diarrhea, and fatigue, but it varies for each individual. Here are the types of HIV medicines that reduce viral load:

Individuals with HIV are prescribed multi-class drug combinations that require them to take more than one drug. Other types of HIV medicines do not inhibit certain enzymes and instead, interfere with the virus’ ability to infect immune system cells.

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Other Types Of Hiv Risks

Another less-common way HIV is transmitted in the United States is needlestick injury. This typically happens when a health care worker is accidentally jabbed by a used needle or syringe that contains HIV-positive blood. Again, this is very rare.

Thirty years ago, blood transfusions and organ donations were an especially dangerous way that some people acquired HIV. Nowadays, donated blood and organs are routinely tested.

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Can I Get Hiv From Receiving Medical Care

Although HIV transmission is possible in health care settings, it is extremely rare.

Careful practice of infection control, including universal precautions protects patients as well as health care providers from possible HIV transmission in medical and dental offices and hospitals.

The risk of getting HIV from receiving blood transfusions, blood products, or organ/tissue transplants that are contaminated with HIV is extremely small because of rigorous testing of the US blood supply and donated organs and tissues.

It is important to know that you cannot get HIV from donating blood. Blood collection procedures are highly regulated and safe.

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Can Sharing Dishes Or Drinking Glasses Spread Hiv

Dr. Flash clears up how HIV is and is NOT spread.

You cannot get HIV through casual contact like sharing dishes or drinking glasses, toilet seats, or holding hands. HIV is also not spread through sweat, tears, saliva, or kissing.

The most common way HIV is spread is through unprotected sex with someone with HIV who is not aware of their status or not on antiretrovirals . Unprotected here refers to sex without condoms or the use of medications that reduce the risk of passing HIV from one person to another. HIV can also be transmitted by sharing needles.

#AskTheHIVDoc is a video series from Greater Than AIDS featuring top HIV doctors providing answers to commonly-asked questions about HIV prevention, testing and treatment.

This information is shared for educational purposes only and should not be used as a substitute for professional medical advice. The views expressed are those of the featured medical professional and reflect information available to that professional at time of filming. Always consult a health care provider for any personal health decision.

While we make every effort to keep the medical information on our website updated, we cannot guarantee that the information reflects the most up-to-date research. Also, please note the views expressed by individuals who appear in Greater Than AIDS videos and other content are their own and are not made on behalf of any groups/organizations/associations.

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What Is The Risk Of Hiv From Anal Sex

Oral Transmission

The risk of HIV through unprotected anal intercourse is seen to be extremely high, as much 18 times greater than vaginal intercourse. The reasons for the increased risk are well known and include such factors as:

  • The fragility of rectal tissues, which allow the virus direct access into the bloodstream through tiny tears or abrasions
  • The porousness of rectal tissues, providing access even when undamaged
  • The high concentration of HIV in semen and pre-seminal fluid , which doubles the risk of infection with every one-log rise in the person’s viral load.

Furthermore, the secretion of blood from damaged rectal tissues can increase the risk for the insertive partner, providing the virus a route of transmission through the urethra and tissues that line the head of the penis .

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Condoms And Dental Dams For Safer Oral Sex

Using a barrier can lower the chance of getting or passing an STI through oral sex.

Visit a local public health unit, sexual health clinic or HIV organization to get free condoms! Some of these places also have free dental dams.

Production of this document has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

This resource was adapted from a resource originally published by the Canadian Public Health Association. CATIE thanks YouthCO and the AIDS Coalition of Nova Scotia for reviewing this resource. We also thank the Sex Information and Education Council of Canada and Dr. Ahmed Bayoumi, University of Toronto, for medical review.

Writer: Mallory Harrigan

How To Minimize Risk

Clearly, the best way to minimize the risk of infection is to practice safer sex. This is especially true if you have multiple sex partners or are unsure about the health of a sex partner. These include condoms and dental dams for those engaging in cunnilingus or anilingus.

There are additional strategies that can further reduce risk:

  • If you are HIV-positive, take your HIV medicine as prescribed. If your viral load remains undetectable, you have effectively no risk of sexually transmitting HIV to HIV-negative partners.
  • If you are HIV-negative, you can ask your healthcare provider to prescribe HIV pre-exposure prophylaxis , a once-daily drug therapy that can reduce your risk of infection by more than 90%.
  • Regular HIV screening is recommended for persons at high risk of infection, including MSM, injecting drug users, and persons with multiple sex partners. Periodic STD screenings are also recommended.

Finally, communication is tantamount to the long-term avoidance of HIV. Whether you are HIV-positive or HIV-negative, the most harm comes from leaving things unspoken. Learn more about ways to negotiate safer sex or how to disclose your HIV status to someone you’re dating.

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Am I At Higher Risk If I Have Sex With A Member Of The Same Sex

HIV is transmitted sexually regardless of your sexual preference. Note however, that worldwide there is a higher prevalence of the virus in certain groups because of their sexual practices and therefore having unsafe sex with someone from one of these groups places you at a higher risk of contracting the virus. Men who have sex with men, commercial sex workers, and people who have a sexually transmitted infection are examples of such groups.

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How You Become Infected

HIV FAQ: Can you be infected with HIV via oral sex?

There is HIV virus in body fluids like vaginal secretions and semen. If those fluids are present, they can enter the bloodstream of someone who doesn’t have HIV through an opening such as a mouth sore or a genital ulcer.

Your chances are higher of getting HIV if you:

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Should I Have Oral Sex

Talking to your partner about protection before you start having oral sex will help make things easier. This may feel embarrassing but taking responsibility for protecting yourself and your partner is an important part of having sex. If you find it too awkward to talk about then you may not be ready to have oral sex just yet.

You should never give or receive oral sex just because you feel forced into it. Dont be pressured into any sex act by comments like it doesnt mean weve had real sex youll still be a virgin, or if you dont want sex at least go down on me, or its not as risky as having intercourse. If one of you isnt comfortable with the decision it can ruin the whole experience. Oral sex should be fun for both of you.

Our article Am I ready for sex? will help you work out what is right for you.

Does It Matter If I Get Pre

HIV can be acquired through both cum and precum, though if you have healthy teeth and gums its not a problem getting it in your mouth. HIV needs an entry point to be transmitted, so you may want to avoid getting these fluids in your mouth if you have bad gingivitis, an STI in the throat or other sores in the mouth. Its recommended to wait at least half an hour after brushing or flossing your teeth as well, to keep that risk low.

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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.

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