- How does HIV
spread during sex?
To
spread HIV during sex, HIV infection in blood or sexual fluids must be
transmitted to someone. Sexual fluids come for a man's penis for from a
woman’s vagina, either, before, during, of after orgasm. HIV can be
transmitted when infected fluids gets into someone's
body.
You
can't spread HIV if there is no HIV infection. If you and your partners
are not infected with HIV, there is no risk. If there is contact with
blood or sexual fluids, there is no risk. HIV needs to get into the body
for infection to occur.
Safer
sex guidelines are ways to reduce the risk of spreading HIV during sexual
activity.
- How risky is
it?
Safe
activities have no risk for spreading HIV. Abstinence (never having sex)
is 100% safe. Sex with just one partner is safe as long as neither of you
is infected and if neither one of you have ever had sex with anyone
else.
Fantasy, masturbation or hand jobs (where you keep your fluids to
yourself), sexy talk, and non-sexual massage are also safe. These
activities avoid contact with blood or sexual fluids, so there is no risk
of transmitting HIV.
To be
safe, assume that your sex partners are infected with HIV. You can't tell
if people are infected by how they look. They could be lying if they tell
you that they are not infected especially if they want to have sex with
you. Or they could be infected and unaware of it. Some people got HIV from
their steady partners who were unfaithful "just once".
Even
people who have had a negative test might be infected. They might have
been infected after they got tested, of they might have been tested too
soon after they were exposed to HIV. Remember none of us know if we are
negative unless we have been tested or if we have never been exposed to
another person's blood of sexual bodily fluids. See Testing Info page for
more information.
- Unsafe Activities:
Unsafe sex has a high risk of spreading HIV. The
greatest risk is when blood or sexual fluid touches the soft, moist areas
(mucous membrane) inside the rectum, vagina, mouth, nose, or at the tip of
the penis. These can be damages easily, which gives HIV a way to get into
the body.
Vaginal of rectal intercourse without protection is very unsafe.
Sexual fluids enter the body, and wherever a man's penis is inserted, it
can cause small tears that make HIV infection more likely. The receptive
partner is more likely to be infected, although HIV might be able to enter
the penis, epically if it has contact with HIV infected blood or vaginal
fluids for a long time or if it has any open sores. Uncircumcised males
may be at higher risk for infection than circumcised
males.
- Safer
Activities:
Most sexual activity carries some risk of spreading HIV. To
reduce the risk, make it more difficult for blood of sexual fluid to get
into your body.
Be
aware of your body and your partner's. Cuts, sores, or bleeding gums
increase the risk of spreading HIV. Rough physical activity also increases
the risk. Even small injuries give HIV a way to get into the
body.
-
Protection:
Use a
barrier to prevent contact with blood or sexual fluid. Remember that the
body's natural barrier is the skin. If you don’t have any cuts or sores,
your skin will protect you against infection. However, HIV can get into
the body though the mucous membranes.
The
most common artificial barrier is a condom for men. You can also use a
female condom to protect the vagina or rectum during intercourse. See our
condom page for more information on condoms.
Lubricants can increase sexual stimulation. They also reduce the
chance that condoms or other barriers will break due to friction.
Oil-based lubricants like Vaseline, oils, or creams can damage condoms and
other latex barriers. Be sure to always use water based lubricants. Saliva
may be used to reactivate water based lube or is lube is
unavailable.
Oral
sex has some risk of transmitting HIV, especially if sexual fluids get
into the mouth and if there are bleeding gums, exposed roots or sores in
the mouth. Pieces of latex or plastic wrap (non-microwave) over the
vagina, or condoms over the penis, can be used as barriers during oral
sex. Condoms without lubricants are best for oral sex. Most lubricants
taste awful. Wait at least 20 minutes before engaging in oral sex after
flossing of brushing.
- What if both
people are already infected?
Some
people who are HIV-infected don't see the need to follow safer sex
guidelines when they are sexual with other infected people. However, it
still makes sense to "play safe". If you don't, you could be exposed to
other STD. If you already have HIV, these diseases can be more
serious.
Also,
it may be possible to be "re-infected" with a different strain of HIV, or
with HIV that is already resistant to some antiviral medications. These
reasons for safer sex are very controversial. Although some researchers
and doctors think these risks are real, there is no scientific proof.
Because of ethical concerns, it may be impossible to design a research
study to find out for sure.
- Set your
limits.
Decide how much risk you are willing to take. Know how much
protection you want to use during different kinds of sexual
activity.
- The bottom line:
HIV infection
can occur during sexual activity. Sex is safe only if there is no
exchange of blood or sexual fluids, or no way for HIV to get into the
body.
You can
reduce the risk of infection if you avoid unsafe activities. Decide on
your limits and stick to them.
My Safer Sex Bill of
Rights:
1. I
have the right to my own body, and all of its sensations, including
pleasure and pain.
2. I have the right to think my own
thoughts, whatever they may be.
3. I have the right to feel
the full spectrum of my own emotions: excitement, joy and anger, sorrow
and depression, love and fear. And I have the right to feel these
whether or not my feeling them is acceptable to others.
4. I
have the right to acknowledge my memories, whether they're of delight or
abuse, and a right to base present sexual decision on my memories.
5. I have a right to be sexual at all ages and stages of my life,
and a right to choose how I define my sexuality, how I wish to express
it, and with whom.
6. I have the right to expect that my
sexual partner respect my body, thought, emotion, and general well being
- and a right to insist on respect for these, if necessary.
7. I have a right to ask for what I want.
8. I have a right to
say NO to any sexual encounter that feels unsatisfying or threatening at
any time, whether physically, emotionally, or spiritually.
9. I have a right to say YES to pleasure that physically, emotionally, or
spiritually safe.
10. I have the right to feel good about
saying YES and NO and a right to not feel fear, guilt, or obligation.