You may decide to have oral sex with barriers such as condoms for men or dental dams latex squares for women. There have been no documented cases of someone acquiring HIV through receiving cunnilingus from someone living with HIV. The other factor that makes a big difference to the potential risk of HIV transmission from oral sex is the viral load of the person living with HIV. You may decide that the risks of oral sex are low enough for you to continue your regular behaviour. Oral sex will therefore be more risky around the time of menstruation. There are several ways to reduce the risk of HIV transmission from oral sex. HIV is not passed on in saliva — there have been no transmissions involving someone with HIV performing oral sex.
In late , researchers looked at all the available evidence and calculated that the risk of acquiring HIV from oral sex was very low, but that it wasn't zero. You may decide to reduce the number of partners with whom you have oral sex. Have regular sexual health screening. HIV transmission through 'insertive fellatio', which means an HIV-negative man receiving oral sex from a person living with HIV, is very low risk and may be impossible. When a person living with HIV is taking effective HIV treatment, their viral load should decline until it is so low that it cannot be detected by the tests. Look after your mouth. There have been no documented cases of someone acquiring HIV through receiving cunnilingus from someone living with HIV. When is oral sex more risky? It depends on the viral load of the person living with HIV and the dental health of the person performing oral sex. If you are living with HIV, there is a higher risk of passing on HIV through someone performing oral sex on you, if you are not taking treatment and if you also have an untreated sexually transmitted infection. There have been very few reports of possible HIV transmission through cunnilingus oral sex performed on a woman. Doctors and researchers can't be sure how many people have acquired HIV through oral sex. This will identify if you have any sexually transmitted infections, which may increase the likelihood of you passing HIV on to an HIV-negative partner, and reduce the likelihood of you acquiring HIV if you are HIV-negative. HIV is most easily passed on during anal sex, vaginal sex, sharing injecting equipment, and from mother to baby. HIV transmission through 'receptive fellatio', which means an HIV-negative person performing oral sex on giving a blow job to a man with HIV is possible and it is likely that HIV transmission happens in this way sometimes. Separate multiple addresses with a comma. People living with HIV have the viral load in their blood measured regularly, as part of routine health monitoring. It is biologically possible that HIV could be passed on through an HIV-negative person performing oral sex on a woman living with HIV, but this is considered to be low risk. You may prefer not to have oral sex because you do not wish to take even a low risk of HIV transmission. For women, the levels of HIV in vaginal fluid vary. The likelihood of becoming infected through giving oral sex increases if someone has bleeding gums, ulcers, cuts or sores in the mouth. They are likely to be highest around the time of menstruation having your period , when HIV-bearing cells shed from the cervix are most likely to be found in vaginal fluid, along with blood. You may decide to avoid oral sex during menstrual periods. If you don't have HIV, you may decide only to have insertive oral sex someone giving you oral sex as this is safer than receptive oral sex giving someone else oral sex. The risk of HIV being passed on during oral sex centres on fluid containing HIV semen, vaginal fluid or blood finding a way into the bloodstream of an HIV-negative person via the mouth or throat, which is more likely if there is inflammation, or cuts or sores present.
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Real Women Talk Oral Sex: Roundtable 2
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