There is good evidence that when someone is taking treatment and has an undetectable viral load, they cannot pass HIV on through sexual activity — including oral sex. It's a good idea to have regular sexual health check-ups. Many of the strategies below will also provide protection against other sexually transmitted infections: Reducing the Risk Individuals can further reduce the already low risk of HIV transmission from oral sex by keeping their male partners from ejaculating in their mouth. If you would like to discuss these issues, ask to see a health adviser, or other health professional, at your HIV treatment centre or sexual health clinic. 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. But the risk is still very low, and much lower than with anal or vaginal sex. You probably will not get HIV from giving oral sex either—but having cuts or sores in your mouth, gum disease, having an STI in your throat, or recent dental work increases your risk.
What about other types of sex? HIV is most easily passed on during anal sex, vaginal sex, sharing injecting equipment, and from mother to baby. A dental dam is a thin, square piece of latex or silicone that is placed over the vagina or anus during oral sex. Anilingus can also transmit hepatitis A and B, intestinal parasites like Giardia, and bacteria like E. It is much less likely that HIV will be passed on during oral sex, but it is possible in some circumstances. Have regular sexual health screening. People living with HIV have the viral load in their blood measured regularly, as part of routine health monitoring. Oral sex is "low risk" in terms of getting HIV. 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. People use different terms to refer to oral sex including formal terms like fellatio and cunnilingus and slang terms like blow jobs and giving head. 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. You may prefer not to have oral sex because you do not wish to take even a low risk of HIV transmission. You may decide that the risks of oral sex are low enough for you to continue your regular behaviour. Other STDs and hepatitis can be transmitted during oral sex. This could be done by removing the mouth from the penis before ejaculation, or by using a condom. Reducing your sexual risk. 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. Naturally, some will be more acceptable than others to different individuals, so you must make your own decisions about the level of risk you find acceptable. Many of the strategies below will also provide protection against other sexually transmitted infections: There is little to no risk of getting or transmitting HIV from oral sex. How can you reduce the risks? If you would like to discuss these issues, ask to see a health adviser, or other health professional, at your HIV treatment centre or sexual health clinic. The type of oral sex that may be the riskiest is mouth-to-penis oral sex. There is good evidence that when someone is taking treatment and has an undetectable viral load, they cannot pass HIV on through sexual activity — including oral sex. Latex barriers and medicines to prevent and treat HIV can further reduce the very low risk of getting HIV from oral sex. You may decide to avoid oral sex during menstrual periods.
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