Last Updated: November 22, References Approved. This article was co-authored by Carrie Noriega, MD. There are 17 references cited in this article, which can be found at the bottom of the page. This article has been viewed 3,, times. Sex is an important part of life for most people.
Sexual Encounters With Undetectable HIV-Positive Men
Without a thorough risk assessment, many people at risk for HIV infection will go unrecognized by healthcare providers 1. The process of assessing a particular individual's risk of becoming infected with the human immunodeficiency virus gives both the care provider and the patient an opportunity to work together, to gauge the patient's degree of risk in a setting that is appropriate for this sort of intimate discussion. If clinicians and other healthcare professionals are going to render accurate assessments of risk, they need accurate information on the risk of HIV transmission associated with various behaviors, sexual and non-sexual. And if those professionals are going to provide adequate and appropriate counseling to at-risk individuals, they need guidelines for that all-important aspect of HIV prevention. Penile-anal sex with ejaculation puts the receptive partner, male or female, at the greatest risk of acquiring HIV from an infected partner 2. Estimates of the risk of infection for each such act range from 0. This sexual behavior is considered highly risky even without ejaculation, because HIV is present in pre-ejaculatory fluid -- which your patients may refer to as "pre-cum.
No one wants an infection of any kind. I get it. But at the end of the day, I recognize that infections aren't always percent avoidable. They're part of the human experience. One STI risk factor that few people consider is having oral sex.
Many people question whether oral sex is really sex. That depends on how you define sex, but one thing is clear—oral sex isn't inherently safe sex. Sexually transmitted infections STIs are definitely a risk, at least if you don't take proper precautions. Oral sex is a relatively low-risk activity for HIV transmission, particularly when compared to vaginal or anal sex. The risk of HIV is largely limited to the person performing oral sex.