Female-to-female intimate transmission of HIV

Female-to-female intimate transmission of HIV

Key points

  • The possibility of female-to-female intimate transmission is excessively uncommon, with just a few reported instances.
  • HIV-positive ladies who identify as lesbian could have obtained HIV through inserting drug usage or intercourse with males.
  • Transmission is achievable through sharing of adult toys and contact with bloodstream while having sex.

When contemplating the matter of female-to-female intimate transmission it really is essential to draw a difference between your chance of transmission by this path and diagnoses of HIV disease in females whom identify as lesbian. There were only six reported instances of woman-to-woman intimate transmission, and these reports must be seen with the exact same care as any kind of situation reports of transmission through dental sex (cunnilingus).

Within the early many years of the epidemic, investigations regarding the way to obtain disease in United States ladies failed to recognize any full instances of female-to-female transmission. For instance, a 1992 followup of all of the 144 ladies identified as HIV-positive through the bloodstream contribution solutions in the usa interviewed 106 ladies, and identified just three that has had sex with ladies. A few of these ladies had other danger factors: either drug that is injecting or genital sex with males (Chu).

An study that is italian of sex chatrooms HIV-discordant lesbian partners who was simply monogamous lovers for at the very least 90 days just before recruitment and who had been followed for 6 months found no seroconversions took place in those times. Three-quarters for the partners reported sex that is sharing and practically all couples reported dental intercourse (Raiteri).

In 2003 an instance report of female-to-female HIV that is sexual transmission posted. Medical practioners recommend the lady might have been contaminated through sharing adult toys after drug-resistance tests discovered striking similarities involving the genotypes regarding the girl along with her female HIV-positive partner (Kwakwa).

The outcome has to do with a woman that is 20-year-old served with HIV infection having had an adverse HIV test result six months early in the day. The lady was in a monogamous relationship that is lesbian the last couple of years, and denied having had just about any intimate lovers, female or male. She had never ever inserted medications or gotten bloodstream services and products, along with no tattoos or body piercings. The couple’s intimate techniques included the sharing of adult sex toys, and sex that is oral. These tasks failed to take place during menstruation, but adult toys had sometimes been utilized vigorously sufficient to draw blood.

Her bisexual partner ended up being understood become HIV good, and it is thought to be the origin of illness as a result of similarities seen if the two ladies underwent genotypic drug-resistance tests. The woman that is 20-year-old contaminated with multidrug-resistant HIV.

The investigators noted that here is the “first reported situation of female-to-female intimate transmission of HIV sustained by identification of comparable HIV genotypes when you look at the supply client plus the receiver”.

In 2014, an additional situation report had been posted, at this juncture supported by phylogenetic analysis, which revealed that the hereditary sequences associated with viruses infecting the 2 females were very associated (Chan).

The report involves a 46-year-old girl whom seemingly have obtained HIV throughout a six-month monogamous HIV serodiscordant intimate relationship having a 43-year-old woman. She had possessed a bad antibody test a couple weeks before seroconversion infection and diagnosis.

Her feminine partner was formerly identified as having HIV but had fallen away from health care and had not been getting antiretroviral treatment. The newly identified girl had hardly any other present danger facets for HIV, such as for example heterosexual sexual intercourse, inserting medication usage, or even more unusual modes of HIV transmission such as for example tattooing, acupuncture, transfusion or transplant.

Glossary

Identifies the lips, for instance a medication taken by lips.

Opposition

A HIV that is drug-resistant strain the one that is less vunerable to the consequences of 1 or higher anti-HIV drugs due to a build up of HIV mutations with its genotype. Opposition could be the results of an unhealthy adherence to treatment or of transmission of a currently resistant virus.

Dental intercourse

Kissing, licking or drawing someone else’s genitals, for example. Fellatio, cunnilingus, a blow task, giving mind.

Danger element

An element of individual behavior or life style, an ecological publicity, or your own attribute this is certainly regarded as related to disease or even a medical problem.

Instance report

Defines the medical background of a patient that is single.

The few reported routinely having unprotected dental and contact that is vaginal making use of insertive adult sex toys that have been shared among them. They described their contact that is sexual as times rough to the stage of inducing bleeding and connection with menstrual bloodstream.

The very last two situation states both sharing that is involved of toys and experience of blood during intercourse.

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