Female-to-female intimate transmission of HIV

Key points

  • The possibility of female-to-female transmission that is sexual excessively uncommon, with just a few reported situations.
  • HIV-positive ladies who identify as lesbian might have obtained HIV through inserting medication usage or intercourse with males.
  • Transmission is achievable through sharing of adult toys and experience of bloodstream while having sex.

When contemplating the problem of female-to-female intimate transmission its crucial to draw a difference involving the danger of transmission by this path and diagnoses of HIV illness in females who identify as lesbian. There were only six reported situations of woman-to-woman transmission that is sexual and these reports must be seen with similar care as any kind of instance reports of transmission through dental sex (cunnilingus).

During the early many years of the epidemic, investigations associated with way to obtain illness in United States ladies failed to determine any full instances of female-to-female transmission. For instance, a 1992 follow-up of all of the 144 ladies identified as HIV-positive through the bloodstream contribution solutions in the usa interviewed 106 females, and identified just three that has had intercourse with ladies. A few of these ladies had other danger facets: either inserting medication use or genital sex with guys (Chu).

An study that is italian of HIV-discordant lesbian partners who was simply monogamous lovers for at the very least 3 months just before recruitment and have been followed for half a year discovered no seroconversions happened in those times. Three-quarters associated with the partners reported sex that is sharing and almost all partners reported dental intercourse (Raiteri).

In 2003 an instance report of female-to-female HIV that is sexual transmission posted.

Health practitioners suggest the girl was contaminated through sharing adult sex toys after drug-resistance tests discovered striking similarities amongst the genotypes regarding the girl along with her female partner that is HIV-positiveKwakwa).

The scenario involves a 20-year-old girl whom served with HIV infection having had a poor HIV test result six months early in the day. The girl was indeed in a monogamous relationship that is lesbian days gone by couple of years, and denied having had just about any intimate partners, man or woman. She had never ever injected medications or gotten bloodstream items, together with no tattoos or body piercings. The couple’s intimate techniques included the sharing of adult toys, and dental intercourse. These tasks failed to happen during menstruation, but adult toys had sometimes been utilized vigorously adequate to draw bloodstream.

Her bisexual partner had been understood become HIV good, and it is considered to be the origin of illness due to similarities seen if the two females underwent genotypic drug-resistance tests. The 20-year-old girl ended up being contaminated with multidrug-resistant HIV.

The detectives noted that this is actually the “first reported instance of female-to-female transmission that is sexual of supported by identification of comparable HIV genotypes into the supply client and also the receiver”.

In 2014, a case that is further ended up being posted, at this juncture supported by phylogenetic analysis, which revealed that the hereditary sequences for the viruses infecting the 2 ladies had been very associated (Chan).

The report has to do with a 46-year-old girl whom seems to have obtained HIV within a six-month monogamous HIV serodiscordant sexual relationship by having a 43-year-old girl. She had possessed a poor antibody test a couple months before seroconversion disease and diagnosis.

Her female partner have been previously clinically determined to have HIV but had fallen away from health care and wasn’t getting therapy that is antiretroviral. The newly identified girl had no other present risk factors for HIV, such as for instance heterosexual sexual intercourse, inserting medication usage, or even more unusual modes of HIV transmission such as for example tattooing, acupuncture, transfusion or transplant.

Is the lips, as an example a medication taken by lips.

opposition

A drug-resistant HIV stress is the one which is less at risk of the results of just one or higher anti-HIV medications due to a build up of HIV mutations with its genotype. Opposition could be the results of an undesirable adherence to treatment or of transmission of a currently resistant virus.

Kissing, licking or drawing another person’s genitals, in other words. fellatio, cunnilingus, a blow work, offering mind.

danger element

An element of individual behavior or lifestyle, an environmental publicity, or an individual attribute this is certainly regarded as connected with disease or perhaps a condition that is medical.

situation report

Defines the health background of the single client.

The few reported regularly having unprotected dental and contact that is vaginal utilizing insertive adult most beautiful indian brides toys which were provided among them. They described their sexual contact as at times rough to the stage of inducing bleeding and experience of menstrual bloodstream.

The past two situation reports both sharing that is involved of toys and contact with bloodstream during intercourse.