Female-to-female sexual transmission of HIV

Key points

• The possibility of female-to-female transmission that is sexual acutely unusual, with only a few reported instances.
• HIV-positive ladies who identify as lesbian could have obtained HIV through inserting medication sex or use with males.
• Transmission is achievable through sharing of adult toys and contact with bloodstream during intercourse.

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

Within the very early several years of the epidemic, investigations associated with the way to obtain disease in US ladies failed to recognize any situations of female-to-female transmission. For instance, a 1992 followup of most 144 females identified as HIV-positive through the bloodstream contribution services in the usa interviewed 106 females, and identified just three that has had intercourse with females. 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 had previously been monogamous lovers for at the least 3 months ahead of recruitment and who had been followed for half a year discovered no seroconversions happened during this time period. Three-quarters regarding the partners reported sex that is sharing and practically all partners reported dental sex (Raiteri).

In 2003 an instance report of female-to-female intimate HIV transmission ended up being posted.

Physicians recommend the lady might have been contaminated through sharing adult sex toys after drug-resistance tests discovered striking similarities between your genotypes regarding the girl and her feminine partner that is HIV-positiveKwakwa).

The situation has to do with a woman that is 20-year-old served with HIV infection having had a bad HIV test result six months early in the day. The girl have been in a monogamous relationship that is lesbian days gone by couple of years, and denied having had any kind of intimate lovers, man or woman. She had never ever inserted drugs or gotten bloodstream items, and had no tattoos or body piercings. The couple’s intimate techniques included the sharing of adult toys, and sex that is oral. These tasks did not take place during menstruation, but adult sex toys had periodically been utilized vigorously adequate to draw blood.

Her partner that is bisexual was become HIV good, and it is thought to be the foundation 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 instance of female-to-female transmission that is sexual of supported by identification of similar HIV genotypes within the supply client together with receiver”.

In 2014, a case that is further ended up being posted, on this occasion sustained by phylogenetic analysis, which revealed that the hereditary sequences of this viruses infecting the 2 females had been very associated (Chan).

The report involves a 46-year-old girl whom seems to have obtained HIV throughout a six-month monogamous HIV serodiscordant intimate relationship having a 43-year-old woman. She had possessed a negative antibody test a couple of months before seroconversion disease and diagnosis.

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

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

opposition

A HIV that is drug-resistant strain one that is less vunerable to the results of just one or maybe more anti-HIV medications as a result of a build up of HIV mutations with its genotype. Opposition could be the consequence of an unhealthy adherence to treatment or of transmission of a virus that is already resistant.

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

danger element

A piece of personal behavior or life style, an ecological publicity, or your own attribute that is considered connected with contamination or even a condition.

situation report

Defines the health background of the solitary client.

The few reported regularly having unprotected dental and genital contact and making use of insertive adult sex toys which were provided among them. They described their intimate contact as at times rough to the stage of inducing bleeding and hot indian brides connection with menstrual blood.

The final two situation states both involved sharing of intercourse toys and experience of bloodstream during intercourse.