Female-to-female intimate transmission of HIV

Key points

  • The possibility of female-to-female intimate transmission is excessively unusual, with just a few reported instances.
  • HIV-positive women that identify as lesbian might have obtained HIV through injecting medication usage or intercourse with males.
  • Transmission is achievable through sharing of adult sex toys and contact with bloodstream during intercourse.

When contemplating the problem of female-to-female sexual transmission it really is crucial to draw a difference between your chance of transmission by this path and diagnoses of HIV illness in females whom identify as lesbian. There were only six reported situations of woman-to-woman transmission that is sexual and these reports have to be seen with the exact same care as some other instance reports of transmission through oral sex (cunnilingus).

Within the very early several years of the epidemic, investigations regarding the supply of illness in United States ladies failed to recognize any full situations of female-to-female transmission. For instance, a 1992 followup of all of the 144 females identified as HIV-positive through the bloodstream contribution solutions in the usa interviewed 106 ladies, and identified only three that has had intercourse with ladies. Each one of these ladies had other danger facets: either drug that is injecting or genital sexual intercourse with males (Chu).

An Italian research of 18 HIV-discordant lesbian partners who had previously been monogamous lovers for at the very least 3 months just before recruitment and who had been followed for half a year discovered no seroconversions happened in those times. Three-quarters for the partners reported sharing adult toys 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 suggest the lady might have been contaminated through sharing adult sex toys after drug-resistance tests discovered striking similarities between your genotypes associated with girl along with her feminine HIV-positive partner (Kwakwa).

The scenario has to do with a 20-year-old girl whom served with HIV infection having had a bad HIV test result six months earlier. The lady was indeed in a monogamous lesbian relationship for 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 blood services and products, together with no tattoos or body piercings. The couple’s intimate practices included the sharing of adult toys, and dental intercourse. These tasks didn't take place during menstruation, but adult toys had periodically been used vigorously sufficient to draw bloodstream.

Her bisexual partner had www.sexcamly.com been understood to be HIV good, and it is considered to be the foundation of illness due to similarities seen if the two females underwent genotypic drug-resistance tests. The woman that is 20-year-old infected with multidrug-resistant HIV.

The detectives noted that here is the "first reported instance of female-to-female sexual transmission of HIV supported by identification of comparable HIV genotypes within the supply client plus the receiver".

In 2014, a case that is further had been published, at this juncture sustained by phylogenetic analysis, which revealed that the hereditary sequences associated with viruses infecting the 2 ladies had been very associated (Chan).

The report involves a 46-year-old girl who seems to have obtained HIV throughout a six-month monogamous HIV serodiscordant intimate relationship by having a woman that is 43-year-old. She had possessed a bad antibody test a couple days before seroconversion infection and diagnosis.

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

Glossary

Relates to the lips, for instance a medicine taken by lips.

Opposition

A HIV that is drug-resistant strain one which is less at risk of the consequences of just one or maybe more anti-HIV medications as a result of a build up of HIV mutations with its genotype. Opposition could possibly be the outcome of an undesirable adherence to treatment or of transmission of an currently resistant virus.

Dental intercourse

Kissing, licking or drawing someone else's genitals, in other words. Fellatio, cunnilingus, a blow task, offering mind.

Risk element

An element of individual behavior or life style, an ecological visibility, or your own attribute this is certainly regarded as connected with contamination or a condition.

Situation report

Defines the medical background of the solitary client.

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

The past two situation states both sharing that is involved of toys and contact with bloodstream while having sex.