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Did you know that it is possible to transmit HIV through oral sex, although it is less likely to be transmitted through vaginal or anal sex. Medicines, condoms, and dental dams are some of the ways that can help prevent HIV transmission.

It is well known that HIV can be transmitted through vaginal or anal sex as well as through drug or infected injection. However, like other sexually transmitted infections, there is a risk of contracting it through oral sex – but small.

The virus spreads between people when fluids from one person come into contact with the bloodstream of another person. This contact can occur through cut or broken skin, vagina, rectum, or through foreskin tissues.

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6 Bodily Fluids That Can Transmit HIV:

  • Blood

  • Semen

  • Pre-ejaculatory fluid

  • Breast milk

  • Rectal fluid

  • Vaginal fluid

Certain factors can increase the risk of spreading HIV through oral sex.

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  1. What Are The Risks Of Oral Sex?
  2. When Is The Risk Of Oral Sex Higher?
  3. How To Reduce The Risk
  4. Other Prevention Strategies
  5. Summary

According to HIV.gov, the risk of spreading HIV through oral sex is low, but not zero.

Fellatio (oral-penile sex) carries some risks such as:

  • If you are having oral sex with a person who was HIV positive at birth, even if the risk is low. The risk is higher if the semen of an HIV positive person enters the mouth.
  • Infection while kissing each other is possible only if the person having oral sex has bleeding gums, wounds or ulcers in the mouth and is HIV positive.
  • HIV can be transmitted from one person to another through cunnilingus (oral-vaginal sex) only if the woman is menstruating during oral sex, or has a torn vagina and the woman is already HIV positive.

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Some of the following factors may increase the risk of HIV transmission through oral sex:

  • People who are already HIV positive: If a person who is already HIV positive is having or receiving oral sex, the person doing so may be at greater risk.
  • Viral load: If an HIV positive person has a high viral load, there is a higher risk of getting HIV, which increases infectiousness. If the viral load is undetectable, the chance of the virus spreading is very low.

  • From ejaculation: Ejaculation during oral sex may increase the risk of transmission.

  • From cuts, wounds, or ulcers: Open spaces in the mouth, vagina, anus, or penis are potential routes of HIV transmission – for example, if a person's gums bleed after brushing their teeth or if someone has another condition. As a result he gets mouth sores. So the infection can spread.

  • Having vaginal sex with a woman who is menstruating: HIV levels may be higher in vaginal fluids when a woman is menstruating. Mouth exposure to menstrual blood may increase the risk of contractions.

  • STIs: Having an STI can increase your risk of developing HIV, especially if the STI causes sores or inflammation that damages the skin and makes it easier for HIV to enter.

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Since there is little evidence that HIV can be spread through oral sex, it is best to take measures to reduce the risk of transmission.

  • If you are HIV positive

Unknown viral load makes transmission almost impossible. This can often be cured through antiretroviral therapy (ART). If a partner is taking ART but the infection has not yet cleared up, it is important to use condoms during oral sex.

  • If you are HIV-negative

If you don't have HIV but your sexual partner has HIV, consider using pre-exposure prophylaxis (PrEP), a daily pill that stops the virus from spreading and helps prevent transmission. If you have had unprotected sex with an HIV-positive partner or someone who has, you can use post-exposure prophylaxis (PrEP) to significantly reduce the risk of transmission.

  • Giving and receiving oral sex

HIV can be spread through semen. Although avoiding ejaculation into the mouth can help reduce the risk, there is still a possibility that pre-ejaculate fluid may enter the mouth. Therefore, it would be better to use a barrier method to prevent transmission. Condoms and dental dams can be used during every oral sex act.

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Avoid oral sex if you have any cuts, scratches or wounds in your mouth. Finally, be careful not to bite your partner's skin with your teeth during oral sex.

 
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The best way to prepare yourself or your partner for sex is to disclose your condition. If you don't know your infection, get tested for HIV and other STIs to find out. Empowered with this information, you can make appropriate safety and medication choices.

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The chances of getting HIV through oral sex are low, but there is still a risk. It can be increased by using the methods written above. So protect yourself and your partner by getting tested, sharing your condition, and using preventive methods and prescribed treatments appropriately.

 
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