Female-to-female intimate transmission of HIV

Key points

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

When contemplating the problem of female-to-female intimate transmission it’s essential to attract 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 situations of woman-to-woman transmission that is sexual and these reports should be seen with the exact same care as just about any situation reports of transmission through dental sex (cunnilingus).

During the early several years of the epidemic, investigations associated with the way to obtain illness in United States females failed to determine any situations of female-to-female transmission. For instance, a 1992 followup of most 144 females identified as HIV-positive through the blood contribution solutions in the usa interviewed 106 ladies, and identified just three that has had intercourse with females. A few of these females had other danger facets: either drug that is injecting or vaginal intercourse with guys (Chu).

An study that is italian of HIV-discordant lesbian partners who had previously been monogamous partners for at the least 90 days just before recruitment and who were followed for 6 months found no seroconversions happened during this time period. Three-quarters associated with the partners reported sharing adult toys and practically all partners reported dental intercourse (Raiteri).

In 2003 an instance report of female-to-female HIV that is sexual transmission posted. Health practitioners recommend the lady was infected through sharing adult toys after drug-resistance tests discovered striking similarities between the genotypes regarding the girl along with her feminine partner that is HIV-positiveKwakwa).

The actual situation has to do with a woman that is 20-year-old served with HIV infection having had a poor HIV test result six months earlier in the day. The lady have been in a monogamous relationship that is lesbian days gone by couple of years, and denied having had every other intimate partners, 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 activities would not take place during menstruation, but adult toys had periodically been utilized vigorously sufficient to draw blood.

Her bisexual partner ended up being known to be HIV good, and it is considered to be the foundation of disease as a result of similarities seen as soon as 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 here is the “first reported instance of female-to-female transmission that is sexual of supported by identification of comparable HIV genotypes within the supply client plus the receiver”.

In 2014, an additional instance report ended up being published, at this juncture supported by phylogenetic analysis sex chatrooms, which indicated that the genetic sequences regarding the viruses infecting the 2 ladies had been very associated (Chan).

The report has to do with a 46-year-old girl whom seemingly have obtained HIV within a six-month monogamous HIV serodiscordant intimate relationship by having a 43-year-old girl. She had possessed an antibody that is negative a couple days before seroconversion disease and diagnosis.

Her feminine partner have been formerly clinically determined to have HIV but had fallen out of health care bills and wasn’t receiving therapy that is antiretroviral. The newly identified girl had no other risk that is recent for HIV, such as for instance 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 medication taken by lips.

Opposition

A HIV that is drug-resistant strain one that is less prone to the consequences of just one or higher anti-HIV medications as a result of a build up of HIV mutations in its genotype. Opposition could be the consequence of an undesirable adherence to treatment or of transmission of an virus that is already resistant.

Dental intercourse

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

Danger element

An element of individual behavior or life style, an ecological visibility, or an individual attribute that is considered to be connected with contamination or perhaps a condition.

Situation report

Defines the health background of a single patient.

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

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