Key points
- The possibility of female-to-female intimate transmission is excessively uncommon, with just a few reported situations.
- HIV-positive ladies who identify as lesbian could have obtained HIV through injecting medication usage or sex 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 attract a difference between your threat of transmission by this path and diagnoses of HIV illness in females who identify as lesbian. There has been only six reported instances of woman-to-woman transmission that is sexual and these reports have to be viewed with similar care as just about any instance reports of transmission through dental sex (cunnilingus).
Within the very early many years of the epidemic, investigations associated with way to obtain infection in United States ladies failed to recognize any full situations of female-to-female transmission. For instance, a 1992 followup of most 144 females identified as HIV-positive through the bloodstream contribution solutions in the usa interviewed 106 females, and identified just three that has had intercourse with females. Each one of these females had other danger facets: either drug that is injecting or genital sex with males (Chu).
An Italian research of 18 HIV-discordant lesbian partners who had previously been monogamous lovers for at the least 3 months ahead of recruitment and have been followed for 6 months discovered 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 incident report of female-to-female HIV that is sexual transmission posted. Physicians recommend the lady might have been infected through sharing adult sex toys after drug-resistance tests found striking similarities amongst the genotypes associated with girl along with her feminine partner that is HIV-positiveKwakwa).
The situation involves a 20-year-old girl whom served with HIV infection having had 
a bad HIV test result six months earlier in the day. The lady was indeed in a monogamous relationship that is lesbian days gone by couple of years, and denied having had some other intimate lovers, female or male. 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 sex toys, and dental intercourse. These tasks failed to happen during menstruation, but adult sex toys had sporadically been utilized vigorously adequate to draw bloodstream.
Her bisexual partner ended up being understood to be HIV good, and it is considered to be the origin of disease due to 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 this is basically the “first reported instance of female-to-female transmission that is sexual of supported by identification of similar HIV genotypes within the supply client and also the receiver”.
In 2014, a case that is further had been posted, at this juncture sustained by phylogenetic analysis, which revealed that the hereditary sequences associated with the viruses infecting the 2 ladies had been very related (Chan).
The report involves a 46-year-old girl whom seemingly have obtained HIV during a six-month monogamous HIV serodiscordant intimate relationship by having a 43-year-old girl. She had possessed an adverse antibody test a couple of months before seroconversion disease and diagnosis.
Her feminine partner was indeed formerly identified as having HIV but had fallen away from health care bills and had not been getting antiretroviral therapy. The newly identified girl had no other risk that is recent for HIV, such as for example heterosexual sex, inserting medication use, or even more unusual modes of HIV transmission such as for example tattooing, acupuncture, transfusion or transplant.
Glossary
Is the lips, as an example a medication taken by mouth.
Opposition
A HIV that is drug-resistant strain the one which is less vunerable to the consequences of 1 or higher anti-HIV medications as a result of a build up of HIV mutations in its genotype. Opposition could be the outcome of an undesirable adherence to treatment or of transmission of a virus that is already resistant.
Dental sex
Kissing, licking or drawing someone else’s genitals, in other words. Fellatio, cunnilingus, a blow work, providing mind.
Risk element
An aspect of individual behavior or life style, an ecological publicity, or an individual attribute this is certainly considered related to contamination or a condition.
Situation report
Defines the medical background of the patient that is single.
The few reported regularly having unprotected dental and contact that is vaginal utilizing insertive adult sex toys that have been provided among them. They described their sexual contact as at times rough to the stage of inducing bleeding and connection with menstrual bloodstream.
The final two situation states both involved sharing of intercourse toys and experience of blood while having sex.
