Female-to-female intimate transmission of HIV

Key points

  • The possibility of female-to-female transmission that is sexual acutely uncommon, with just a few reported situations.
  • HIV-positive women that identify as lesbian might have obtained HIV through inserting drug usage or intercourse with guys.
  • Transmission is achievable through sharing of adult toys and experience of bloodstream during intercourse.

When it comes to the problem of female-to-female sexual transmission it really is essential to attract a difference between your chance of transmission by this path and diagnoses of HIV disease in women whom identify as lesbian. There were only six reported situations of woman-to-woman intimate transmission, and these reports have to be seen with similar care as any kind of situation reports of transmission through dental sex (cunnilingus).

Into the very early many years of the epidemic, investigations associated with way to obtain disease in United States females failed to determine any full situations of female-to-female transmission. As an example, a 1992 followup of most 144 ladies identified as HIV-positive through the blood contribution solutions in the usa interviewed 106 females, and identified just three that has had intercourse with ladies. A few of these ladies had other risk facets: either inserting medication use or genital sex with guys (Chu).

An Italian research of 18 HIV-discordant lesbian partners who was simply monogamous lovers for at the very least 90 days just before recruitment and who have been followed for 6 months discovered no seroconversions took place in those times. Three-quarters for the partners reported sex that is sharing and practically all partners reported dental intercourse (Raiteri).

In 2003 an incident report of female-to-female intimate HIV transmission was posted. Physicians recommend the lady might have been contaminated through sharing adult toys after drug-resistance tests discovered striking similarities involving the genotypes for the girl along with her feminine partner that is HIV-positiveKwakwa).

The actual 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 lesbian relationship for the last two years, and denied having had any kind of intimate lovers, man or woman. She had never ever inserted medications or received bloodstream items, together with no tattoos or body piercings. The couple’s intimate techniques included the sharing of adult toys, and sex that is oral. These tasks failed to happen during menstruation, but adult sex toys had periodically been used vigorously sufficient to draw bloodstream.

Her bisexual partner had been understood become HIV good, and it is thought to be the origin of illness due to similarities seen as soon as the two females underwent genotypic drug-resistance tests. The 20-year-old girl had been contaminated with multidrug-resistant HIV.

The detectives noted that here is the “first reported situation of female-to-female transmission that is sexual of sustained by identification of comparable HIV genotypes when you look at the supply client as well as the receiver”.

In 2014, a case that is further ended up being posted, at this juncture supported by phylogenetic analysis, which indicated that the hereditary sequences regarding the viruses infecting the 2 females had been very related (Chan).

The report has to do with a 46-year-old girl whom seems to have obtained HIV within a six-month monogamous HIV serodiscordant sexual relationship with a 43-year-old girl. She had possessed an antibody that is negative a few months before seroconversion disease and diagnosis.

Her feminine partner have been formerly clinically determined to have HIV but had fallen away from health care bills and wasn’t getting antiretroviral treatment. The newly identified girl had hardly any other risk that is recent for HIV, such as for example heterosexual sexual intercourse, inserting medication use, or higher unusual modes of HIV transmission such as for example tattooing, acupuncture, transfusion or transplant.

Glossary

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

Opposition

A HIV that is drug-resistant strain the one which is less at risk of 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 results of an undesirable adherence to treatment or of transmission of a virus that is already resistant.

Dental intercourse

Kissing, licking or drawing someone else’s genitals, in other words. Fellatio, cunnilingus, a blow task, providing head.

Danger element

An element of personal behaviour or life style, an ecological publicity, or an individual attribute that is regarded as connected with disease or even a medical problem.

Situation report

Defines the medical background of the patient that is single.

The few 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 connection with menstrual bloodstream.

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