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Can I Get HIV in Oral, Vaginal, or Anal Sex?

Playing with statistics and chances of contracting HIV based on "prognosis is a half-dangerous toy!

HIV-dimensional illustration of the digital

There are chances to get HIV in anal sex or HIV in oral sex? And probably, one of the most common questions for health and medical service providers to ask about AIDS. People really want to know something about their personal risk in relation to their sex life itself and what the real possibilities of getting HIV during fellatio - even more so than during anal sex, because everyone knows that this is, regardless of whether it is a heterosexual or homosexual relationship, and certainly also for bisexual people, it is important to place, and in oral sex there is a painful doubt.

The United States Centers for Disease Control and Prevention (CDC) has a page describing the likelihood of transmission by oral sex as "low" or small (...). But what does that mean? The website https://www.aids.gov puts it this way:

"You can get HIV by performing oral sex on your male partner, although the risk does not pose as great a risk as unprotected anal or vaginal sex." As for the risk in a woman, the site explains: "HIV has been vaginal secretion, then there is a risk of contracting HIV through this pathway. "
The younger ones forgive me, but I try to clarify them!

There was, in a very short time, a Consul: Their motto was:

Tranquility for a lifetime. And in fact the refrigerator lasted more than 25 years.
But use prognostics and statistics? Well, I did something like that, I "went in faith", laughs, to get lucky, and that was it. If caught, caught! FUCK YOURSELF! And here I am in pain, drugged with methadone, amitril and gabapentin, tried to draw your attention to the risk, the great risk of contracting HIV. If you have passed for something simple and pale situation similar to this, wait for the immunological window of 30 days and make the examination within the SUS environment

Does that leave you at ease? I do not think ... It would hardly be like this ... HIV in oral sex, HIV in anal sex r numbers ... Life is not a mathematical thing, life is an aesthetic entity

That is why many of us try to avoid percentages and proportions when we talk about risk. And that is precisely why when I am asked why I want death and I refuse to "establish a parameter, because this is the kind of calculation that is not done! Numbers seem less abstract, more specific. But they do not give us a better understanding of the risk of contracting HIV and sexual health.

But one thing is certain. It's harder to get HIV in oral sex, and it's far more dangerous to get HIV in anal sex!

Contract HIV in oral sex? Yes! There are risks, but they are smaller than anal sex Do not tell anyone, but click on this image
Let's do the "calculations".

The risk of giving a blowjob - (Blowjob By Emerson Godoi (SP) in 11-04-2008):

Blowjob

Translated term of the Porn culture that relates oral sex, ie Blow = Sugar and Job = work, then we will have Sugar Work that defines the famous "Pacifier"

Probabilities of transmitting HIV from exposure to the virus are usually expressed in percentages or as prognoses (something that should be used when you have to calculate your chances of having "big luck" at the mega sena of the turn and not the search for the possibility of contracting HIV through oral sex!. For example, the average risk of contracting HIV through sharing a needle once with a user of HIV-positive drugs is 0,67%, which may also be indicated as 1 in 149, using what CDC prefers, 67 10.000 exposures. And even though it seems so remote, it still happens and this small number becomes a reality, something that, mathematical and statistically represents, in the cumulate results, like "100%!" Despite having related so little !!!
Translated term of the porn culture that relates oral sex, ie Blow = Sugar and Job = work, then we will Sugar Job that defines the famous "pacifier" or "blowjob" in an HIV positive man without ART means 1 in 2.500 (or 0,04 %). The risk of contracting HIV during vaginal penetration for a woman in the United States is 1 by 1.250 exposures (or 0,08%). For man the scenario, 1 is 2.500 by exposures literally half the risks run by the woman in similar situation (0,04%, which is the same as performing fellatio).
Like anal sex sexual intercourse is the most risky practice in terms of HIV transmission if one partner is HIV-negative and plays the active (and penetrating) role and the passive partner (who receives HIV positive penetration and unprotected intercourse, the chances of the active partner contracting the virus from a single encounter are 1 909 in (Or 0,11%) if itHIV in anal sex is circumcised and 1 in 161 (or 0,62%) if he is uncircumcised. And if an HIV-negative person plays the passive role for HIV-positive someone in the active role who does not use any type of protection but does not ejaculate inside (coitus interruptus), the chances of HIV transmission are on average less than 2 percent. Specifically, it is 1,43%, or 1 of 70. If the penetrating guy uses interrupted intercourse (remove the penis before ejaculation) then chances are 1 for 154.

Sexuality, sex, and statistics with advanced algebra: (a + b2)2= ???

Say what? Is HIV really hard to get across, especially in light of the alarming statistics with which we are bombarded? Although the CDC estimates that nearly 1,1 million Americans are living with HIV and that the rate of new infections remains stable at about 50.000 per year, there has been an 12% increase between 2008 and 2010 among men who have sex with men (MSM) - including one jump 22 percent among young people aged 13 and 24 MSM. A report from the Institute states that AIDS among African Americans even among MSM have an 25% chance rate (that is one in four) of contracting HIV when they are in the age group of 25 years and 60% chance when they reach in the 40 range. Other researchers have announced that half of all homosexual men in America who are in the age group of 22 years old today will be HIV positive by the time they reach 50 years.
How can we go from the prognoses, being 1 between 70, that HIV will be transmitted during intercourse with relationships whose most risky prognoses with possibilities of 1 for 2 will be with young gay men in the United States who will contract HIV before they complete 50 years (and even before you think: No, the answer is not that people with HIV are "vagabond and promiscuous" people, or have never heard of safer sex).
Beginners, have to understand that these probabilities of HIV transmission by single exposure are averages. They are general figures that do not reflect the many factors that can increase or reduce the risks.

Risk Management, a complicated thing

One such factor is acute infection, the period from six to twelve weeks after contracting the virus. At this time, viral load rises immensely, increasing a person's infectivity by up to 26 times! And that's why you should think well and use condoms, because this article on risks and "deadlines to become infectious" is one of the most read on this blog! So close to this, the risk of vaginal delivery transmission jumps from 1 between 1.250 exposures to 1 between 50 exposures and the risk of receptive anal sex going from 1 to 70 to greater than 1 to 3. It is also important to realize that during acute infection, the immune system has not yet created antibodies that lower viral load for at least a few years. HIV tests that rely on antibodies can give a false negative reading during acute infection, also known as the "window period".

Other Sexually Transmitted Infection

The presence of another sexually transmitted disease (STD or STI as preferred by the euphemistic and on-demand euphemism who understands that "disease is ugly" and that "infection is politically correct! , such as gonorrhea in the throat or rectum - can raise the risk of contracting HIV about eight times, in part because STDs increase inflammation and thus the number of white blood cells that are the targets of HIV. Vaginal conditions such as bacterial vaginosis, dryness and menstruation also altered the risk.

There are quite sure these numbers. But they can be a good tool for understanding risk.

sex without a condom In times of AIDS, Zika and Gonorrhea hyper resistant antibiotics without sex condoms is like playing with your life on a roulette in a casino and betting on thirteen black ...

Other factors that reduce the risk of transmission in oral, anal and vaginal sex:

Circumcision does a sixty percent average reduction for heterosexual men. HIV positive people who have undetectable viral load thanks to their ART can reduce the risk of transmission by 96 percent, a concept known as "treatment as prevention" (TasP). The first results of the study Partner (to be completed in 2017 - Already concluded) did not find transmissions between both types of heterosexual relationships and serodiscordant gay couples when the positive partner was successful in the treatment, even in cases where other STDs were present. HIV-negative people can take a Truvada pill daily as a pre-exposure prophylaxis or PrEP to reduce their risk by up to 92%; in the same way, there is post-exposure prophylaxis or PEP. And the CDC says condoms reduce risk around 80 percent. Of course, these figures vary based on the correct and consistent use of the prevention strategy.
Editor's note. For three decades the condom was considered to be effective 100%, and now there seems to be a "niche market" that reduces the capacity of protection by condom (condoms) to 80%.
The researchers also show the risk through constructs * family, relationships, community, and socioeconomic status. A quick example: according to the CDC data, 84% of HIV-positive women contracted the virus through contact heterosexual. (construct designates in science an unobservable theoretical concept. Examples of constructs are personality, love, fear. Such concepts are used in common language, but to become a scientific construct they need a clear definition and an empirical basis. black jackAs researchers including Judith Auerbach, Ph.D., associate professor at the University of California at San Francisco, the phrase "heterosexual contact" masks the prevalence of anal sex between heterosexual couples and the role of sexual violence - which may be important because exposure to gender inequality and violence in relationships intimate triples a woman's risk of contracting STDs and increases her chance of getting HIV 1,5 times.

The accumulation

And then there is the concept of cumulative risk. The figures often cited for the risk of HIV transmission They take into account an exhibition instance.

But this is not statistical data. Risk accumulates through repeated exposures, but you can not simply add up the probabilities of each exposure to full risk score. Statisticians, if you are curious, have a formula for cumulative risk: 1 - ((1 - x) ^ y) where x is the exposure risk (as a decimal) and y is the number of exposures. Well, many of us will not be able to tabulate the bill in a restaurant, so it's unlikely that algebra is debated during a meal. But not even the world's largest statistician would be wise enough to assess risk based on HIV statistics.

This is a seriously dangerous game. Numbers and probabilities can be calculated and misinterpreted.

Case at point: Having an 1 in 70 chance of HIV transmission does not mean that 70 takes exposures to the virus for seroconvertem. This simply means that among 70 exposures, on average, one will lead to HIV; Chance can The transmission takes place in the first exhibition, as is the famous case of Vaeria Polizzi in the book after that trip.
Another important concept to be understood is absolute risk (what is effectively risk) versus relative risk (the percentage change in risk). Phrases like "PrEP can reduce your risk by 92 percent" tells us about relative risks, but most people want to know the absolute risks. In this example, 92 percent risk reduction does not mean that the final absolute risk is 8%. Instead, it is an 92 percent risk reduction onset. If the absolute risk start is 50%, then PrEP reduces the risk of 4%; if the scratch start is 20%, then PrEP goes down to 1,6%.
Armed with data like this, it is tempting to try to calculate your HIV risk for specific scenarios and then plan accordingly. For example, what are the chances of HIV from someone with an acute infection if you are in PrEP? These exercises can be problematic, warns James Wilton of the Canadian Information Exchange for the Treatment of AIDS (CATIE), which specializes in the biology of HIV transmission and its implications for communicating HIV risk. In real life, because of all the variables involved - since a person's HIV viral load in the community and the prevalence of onset and (therefore) end-risks for each individual are very difficult to identify. "The numbers you come across are not definitive," he notes. There are also often gaps in research, he says, which means that in many cases, scientists may not yet have real-world examples to back up these numbers and calculations, but they have to model mathematical and biological logic for why certain ideas about HIV and the risk of being true. For example, we do not have research showing that the risk of HIV transmission during PrEP is greater if a partner has acute HIV infection. What's more, a lot of HIV studies are conducted among heterodiscordant heterosexual couples in Africa, and scientists are not 100 percent sure that the results apply to all.
"We know there's not much certainty in these numbers," says Wilton. But he stresses that "they can be a good tool to help people understand the risk and that they just need to be packed with a lot of information." (For a more detailed discussion, check out the Wilton's webinars on CATIE.ca .). And for a great primer on understanding health statistics, by hands on a copy to know your chances: How to see through the medical sales news, ads and public service announcements. Here in Brazil does not exist. I say the soropositivo.org editor, mass campaign to prevent AIDS is as if it did not exist, a thousand devils)

During sex, our perception of risk is replaced by love, lust, trust and intimacy.

When you have missing or poorly described facts, you can not understand the true risk of contracting HIV. If you underestimate the prevalence of HIV in their community,doubtful thumb-800x560-135889 you will underestimate the risk. Studies have found that more than one in five homosexual men in urban cities are HIV positive, and the virus is more prevalent among MSM in color and in certain communities. People in these communities are more likely to come into contact with the virus even if they have fewer partners and practice safer sex more often. In other words, the risk of HIV infection is not the same for everyone. Perhaps the biggest miscalculation is the incorrect assessment that you believe you are HIV negative or your partner is [HIV negative]. That is why risk reduction strategies like serosorting (having sex without condoms only with people of the same status) have an even greater margin for error.
Perry Halkitis, PhD, a researcher at New York University who has followed cohorts of young MSM and more HIV positive people, noted that people make assumptions such as, "He is the oldest in the city so he is more likely to be positive and I did not sleep with it. But a young Midwest guy who looks negative? Sure, let's do it! "
"People are making decisions based on their assessment of the person and they need to be much more focused on the act," says Halkitis, who also considers HIV basic education should go to the nuances of transmission. He wonders who will teach youngsters not to use Vaseline (oily lubricant when the ideal is those that are not made on these bases) with condoms, for example, or not to hygienic shower before sex (if you must make a few hours earlier ), or if you are photographing the drug, do not share the water and face in injecting drug use, which can also spread the virus. Liz Defrain The data is doomed. All numbers in the world do not change the fact that people are reckless (with the pardon of the bad word, in line with their risks of contracting HIV. Many times for good reason. Having sex without a condom can be riskier and devastating than proceeding like this. Transiting without a condom can be more risky and devastating than proceeding like this "biker." Because he, at most, can break his neck and take instant death. STDs do not kill quickly. Whether you are struggling to find a job, a meal or a place to live, HIV is not on your to-do list. Even if the risk exposure is higher in your daily life about your risk for the virus. If you are in love or dating, you do not see your partner as a threat, as a "vector" of HIV, despite the fact that up to two-thirds of HIV-positive people spread HIV unwittingly through relationships and this is distributed exponentially. Even on hooks up, people are probably not concerned about tabulating their risk of contracting HIV. A survey asked the young HSM that I interviewed for online sex to list their main concerns. The answers? That the person you meet would not have a profile that should be rejected by the person or that be stolen or assaulted or violated.

HIV was not the biggest concern.

This is not because young people were ignorant about the virus, says Alex of Columbia University Carballo-Dieguez, PhD, one of the authors of the study along with many other MSM and HIV research. "In the interview, in the sitting room across from me, most homosexual men have a greater perception of risk and can accurately recite all the circumstances that can result in HIV transmission," says Carballo-Dieguez.
"But at the time of the sexual encounter, when men are looking for a more satisfying experience, risk perception is replaced by love, trust, intimacy, lust and many other condiments that enhance the taste of sex.
Using the words of Pascal, [Blaise], Le Coeur a ses raisons que la raison ne connait point / the heart has reasons that reason itself does not know
"Our sexual experiences will not be risky or dangerous"! "Our sexual experiences will be magnificent!"
Says Jim Pickett, director of prevention and health advocacy for gay men at AIDS Foundation in Chicago.
"Sex is connected to pleasure, to intimacy and to things that make us feel good."
And in the real world, risk takers are celebrated. We have to take risks every day.
"A better approach, he says, is not to ask," What is my HIV risk? "
But, to think, "What can I do to enjoy the sex I want to have but remain disease-free?" Len Tooley, Wilton's colleague at CATIE who also does HIV testing, agrees. Sexual health is often framed in the concept of risk rather than rewards. This can present HIV and those living with it as the worst possible outcome imaginable, he notes that it is not only slanderous but often unreasonable since many people with HIV are indeed just excellent. "When we get into risk concepts, it's easy to minimize risks," he says. "When people ask about numbers, they are generally tempted to find a balance between what they want to do sexually and the chances that these activities would lead to the transmission of the HIV virus." (Discussions that followed, says how to ask about moral and values ​​around HIV transmission, about how much risk I think is worth running, how can we perceive HIV as a possible outcome of our actions and when is it OK2 to drop condoms. Questions, in other words, that can not be answered with a simple number. 26 March 2014 • By Trenton Straube Translated in 30 of August of 2016 by Cláudio Souza of the original in Against All Odds: What Are Your Chances of Getting HIV in These Scenarios

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9 comments on Can I Get HIV in Oral, Vaginal or Anal Sex?

  1. Good morning, Cláudio,
    I had a risk exposure on 29 / 09 / 2016 day with glucose swab needle the person was positive serum swarmed me with the same needle, the same day I went to the CDC, did the pep passed 28 days taking the cocktail, Soon after 4 months of exposure and being 3 months after taking medication in total 4 months being 1 month taking the remedies, did swarm of hiv and gave negative? Can I discuss any late conversion serum? Or better repeated the swarm? How many months after the exhibition can I be carefree? Giving negative. I have not slept since September.

  2. Yes, you can forget the subject.

  3. Thank you.
    God give you
    Great health always.

  4. Amen

  5. Rafaela, sorry for the delay in answering. Many things had happened in our house I had pretty much left the site.
    Like I said just now. Late seroconversion is a nightmare of the last century, and you have nothing to fear. Stay in peace

  6. LUIS GUSTAVO // 29 September 2017 to 10: 02 //

    I WENT THROUGH THAT ACUTE HIV INFECTION, AT THE END OF THE LAST YEAR, REALLY HER AND TERRIBELY, I WENT 3 WITHOUT FEELING MANY PAIN AND FEVER, AND THEN I DID NOT KNOW IT WAS HIV Q I HAD NO PHYSICIAN ASKED FOR HIV EXAMINATION, VIM AM DISCOVER MY SOROLOGY IN APRIL OF THAT YEAR, THANKS TO GOD I DISCOVERED IN TIME. I'M IN TREATMENT AT 4 MONTHS AND I'M INDETECTABLE AND TARV STILL INCREASED MY CD4, I HAD NO SIDE EFFECT, AND I TAKE MY REMEDIES RELIGIOUSLY EVERY DAY AS 6HS IN THE MORNING. THANK YOU FOR THIS BLOG, IT'S EXCELLENT!

  7. Yes! It is a difficult situation to live. In my case I was impacted by viral meningitis and it is believed that HIV itself was the etiologic agent for meningitis. Thanks for the good words about the blog. unfortunately he is about to disappear

  8. Thank you for your kind words. The big problem, Gustavo, is that it's getting harder and harder to get help to keep this up. If it were not for the fact that AUTOMATIC maner the free hosting I would already have lost the blog

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  1. Oral Sex: What is the Risk? Reagent is not death sentence !!!!! Seropositive. Org - Life with HIV !!!
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