Can Two Girls Transmit AIDS During Intimacy? Risks - Urology

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Two girls, regarding AIDS?


I have a question.
If two girls engage in sexual activity out of curiosity, is there a risk of contracting AIDS? What if both are virgins? Additionally, if they take a bath together while both are on their menstrual period, is there a risk of infection?

You, 10~19 year old female. Ask Date: 2007/06/14

Dr. Li Yilun reply Urology


First, there must be confirmed infection with AIDS in either partner for mutual transmission to be possible.
Therefore, individuals with drug addiction, multiple sexual partners, sex workers, and those receiving long-term blood transfusions are common high-risk groups.
It is important to inquire whether your partner has any of the aforementioned conditions.
If neither of you has had the opportunity for infection, then mutual transmission will not occur.
However, if you are in a high-risk group, it is advisable to go to a hospital for screening, as the risk of infection through contact with bodily fluids and blood is higher.
The viral load in saliva is relatively low; thus, the primary concern is whether there has been contact between bodily fluids or blood and mucous membranes (such as vaginal mucosa), which increases the likelihood of infection.

Reply Date: 2007/06/14

More Info


When it comes to the transmission of HIV (Human Immunodeficiency Virus), understanding the risks associated with intimate activities between women is crucial. The primary mode of HIV transmission is through the exchange of certain bodily fluids, including blood, semen, vaginal secretions, and breast milk. Saliva, sweat, and urine do not transmit HIV, which is an important point to consider when discussing the risks of intimate contact.

In the scenario where two women engage in sexual activities, the risk of HIV transmission is contingent upon several factors. Firstly, both partners must be aware of their HIV status. If neither partner is HIV-positive, the risk of transmission is effectively zero. However, if one partner is HIV-positive, there is a potential risk of transmission, especially if there are open cuts or sores, or if there is contact with vaginal secretions or menstrual blood.

Regarding the specific situation you mentioned—two women engaging in intimate activities while both are on their menstrual period—there is a slightly increased risk of transmission if one partner is HIV-positive. Menstrual blood can carry a higher concentration of the virus compared to other bodily fluids. However, if both partners are HIV-negative, the risk remains negligible.

It is also important to consider that intimate activities can involve various forms of contact, such as kissing, touching, and oral sex. While oral sex is generally considered to carry a lower risk of HIV transmission compared to vaginal or anal intercourse, it is not risk-free. If there are cuts or sores in the mouth, or if one partner has a high viral load, the risk can increase.

In summary, while two women can transmit HIV to each other during intimate activities if one is HIV-positive, the risk is significantly lower if both partners are HIV-negative. Engaging in sexual activities during menstruation does not inherently increase the risk of transmission if both partners are healthy. However, it is always advisable to practice safe sex, including the use of barriers like dental dams or condoms, to reduce the risk of sexually transmitted infections (STIs) and HIV.

For anyone who is concerned about potential exposure to HIV, it is recommended to get tested. Regular testing is crucial for sexually active individuals, especially those with multiple partners or those who engage in high-risk behaviors. Testing can provide peace of mind and help in early detection and treatment if necessary. If you have further questions or concerns, consulting with a healthcare provider or a sexual health clinic can provide personalized advice and support.

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