TRIP

HIV and men - safe sex

Better Health Channel (Australia), 2004

In Australia, the human immunodeficiency virus (HIV) is most commonly spread through unprotected anal or vaginal intercourse with an infected person.
If you are HIV positive, you should talk with your doctor or local HIV/AIDS organisation for further information and advice.
HIV is transmitted by body fluids including blood, ejaculate (cum), pre-ejaculate (pre-cum), female genital fluids (both vaginal and cervical fluid) and breast milk.
The way the virus gains entry to another person may be directly across the mucosa (the lining of the vagina or bowel) or into the bloodstream.
It is important to prevent the transfer of these body fluids whether the man or his partner is HIV positive.
Be guided by your doctor or health worker, but safe sex suggestions include: Kissing, cuddling, masturbation, mutual masturbation, massage, and ejaculating or urinating on unbroken skin.
The risk increases when people have cuts or sores in their mouth or on their lips, or have recently brushed or flossed their teeth.
For extra safety, people may choose to use a condom during oral sex performed on the man, or a dental dam or similar protection (such as clear plastic cling wrap – but not the 'microwave safe' variety which has tiny holes in it) during oral sex performed on the woman.
Avoid penetration of the vagina or anus with finger or fist if there are abrasions on the hand or arm – to be sure, wear a latex glove and use lots of water based lubricant.
You should also cover them with a new condom each time they are used, or wash them thoroughly in warm soapy water between partners.
Don't use a douche in the rectum as this can irritate the area and increase the risk of HIV transmission.