Likely Female-to-Female Sexual Transmission of HIV — Texas, 2012

Thursday, March 13, 2014

Likely Female-to-Female Sexual Transmission of HIV — Texas, 2012


Although the risk of sexual transmission of HIV between women who have sex with women (WSW) is low, the potential for transmission exists because HIV can be transmitted when certain bodily fluids (e.g., menstrual blood; vaginal fluids; etc.) come into contact with a mucus membrane or a cut or abrasion. This report documents a case with unique circumstances pointing to likely sexual transmission between female partners. In this case, the discordant couple (one HIV-infected partner and one uninfected partner) routinely had direct sexual contact – without using barrier methods for protection – that involved the exchange of blood through abrasions received during sexual activity. Because all other HIV risk exposures were ruled out for the newly infected partner, it is likely she was infected by her female partner. The authors note that, although HIV transmission between women is possible, it remains rare. This report underscores the need for all couples – including WSW – to take steps to prevent transmission, including avoiding all contact between HIV-infected blood or blood-contaminated bodily fluids and broken skin, wounds or mucus membranes.

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