Sir I have relations with my friend from past 5 years. She is suffering from HIV and taking regular medicines. I do my blood tests every 6 months Sir would like to know what all precautions I need to take during sexual intercourse and does kissing spread HIV. Pls clarify my doubts.

Dr. Sushil Kumar S VPsychiatrist13yrs exp

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Good Morning ~ Kissing the skin does not result in the spread or transmission of HIV infection. I believe if you are into lip-lock kissing, there is a remote possibility of contracting the infection via saliva. TIPS FOR THE HIV-NEGATIVE PARTNER If you are the HIV-negative partner in a mixed-status relationship, here are steps you can take to reduce your chances of getting HIV: Encourage your HIV-positive partner to get and stay on antiretroviral therapy (ART), and support your partner in taking all of his/her HIV medications at the right time. This “medication adherence” will lower your partner’s viral load, keep your partner healthy, and reduce the risk that HIV can be transmitted. Use condoms consistently and correctly. When used correctly and consistently, condoms are highly effective in preventing HIV infection, as well as other sexually transmitted diseases (STDs). Both male and female condoms are available. For more information on condom use, see CDC’s HIV Basics: Prevention. Choose less risky sexual behaviors. Oral sex is much less risky than anal or vaginal sex. Anal sex is the highest-risk sexual activity for HIV transmission. If you are HIV-negative, insertive anal sex (“topping”) is less risky for getting HIV than receptive anal sex (“bottoming”). Remember: HIV can be sexually transmitted via blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluid, and vaginal fluid. Sexual activities that do not involve the potential exchange of these bodily fluids (e.g. Touching) carry no risk for getting HIV. Talk to your doctor about pre-exposure prophylaxis (PrEP). PrEP is a way for people who don’t have HIV to prevent HIV infection by taking a pill every day. The pill contains two medicines that are also used to treat HIV. Along with other prevention methods like condoms, PrEP can offer good protection against HIV if taken every day. The CDC recommends PrEP be considered for people who are HIV-negative and at substantial risk for HIV infection. This includes HIV-negative individuals who are in an ongoing relationship with an HIV-positive partner, as well at others at high risk. For more information, see our page on PrEP. Talk to your doctor right away (within 3 days) about post-exposure prophylaxis (PEP) if you think you have had a possible exposure to HIV. An example of a possible exposure is if you had anal or vaginal sex with your HIV-positive partner without a condom, and you are not taking PrEP. Your chance of exposure to HIV is lower if your HIV-positive partner is taking ART consistently and correctly, especially if his/her viral load is undetectable. Starting PEP immediately and taking it daily for 4 weeks reduces your chance of getting HIV. For more information, see our page on PEP. Get tested for HIV. You should get tested for HIV at least once a year so that you are sure about your HIV status and can take action to keep healthy. Talk to your doctor about whether you may also benefit from more frequent testing (e.g. Every 3-6 months). Use the AIDS. Gov HIV Testing and Care Services Locator to find a testing site near you, or use a home testing kit. Get tested and treated for other STDs and encourage your partner to do the same. If either of you are sexually active outside the partnership, you should get tested at least once a year and talk to your provider about whether more frequent testing is of benefit. STDs can have long-term health consequences. They can also increase your chance of getting HIV. Find an STD testing site. Use the AIDS. Gov HIV Testing and Care Services Locator to find a testing site near you.  

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