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Penetrative Intercourse
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C. Digital-Anal and Digital
Vaginal Intercourse
Potential for
Transmission
The practice of
fingering the clitoris, labia, vagina or anus carries no
risk for the receptive partner (person being fingered)
unless the inserted finger has an open cut, sore,
lesion, burn or rash. There is, however, the possibility
that the vaginal or rectal lining can suffer
trauma-fingernails can easily tear these membranes. This
would increase the potential for transmission through
other, higher-risk activities that may follow, such as
unprotected penile intercourse. Masturbating oneself and
then fingering one's partner may insert semen or vaginal
fluid and increase the potential for transmission.
Using a latex glove,
which performs a similar function to a condom during
penile intercourse, can reduce the risk. A glove finger
might still cause some stress to the mucosal linings of
the receptive partner, which could increase the risk to
the receptive partner from other high-risk activities.
Evidence of
Transmission
There are no documented
cases of HIV transmission through insertive or receptive
digital-vaginal or digital-anal intercourse
Insertive
digital-vagina anal intercourse
With latex glove:
Negligible risk
Without latex glove:
Negligible risk
Receptive
Digital-vaginal/anal intercourse
With latex glove:
Negligible risk
Without latex glove:
Negligible risk
Manual Anal and Manual
Vaginal Intercourse ("Fisting")
Potential for
Transmission
The practice of
inserting the hand into the rectum or vagina is not by
itself an efficient means of HIV transmission. However,
studies indicate that receptive manual intercourse is
linked closely with HIV infection. This is due to the
extensive trauma that fisting may cause to the anal or
vaginal canal that if followed by unprotected penile
intercourse or the insertion of shared sex toys produces
a very favourable environment for HIV transmission. This
is true for a certain period of time, even after a
single episode, as the trauma to the mucosal lining may
last for several weeks after the event.
Evidence of
Transmission
Several studies have
identified fisting as a co-factor in HIV transmission,
suggesting that other higher-risk activities often
precede or follow this activity. However, there is no
evidence that fisting alone has resulted in HIV
transmission.
Assessment of Risk
of HIV Transmission Insertive/Receptive manual-anal and
manual-vaginal
With glove:
Negligible risk
Without glove: Negligible
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