2023-07-07 14:30:00
Is the condom enough to protect his/her partner?
Frédéric Buathier, sexologist nurse : In a practice of penetration, the condom can be enough. For stable couples, wearing a condom is even useless if the wearer of the HIV to one undetectable viral load controlled for several months: the treatment has reduced the infection to the point that it can no longer be measured in the blood and is therefore no longer more transmissible. As long as the viral load is positive, we can protect yourself with preventive treatment : PrEP (Pre-Exposure Prophylaxis), which prevents HIV contamination. The man can take it punctually or continuously. In women, only continuous intake is effective.
In the case of theHepatitis B chronicif the treatment has also made the undetectable viral load, the condom will be superfluous. On the other hand, healthy carriers, untreated because the disease does not attack their liver, are still contaminants. It will then be necessary to put on a condom, or that the partner vaccines. If both are carriers of the hepatitis B virus with an undetectable viral load, there is no precaution to take, unless one of the two is superinfected with the hepatitis Delta virus.
Dr Sylvain Mimoun, gynecologist : If there are practices of oral sex, sexual fluids can be contaminating. There fellatio will therefore be done with a condom, preferably non-lubricated, it’s more pleasant! For other orogenital practices (cunnilingus, analingus), you must protect yourself with a dental dam although it is not very practical. It can be made by cutting a non-lubricated rolled condom from the edge towards the center. Then just unroll it…
Since the beginning of HIV and AIDS, things have evolved in the right direction and when the viral load is negative, it is not no longer a barrier to a fulfilling sex life. But the treatments remain heavy, and there is no cure for AIDS. It is therefore always important to put on a condom at the beginning of a relationship. Same for hepatitis B.
Condom rupture, what to do?
If we face the HIVwe go, as quickly as possible, and before 48 hours, to the emergency room or to a screening center, ask if we should take a post-exposure treatment, to avoid contamination. For the nearest address: Sida Info Service on 0800 840 800. In case ofHepatitis B, we remain calm: we recover spontaneously in 90% of cases. Once cured, we can get vaccinated. If symptoms as fever, nausea and vomiting or jaundice occur, we will to consult.
HIV, hepatitis: are practices to be avoided when making love?
Frederic Buathier : For the HIVby the time the viral load becomes undetectable, there is a risk of blood contaminationbut also by sex fluids (sperm, vaginal secretions) during fellatio or penetration (anal or vaginal). The condom or the dental dam are then obligatory. Also pay attention to shared toys used without condoms which can be contaminating! Same for theHepatitis B which has a transmission rate 100 times greater than that of HIV.
Dr. Maimoon : For HIV as for hepatitis, do not risk aggravating the situation by making love during menstruation: the mucosa is more permeable for the healthy person, and doubly contaminating in the sick person. Must therefore put on condoms, change between fellatio and penetration, and following anal penetration. Thus, the partners will be reassured and more relaxed.
Are other situations at risk in everyday life?
Frederic Buathier : We might be contaminated during object sharing like a razor or a toothbrush, especially for hepatitis. And of course in case of substance addiction and sharing material, even if you take a product by the nostrils. But a good hygiene encourages everyone to have their stuff! Toilets cannot contaminate HIV or hepatitis B.
Dr. Maimoon : The real risk for HIV is the sang : so we have to do watch out for cuts or injuriesbecause the risk of contamination is then high.
Sex with an STI: how to overcome your apprehensions?
Frederic Buathier : It’s necessary talk regarding your doubts to health professionals as well as to his or her partner. Afterwards, take your treatment well to achieve an undetectable viral load. And as long as you can’t do everything with your partner, show creativity, using objects, masturbating each other. Finally, knowing that sexuality is not just regarding genitality! It is also the attentions, the hugs, the caresses.
Dr. Maimoon : Speaking as calmly as possible regarding your fears is indeed very important. We must also try to highlight the love and the pleasure that we share, so that the disease no longer has the main place. For this, the couple will have to find the right balance between pleasure and protection. Last tip: stay as faithful as possible ! Love in a group or with a third person is an additional risky situation.
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