Can I Still Get HIV From Sex Without Ejaculation?

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Update Date 01/07/2020 . 3 mins read

The general knowledge of HIV is that it is an infection that is spread through body fluids. Contact with body fluids can happen in a lot of ways and instances but some of the most discussed methods in our society has to be unprotected sexual intercourse and the sharing of needles among intravenous drug users.

Hence, in view of the role played by body fluids, one of the most commonly asked conundrum is whether having unprotected sex without ejaculation still put oneself at risk of getting HIV. The short answer to this is yes, not having ejaculation of semen does not eliminate the possibility of HIV infection.

Situational Explanation

For the sake of explanation, below are two situations of unprotected heterosexual vaginal sexual intercourse:

First situation : HIV-Positive male with HIV-Negative female

In this situation, despite careful measures that couples can hope to take to prevent ejaculation inside the vagina, prior to ejaculation, the male penis still secrete a secretion that they cannot control. That secretion is known as the pre-ejaculatory fluid and its purpose is to neutralise the acidic residue of the urine in the urethra to protect the incoming passage of sperms. This fluid can still carry HIV virus and pose a risk of transmission.

Second Situation: HIV-Positive female with HIV-Negative male

Generally, the risk of HIV transmission from female to male is less than the HIV transmission from male to female. The risk of transmitting HIV from HIV-Positive male to HIV-Negative female is found to be between 7 to 8 cases per 10 000 cases of unprotected vaginal intercourse. That number is halved the other way around as it is found that the risk of transmitting HIV from HIV-Positive female to HIV-Negative male is 4 cases per 10 000 unprotected sexual intercourse.

Such difference can be attributed to the difference between the contact surface of male and female in a vaginal sexual intercourse. In male, the surface that comes into contact is the skin that surrounds the penis. Skin is an organ made up of layers of dead cells and thus, provide protection from external environment, leaving only the urethral opening as a possible route of receiving the infection (Especially in circumcised penises)

Contrary to male, the contact surface in female is the lining of the vaginal wall which is made up of mucous membrane. Unlike skin, mucous membrane is moist from secretion of of glands and has a relatively thin surface layer, making them more susceptible to receive HIV virus.

Nonetheless, HIV-Positive female can transmit the virus to male through secretion of vaginal fluid that can enter the male’s penis via any cuts, skin breakage or even ulcers on or around the surface of the penis.

However, the risk of heterosexual vaginal intercourse is lower than heterosexual anal intercourse and far lower the riskiest type of intercourse, homosexual anal intercourse

World Condom Day

Henceforth, the use of condom is greatly advised to mitigate the risk of transmitting sexually-transmitted infection such as HIV. Condom act as a mechanical barrier that separates the two surfaces that would otherwise come into contact with each other during sexual intercourse. In Malaysia, despite religious prohibition and implementation of law, sexual intercourse is still a tough problem to deal with as evident from the rise in cases of baby dumping, birth of children out of wedlock and sexually-transmitted infections. All these mean that despite our best effort, sexual intercourse still happens under our noses and by the time we know about it, it is too late, damages has been done.

In accordance to World Condom Day yesterday, safe sex is deemed necessary to ensure that even if sexual intercourse happens despite our best effort to curb them, they happen in a protected manner that significantly reduces the risk of pregnancy and infection. Malaysians must bear in mind that the promotion of such campaign is in no way to promote sexual intercourse but instead, act as a complementary step to preexisting measures by protecting individuals that, despite the best intention and effort by religious bodies and the law, still managed to find their way around it and engaged in sex.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

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