Being Alive Newsletter, Being Alive/Los Angeles - May 1993
Charles R. Caulfield
The practices that carry no risk of transmission include: dry kissing, mutual masturbation, anilingus with a barrier for either the insertive or receptive partner (rimming with a mouth dam or plastic wrap), cunnilingus with a barrier for the receptive partner (oral contact with female genitalia, again with a mouth dam or plastic wrap), and external urination (water sports).
While, in theory, minimal risk behavior could result in transmission of HIV, there is no significant evidence that this occurs. Minimal risk activities include: wet, french, deep or passionate kissing, anilingus without a barrier (although this carries a risk of other oral-fecal transmissions such as intestinal parasites and hepatitis), and fellatio with a condom or without ejaculation. Penile-vaginal or penile-anal intercourse with a latex condom and sufficient water soluble lubricant when properly used carry minimal risk of transmission. Any sexual practices that result in an exchange of body fluids are considered unsafe.
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This information is designed to support, not replace, the relationship that exists between you and your doctor.