Describing a couple as ‘serodiscordant’ means that one partner is HIV positive and the other is not. This can raise a number of issues, such as how to have sex safely. Finding out more about what is safe, talking to others with experience or talking with a counsellor may be helpful.
This article offers general information, but also talk with your doctor or AIDS organization.
Safe sex suggestions
- Kissing, cuddling, masturbation, mutual masturbation,
massage, and ejaculating or urinating on unbroken skin is considered safe
activities.
- Always wear a condom and use a water based lubricant
when having vaginal or anal sex.
- The woman may prefer to wear a female condom that is
inserted into the vagina.
- Pre-ejaculate (pre-cum) of an HIV positive man may
transmit the virus, so don’t rely on the withdrawal method.
- Oral sex with either a man or woman is considered a
‘low risk’ activity for transmission of HIV.
- However the risk increases when people have cuts or
sores in their mouth or on their lips, or have recently brushed their
teeth and gums or flossed their teeth.
- For extra safety, people may choose to use a condom
during oral sex performed on the man, or a dental dam or similar
protection (such as clear plastic cling wrap – but not the ‘microwave
safe’ variety which as tiny holes in it) during oral sex performed on the
woman.
- Avoid penetration of the vagina or anus with finger or
fist if there are abrasions on the hand or arm – to be sure, wear a latex
glove and use lots of water based lubricant.
- Don’t share penetrative sex toys such as dildos –
consider having a separate collection for each partner, covering them with
a new condom each time they are used, or washing them thoroughly in warm
soapy water between partners.
Lesbian serodiscordant couples should also follow these safer sex suggestions.
- Negotiating safe sex Practising safe sex is important
even if you don’t know whether your partner is HIV positive or not. It
protects you from HIV as well as other sexually transmissible infections.
- HIV is more easily transmitted when a person has
another sexually transmissible infection.
- Telling sexual partners about HIV is a complex issue.
Deciding when and how to tell will vary according to the relationship, the
situation and the people involved.
- In Australia, you don’t have to tell your sexual
partners about your HIV status. However, if you are a person living with
HIV, you do have a responsibility not to transmit the virus.
- In Victoria, it is an offence to knowingly or
recklessly infect another person with an infectious disease.
- NSW has specific legislation that requires that people
disclose their HIV status before having sex.
- Any person who recklessly endangers or inflicts harm on
another person may be charged under criminal law in all states and
territories. Some tips to consider Negotiating safe sex is not always
easy.
- Have condoms handy if you think there is a possibility
that you will be having sex.
- Don’t assume that safe sex is the man’s responsibility.
Women can carry condoms too.
- Don’t assume that a man will feel confident about using
condoms. Learn about how they are used correctly so you can help. This can
be fun.
- Make it your business to find out about condoms.
Investigate colours and flavours.
- Find out where you can get condoms without
embarrassment.
- Try to negotiate safe sex before you get into the ‘heat
of the moment’. This is usually not the best time for debate and
discussion. Some things you could say Think up some statements that you
feel comfortable using,
- Where’s the condom?’
- Let’s have safe sex to protect both of us.
- I can roll the condom onto you with my mouth.’ Make
sure you can.
- To make sure I don’t get pregnant, I like to use
condoms.’ What to do if you are
exposed to body fluids If you are exposed to body fluids, you should wash the skin or area thoroughly with soap and water. - Don’t use a douche in the vagina or rectum as this can
irritate the area and increase the risk of HIV transmission.
See your doctor for further information and advice.
Keep a condom handy in your pocket.
- Make your sex life as intimate and loving as you
possibly can.
- Remember that intimacy is not all about sex.
- Don’t forget to have fun – for example, massage can be
a wonderful avenue for both of you to explore.
- Your partner might hate wearing condoms. This can be
difficult to overcome and only
patience and honesty will get you through. - Learn to put on your partner’s condom and make light of
any awkward situation. Don’t take yourselves too seriously.
- It is important to remember that one night of passion
can lead to a lifetime of HIV. Talking to other people living with HIV
about these issues may be helpful. Straight Arrows and Positive Women are
community support organisations that have peer support workers.
Things to remember
The HIV virus is transmitted by body fluids including blood, ejaculate (cum), pre-ejaculate (pre-cum), vaginal and cervical fluids, and breast milk.
It is important to prevent the transfer of the HIV virus in these body fluids whether the woman or her partner is HIV positive.