Anonymous
Hello,

I recently had sex with a man I met at a bar. We are both men so we had anal sex. I insisted on wearing a condom, but we used saliva as a lubricant. Should I be concerned about being infected with STI or HIV?
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Anonymous
Hi there, and thanks a lot for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information. It seems you're concerned about the possibility of HIV transmitting during an encounter. We're happy to answer your question for you.

Sex with a condom, even if you used saliva as a lubricant, is a low risk activity, meaning while transmissions are possible, they usually require specific circumstances to occur (like the condom breaking, for example). To see the risks associated with various activities, we encourage you to check out our [risk assessment page](http://helpline.aidsvancouver.org/question/risk-assessment-chart).

To understand why, check out our transmission equation:

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
Note that saliva is not a fluid known to be involved in the transmission of HIV.

It's important to note that not using proper lubricants can increase the risk of the condom breaking. Condom breaks result in a high risk of HIV transmission. For more information on the proper use of lubricants, feel free to check out one of our favourite resources at [SmartSex](http://smartsexresource.com/topics/lubricants).

Thanks a lot for contacting the AIDS Vancouver Helpline with your question, we hope it has been answered fully.

Trevor

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org
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= RISK OF HIV TRANSMISSION