Anonymous
Here is my risk assignment.

I'm receptive anal intercourse. We use condom properly but he spit his saliva as lubricant. After finish i check the condom it didn't break or had any damage.

The thing that i concern is if his saliva contain the blood or not. I do my research in this forum and found out that once HIV is outside body and expose to the air it's no longer able to transmit. So if his saliva contain with blood but he spit it out as lubricant the virus is non-transmissible. Am i understand it correctly?

Thank you.
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Anonymous
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV when using saliva as a lubricant for receptive protected anal sex. From the information given, this scenario is determined to be Low Risk (Evidence of transmission occurs through these activities when certain conditions are met).

The scenario mentioned above could meet the three components of the [Transmission Equation](https://www.aidswindsor.org/healthy-me/hiv-transmission/) if the condom was not used properly or if it broke. The risk associated with this scenario is solely due to the activity conducted, and not the use of saliva as a lubricant. Saliva is not a body fluid in which HIV is able to survive and spread, so the use of saliva as a lubricant does not necessarily heighten the risk associated with the activity. It is important to note that proper lubricants and adequate lubrication when engaging in protected sex are very important to lower the risk of the condom breaking.

Recommendation: Refer to a physician for an HIV test.

Regards,

AIDS Vancouver Helpline/Online, Marie
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