Risk of HIV Transmission Associated with Various Sexual Activities
Reference #4

No risk

• dry kissing
• body-to-body rubbing
• massage
• nipple stimulation
• using unshared inserted sexual devices
• being masturbated by partner, without semen or vaginal fluids
• erotic bathing and showering
• contact with feces or urine on intact skin

Theoretical risk*
*Theoretical risk of HIV transmission means that it is impossible to prove that an infection will never happen.

• wet kissing
• fellatio, with or without condom
• cunnilingus, with barrier
• anilingus
• digital-anal and digital-vaginal intercourse, with or without glove
• using shared but disinfected inserted sexual devices

Low risk

• sharing non-disinfected personal hygiene items (razors, toothbrushes)
• cunnilingus, without barrier, during or outside menstruation
• fellatio and ejaculation, with or without ingestion of semen
• penile-vaginal intercourse, with condom
• penile-anal intercourse, with condom

High risk

• penile-vaginal intercourse, without condom
• penile-anal intercourse, without condom
• coitus interruptus (intercourse with withdrawal before ejaculation)

Conditions that increase risk of HIV transmission

• inconsistent, intermittent or improper use of latex barriers such as condoms or dental dams, including condom failure by slippage and breakage
• any injuries or conditions that damage skin or mucosal integrity, including inadequate lubrication
• genital inflammation, such as that caused by STDs, vaginitis, spermicides or other irritants (e.g., douches) or allergens

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