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HIV/AIDS Education
HIV Transmission (en espanol)
HIV transmission can occur when blood, semen (cum), pre-seminal fluid (pre-cum), vaginal fluid, or breast milk from an infected person enters the body of an uninfected person.
HIV can enter the body through a vein (e.g., injection drug use), the lining of the anus or rectum, the lining of the vagina and/or cervix, the opening to the penis, the mouth, other mucous membranes (e.g., eyes or inside of the nose), or cuts and sores. Intact, healthy skin is an excellent barrier against HIV and other viruses and bacteria.
These are the most common ways that HIV is transmitted from one person to another:
- by having unprotected sex (anal, vaginal, or oral) with an HIV-infected person;
- by sharing needles or injection equipment with an injection drug user who is infected with HIV; or
- from HIV-infected women to their babies before or during birth, or through breast-feeding after birth.
HIV also can be transmitted through receipt of infected blood or blood clotting factors. However, since 1985, all donated blood in the United States has been tested for HIV. Therefore, the risk of infection through transfusion of blood or blood products is extremely low. The U.S. blood supply is considered to be among the safest in the world.
HIV is not transmitted by day-to-day contact in the workplace, schools, or social settings. HIV is not transmitted through shaking hands, hugging, or a casual kiss. You cannot become infected from a toilet seat, a drinking fountain, a door knob, dishes, drinking glasses, food, or pets.
HIV is not an airborne or food-borne virus, and it does not live long outside the body. HIV can be found in the blood, semen, or vaginal fluid of an infected person.
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En Español
Transmisión por el VIH puede ocurrir cuando la sangre, el semen (incluyendo el lïquido preseminal, o "pre-cum"), el lïquido vaginal, o la leche materna de una persona infectada se introduce en el cuerpo de una persona no infectada.
El VIH puede introducirse en el cuerpo a través de una vena (por ejemplo, uso de drogas inyectables), el ano o recto, la vagina, el pene, la boca, otras mucosas (por ejemplo, los ojos o dentro de la nariz) o cortadas y heridas. La piel intacta, sana, es una barrera excelente contra el VIH, otros virus y las bacterias.
Estas son las maneras más comunes de que el VIH se transmite de una persona a otra:
- al tener relaciones sexuales (sexo anal, vaginal, u oral) con una persona infectada por el VIH
- al compartir las agujas o equipo de inyección con un usuario de drogas inyectables que está infectado por el VIH
- de las mujeres infectadas por VIH a los bebés antes de o durante el nacimiento, o a través de la lactancia materna después del nacimiento
El VIH también puede transmitirse a través de las transfusiones de sangre. Sin embargo, desde 1985, toda la sangre donada en los Estados Unidos se examina por el VIH. Por consecuencia, el riesgo de la infección a través de la transfusión de la sangre o los hemoderivados es sumamente bajo. El suministro de sangre en los Estados Unidos. se considera uno de los más seguros en el mundo. (Para más información vea: "¿Qué tan seguro es el suministro de sangre en los Estados Unidos?")
El VIH no se transmite por contacto casual en el trabajo, las escuelas, o los entornos sociales. El VIH no se transmite por el estrecho de manos, los abrazos, o un beso. Usted no puede contraer la infección por un asiento de inodoro, una fuente o bebedero de agua, una perilla de puerta, los platos, los vasos, los alimentos o los animales domésticos.
Un número pequeño de casos de transmisión se ha notificado en donde una persona contrajo el VIH como resultado de contacto con sangre u otras secreciones corporales de una persona infectada por VIH en el hogar. Aunque el contacto con sangre y otras sustancias corporales puede ocurrir en los hogares, la transmisión del VIH es poco común en este entorno. Sin embargo, las personas infectadas por el VIH y las personas que proporcionan asistencia domiciliaria para los que están infectados por el VIH deben estar plenamente educadas sobre las técnicas apropiadas para el control de la infección.
El VIH no es un virus transimitido por vïa aérea o transmitido por los alimentos, y no vive por mucho tiempo fuera del cuerpo. El VIH puede encontrarse en la sangre, el semen o el líquido vaginal de una persona infectada .
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HIV in BODY FLUIDS
These body fluids have been shown to contain high concentrations of HIV:
blood
semen
vaginal fluid
breast milk
other body fluids containing blood
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Anal Sex
Unprotected (without a condom) anal sex (intercourse) is considered to be very risky behavior. It is possible for either sex partner to become infected with HIV during anal sex. HIV can be found in the blood, semen, pre-seminal fluid, or vaginal fluid of a person infected with the virus. In general, the person receiving the semen is at greater risk of getting HIV because the lining of the rectum is thin and may allow the virus to enter the body during anal sex. However, a person who inserts his penis into an infected partner also is at risk because HIV can enter through the urethra (the opening at the tip of the penis) or through small cuts, abrasions, or open sores on the penis.
Not having (abstaining from) sex is the most effective way to avoid HIV. If people choose to have anal sex, they should use a latex condom. Most of the time, condoms work well. However, condoms are more likely to break during anal sex than during vaginal sex. Thus, even with a condom, anal sex can be risky. A person should use generous amounts of water-based lubricant in addition to the condom to reduce the chances of the condom breaking.
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En Español
¿Puedo contraer el VIH teniendo sexo anal?
Sí, es posible que cualquiera de los dos compañeros sexuales contraigan el VIH durante el sexo anal. El VIH puede encontrarse en la sangre, el semen, el líquido pre-seminal o el líquido vaginal de una persona infectada por el virus. En general, la persona que recibe el semen está en mayor riesgo de contraer el VIH porque el recubrimiento del recto es delgado y puede permitir que el virus se introduzca en el cuerpo durante el sexo anal. Sin embargo, una persona que inserta el pene en una pareja infectada también está en peligro porque el VIH puede entrar a través de la uretra (la abertura en la punta del pene) o a través de cortaduras pequeñas, abrasiones o heridas abiertas en el pene.
Teniendo relaciones sexuales anales sin protección (sin usar un condón) es un comportamiento de alto riesgo para la transmisión del VIH. Si usted decide tener relaciones sexuales anales, debe usar un condón de látex. Casi siempre, los condones funcionan bien. Sin embargo, los condones tienen mayor probabilidad de romperse durante el sexo anal que durante el sexo vaginal. Por lo tanto, aún con un condón, el sexo anal puede ser peligroso. Una persona debe usar un lubricante basado en agua además del condón para disminuir la posibilidad de romper el condón
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Oral Sex
So what is the deal with oral sex? Oral sex is considered low risk for HIV transmission, especially if there is no swallowing of fluids. However, if there are cold sores, bleeding gums or any broken skin in the mouth, risk of transmission. increases. When in doubt, use a condom and avoid swallowing.
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It's All About Safe Sex
Protect your sexual health! We have all heard the speeches about condoms. Well then, why don't we use them as often as we could? Sometimes it's hard to bring up the subject, because we don't want to get rejected or maybe we are having sex to make money and don't want to risk losing a date who pays.
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Here's some suggestions:
1. LUBRICATION is the key to keeping the sensation!. Add extra lubricant to the condom after it is already on. Also, putting a small drop of lube in the tip of the condom before putting it on makes it feel nicer for the person who is wearing it. Try this trick to show your partner that the condom can feel more natural…
2. NEGOTIATE the condom before you get to that moment. If your partner, or date, refuses, you may have to make a hard decision. If you don't want to give up the date, remember that oral sex without a condom is less risky than anal sex without a condom.
There are many factors that can also contribute to being at risk for HIV infection as well as other sexually transmitted disease's other then unprotected sex. It is usually when we are at our most vulnerable that we let our self protection guard down and open ourselves up to possible exposure.
Dealing with all of the issues that surround us as Trans people can be overwhelming at times. Finding healthy ways to deal with all of the stress
is far more empowering and liberating. Channel the negative energy into something positive such as getting involved in your community.

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Depression
Transitioning-hair, makeup, hormones-can be an exciting way to celebrate our female-ness. But underneath that we can also feel anxious about our appearance and reactions from others. We may feel sad and/or lonely on top of dealing with the stress of trying to find friends, lovers, employers and places where we can just be who we are!
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These are the warning signs of depression:
-Feeling sad, hopeless, worthless or guilty most of the time
-Not having the energy to do anything
-Having trouble concentrating
-Losing interest in activities that you usually enjoy
-Feeling that drugs or alcohol is the only way to get through the day
Feeling like this does not mean that you "can't handle it". You are a good person who is dealing with some difficult issues. Here are some suggestions for help:
1. Find people who understand! Some gay community centers have staff or support groups. The Internet has some good chat rooms where you can talk to other transgender women without giving details about yourself.
2. If you are feeling depressed, it is a good idea to check out counseling services through a community center, website or doctor.
3. Sometimes depression can lead us into doing risky things, like unsafe sex or sex with people who may hurt us, because we feel that our lives are not valuable. But you ARE valuable- and putting yourself at risk for HIV, injury or death is not a way to deal with feeling down. Deal with your feelings by talking to others and getting help. Things CAN get better.
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The Great Escape" Drugs and Alcohol
Also known as self medicating
When we are facing the challenges of knowing who we really are, transitioning and plain old survival, we may feel nervous, lonely, confused or feel we need something to numb the pain. Using alcohol or drugs may seem to help, but can also harm us in many ways, including increasing our risk for getting HIV, STDs and hurting our bodies. If you feel that you must use, you can still choose to lower the harm of alcohol and drug use.
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Here are some tips for reducing risk:
1. If you are using because you feel lonely or depressed, try to deal with your depression in other ways. Talk to friends or check out some of the websites in the Resources section.
2. Use around friends who will keep an eye on you. Using before or with dates or strangers could put you at risk for having someone take advantage of you, or make unsafe sex more likely.
3. Always think of your safety…don't expose yourself to HIV or Hepatitis B/C by sharing needles. If you use drugs or alcohol before sex, know your limits and plan to not get in a situation where you may not be able to protect or defend yourself.
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