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HIV TRANSMISSION: RISK GROUPS


People who have genital ulcer diseases, such as herpes, are more vulnerable to becoming infected with HIV since breaks in the skin (even if they are not noticeable) make transmission of the virus easier. Having other sexually transmitted diseases, such as gonorrhea, can also facilitate transmission of HIV. Thus efforts to control the spread of other sexually transmitted infections can also help prevent the spread of HIV and routine testing for STDs can provide information that can help protect one from becoming infected with HIV It is very important to be tested for other STDs as a part of routine health care and not to assume that an HIV test is a complete screen for infections.

A person who puts himself or herself at risk of acquiring other STDs puts himself or herself at risk for acquiring HIV infection.

Women who use oral contraceptives (the pill) as their birth control method and do not use a barrier method to protect against STD transmission may also be at slightly higher risk of acquiring HIV infection. This is because in many women oral contraceptives cause changes in the cervix that make the inner columnar cells more visible (a process called ectopy), and it is these cells that are most vulnerable to infection (by HIV as well as the agents responsible for other STDs) during unprotected sex.

Most birth control methods—such as progesterone shots or implants, intrauterine devices, and sterilization—do not offer any protection against STDs, and some may actually increase the risk if condoms aren’t used as well.

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