HIV is in the blood, breast milk, vaginal fluid or semen of someone with HIV, so you are at risk if you get any of these fluids inside your body. The risks of sexually transmitting HIV between women are low. Very few women are known to have passed HIV on to other women sexually.5 However, some lesbian sexual practices do carry a risk of HIV transmission and precautions need to be taken to protect against infection.6
Oral sex - the risk of HIV being passed on through oral sex is low, but it is increased if a woman has cuts or sores in her mouth, or if the partner receiving oral sex has sores on her genitals or is having her period. Oral sex is safer if you use a 'dental dam' (a square of latex or cling film) to stop any vaginal fluid or menstrual blood getting into your mouth. A condom cut open and spread flat can also be used for this.
Sharing sex toys - sharing sex toys (for example vibrators) can be risky if they have vaginal fluids (juice), blood or faeces on them. Always clean them well and have one each. This is one area of sex where sharing is a bad idea!
Rough sex - any sexual activity that can lead to bleeding or cuts/breaks in the lining of vagina or anus is risky, including 'fisting' or certain S&M (sadomasochism) activities.
Donor insemination - if a woman is thinking about using a sperm donor to get pregnant, she needs to be aware of the potential donor's detailed medical history and any possible risk factors - including drug use and sexual history. It is important that the donor has taken an HIV tes
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