Q and A

Question

If a HIV negative man comes inside a HIV positive woman what are the risks to the man?

16 January 2018. Related: All topics, HIV transmission, Pregnancy.

What is the risk if a negative man having sex with a positive woman uses a condom but then when the man is about to come he takes off the condom and he comes inside of the woman? Will the man be infected?

Answer

Answer: Charlotte Walker

Thank you for your question.

Any risk is not related to whether or not you cum, but to other factors. These include how long the contact lasts (in this case maybe just a few seconds) so the risk will be very low.

If your partner is taking HIV treatment and has an undetectable viral load, then the risk will be zero, even if you don;t use condoms at all.

The biggest risk of transmission relates to viral load. When this is undetectable the risk becomes zero then transmission doesn’t occur.

Are you asking this question so your partner can become pregnant? If yes, the it is easy to  still conceive naturally, but better if your partner is on treatment.

This question was updated in January 2018 from an original answer posted in December 2010. i-Base no longer answers individual questions about HIV transmission and risk but please see: Question 1, 5, 6 and 9 at this link).

61 comments

  1. mooi •

    I’m HIV positive and I’m on medication. My last partner is negative and we’ve slept without a condom many times and he was not eve circumcised but he is still negative. My current partner doesn’t wanna use protection will he contract HIV?

  2. Lisa Thorley •

    Hi Estherlene,

    If the women your husband is dating is on medication and has an undetectable viral load, there is no risk to your husband, and thus to you.

  3. Estherlene •

    My husband is dating a HIV lady and me and husband we are HIV negative. The lady and my husband they have a baby girl together what are the risk

  4. Lisa Thorley •

    Hi Kessington,

    Please see Q’s 1, 6 and 9 here:

    http://i-base.info/qa/what-are-the-most-asked-questions

  5. Kessington •

    If an Hiv positive woman with undetectable viral load have sex with a negative partner without protection, is it possible not to be infected and baby not also infected.

  6. Lisa Thorley •

    Hi Emmanuel,

    No they can’t. Please see here:

    http://i-base.info/qa/284

  7. Emmanuel •

    Can symptoms of HIV show after 1 year of exposure?

  8. Lisa Thorley •

    Hi Amanda,

    A persons viral load can only be undetectable if they are on medication, or if they are an elite controller. Are you on meds? If you are how long have you been on them for?

    If you aren’t on meds, and you aren’t an elite controller, then no, your viral load won’t be undetectable.

  9. Amanda •

    My CD4 count is 764 as of January this year . Does this mean that I’m undetectable?

  10. Lisa Thorley •

    Hi Mathew,

    Because your girlfriend isn’t on treatment, there is a risk that you may be HIV positive. Therefore, you should test and test as soon as possible.