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发表于 2009-6-13 18:19
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关于口交的大讨论。这可能是我们最常见的问题。无保护的口交。有风险吗?简单回答:没有。拆开来说…
There is often a difference in the answers given by the docs in the expert forum vs us. People have to understand that medical professionals and the CDC have a responsibility to be ULTRA conservative when discussing risks. Therefore, there is a MINUTE "theoretical" risk assigned to oral sex. If oral sex was TRULY a "real" risk, there would be new cases all the time of HIV being transmitted in this manner. There absolutely is NOT. And a "theoretical" risk is VERY different from an actual risk. The docs have BOTH said time and time again in the expert forum that neither of them, in their combined DECADES of being specialists dealing with HIV have EVER seen a case of HIV as a result of oral sex, nor have they READ any convincing cases. There is a physiological reason for that. First, the virus isn't present in the saliva, making infection impossible for the receptive partner (the person receiving oral sex). Secondly, for the person GIVING oral sex, THEIR saliva contains enzymes that inhibit the virus, should they be exposed to infected genital secretions. Secondly, again, the virus has been exposed to the air and elements, rendering it inactive in an oral situation. This debate will continue, but again, for anyone worrying about an oral "exposure"...think of the facts. If it was truly a risk, there would be newly reported cases ALL the time.
通常我们的回答和专家论坛的答案有所不同。大家要明白一点,医学专家和CDC在讨论行为风险的时候有必要保持过度的保守。所以,口交是有一个极小的所谓的“理论”风险。如果口交真有“事实”的风险的话,那么应该总能发现一些通过这种行为感染的新病例。但是绝对没有。同时“理论”的风险和实际的风险有很大的不同。专家版块的两位专家(译注:Dr.HHH和Dr.Hook)经常说,在他们两个作为HIV专家几十年从来没见过一例通过口交感染的例子,和没有看到过任何可信的报道。这里有一个生理学的原因。首先,口水中是没有病毒的(译注:不足以感染的病毒含量)所以口交的接受方是不可能感染的。其次,对以口交的主动方,他们的口水中有多种酶可以抑制病毒,如果他们暴露于感染性的生殖器分泌液。再次,在口交的过程中,病毒已经暴露于外部环境中,已经失活。这个争论还会继续,但是再说一次,如果谁担心口交的风险,那么请想想这些事实。如果真是个有风险的行为,那应该总有新的案例报道。
HIV is classified as an STD, which means, basically, one has to have SEX to be at risk. This leads me to the primary REAL risks of becoming infected. They are UNPROTECTED VAGINAL OR ANAL SEX, sharing IV drug works, and from mother to infant. Sexually, there are certainly higher risks. Homosexual men having sex with other men still remains a higher risk, with a "bottom" anal sex partner having unprotected sex being about the highest risk factor. HOWEVER...despite this information....HIV is still on the rise among heterosexual partners. While it is less of a risk, it is still a risk! And, despite the "odds" out there, it IS possible to get HIV from only ONE episode of unprotected hetero sex. Who wants to take those kinds of chances? Therefore, remember to protect yourself at all costs. ONE moment of pleasure for a lifetime of dealing with a chronic illness? Seems like one heck of an exchange!
HIV被列为性传播疾病,也就是,简单说,要有性行为才构成风险。导致感染的有“实际”风险的高危行为是:无保护的阴道性交或肛交,共用静脉注射吸毒的针具,母婴传播。双性恋者确实有更高的风险。同性恋男性再和其他男人性交也有更高的风险,无保护的肛交的被插入方有着最高的风险。然而,尽管如此,HIV在异性恋人群中的比例仍然在增长。尽管风险低,但仍然有风险!而且,尽管几率很低,但是一次无保护的异性性行为是有可能导致感染的。谁愿意冒这样的风险呢?所以,记住无论如何一定要保护好自己。一时的痛快换来一辈子的慢性病?看起来不是件划得来的交易!
Protection. HIV is a 100% preventable disease. Condoms work. Therefore, condoms used consistently and correctly will almost guarantee a future free of HIV. Whether a person chooses to use condoms for oral sex is a personal decision. It certainly is adviseable to protect against other STD's, which are far more prevalent, and easier to transmit via oral sex. When engaging in a sexual relationship, follow a few rules. First, have open conversations with a prospective partner about their history, and flat out ask their history, whether they have been tested, etc. ANYone who is evasive about their answer, or refuses to answer....walk away. UNLESS you have been mutually tested with a monogamous partner...unprotected intercourse should NEVER be an option. Men, choose condoms that are the right fit, and use only ONE condom at a time. Some people think that 2 condoms at a time offers double protection. To the contrary, they increase the risk of condom failure. Use plenty of WATER based lubrication, like KY jelly, and if you question the quality of a condom, use another one. Make sure the condoms are not expired, as that also increases the risk of condom breakage. When condoms break, they do so CATASTROPHICALLY. There is no doubt. Therefore, if you use a condom, and it is WHOLE after the act, the condom worked. Always remember to hold onto the condom on withdrawl, this will prevent slippage, which overall isn't a risk for HIV, but may expose you to other STD's. The fact that HIV virus can penetrate an intact condom is also an urban myth. The ONLY exception to this is lambskin condoms...they are not efficient against HIV. Use latex or polyurethane condoms only to protect against HIV.
保护措施。HIV是可以100%预防的疾病。安全套是有用的。所以,坚持正确使用安全套几乎可以担保一辈子都与HIV无缘。口交过程中是否使用安全套由个人决定。安全套也是推荐用来预防其他性病的措施,这些性病要流行的多得多,而且很容易通过口交感染。当发生性行为时,遵守一个规则,首先,和对方开诚布公地谈一下彼此的交往史,尽量问清楚他们的过去,是否检测过等。谁要是逃避这个问题,或者拒绝回答,那么请你走开。除非双方都检测过的一夫一妻的性行为,否则无保护的行为绝不可取。男性,选择一款合适大小的安全套,一次只使用一只安全套。有些人认为两只安全套提供双重的保护。恰恰相反,两只安全套增加了安全套失效的风险。使用水性的润滑剂,比如KY果冻;如果怀疑安全套的质量就换一只。确定安全套没有过期,因为这也会增加安全套破裂的风险。如果安全套破裂,是有风险的。这是无疑的。所以,如果你使用一只安全套,在性行为结束之后,安全套是完整的,那么安全套的保护是有效的。还要记住一点,在抽出的时候用手握住安全套,者可以防止滑落,这个和HIV的风险无关,主要是考虑预防其他性病。HIV病毒可以穿透完好的安全套也是一个相见传说。唯一的例外是羊皮套,它不能预防HIV(译注:估计很多人见都没见,不用管他)。只有乳胶或聚亚安酯安全套可以预防HIV。
Medical Exposures. You cannot and will not EVER be infected by a medical procedure, like having your blood drawn, or an IV inserted. Medical professionals do NOT re-use needles, period. Mainly because if they did, they would be placing themselves at risk for all kinds of infections, and they simply wouldn't do that. Secondly, most of the needle products out there today allow for a ONE time use only, and have safeguards in place to prevent re-use. If you are worried about this...put it out of your mind, it is irrational. |
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