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Can HIV spread through sex with an HIV-positive person?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been in a sexual relationship with my wife since our marriage for the past 100 days. Yesterday, we both tested and identified that she is HIV (human immunodeficiency virus) positive, and I am negative. Is there a high chance that unprotected vaginal sex with an HIV-positive woman will result in HIV? Will it get cured in the HIV window period? Am I safe? If I am negative, what will I do for pregnancy and kids? In the future, if I become positive, what will I do for the same above?

Kindly help.

Hi,

Welcome to icliniq.com.

No, it is not necessary that you are suffering from HIV right now. But the chances are high if you will not refrain from unprotected sex with your wife. Since the risk of transmission from female to male is less than 0.5% per act, you might be free right now. You both need to visit the nearest ART (anti-retroviral therapy) center so the treatment of your wife could be started. Since your last exposure was a week ago, you are not a suitable candidate for post-exposure prophylaxis, as it has to be given within 72 hours of unsafe exposure. Regarding children, the chances of them being HIV positive remain there. But, with recent antiviral treatment, it is not necessary that they would also be affected.

I hope this helps.

Medically reviewed byiCliniq medical review team

Published At March 30, 2016
Reviewed AtDecember 9, 2025

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