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Hep C infectiousness through sex
Dec 23, 2013

Dear Dr. Taylor,

I have been living with HIV for 3 years, but I am undetectable with a CD4 926. I did, however, ignorantly have receptive unprotected sex for maybe about 30 sec before I told him to stop. I have heard that Hep C is most easily obtained through sharing needles and not as easily obtained through sex, but, assuming that he did have Hep C,is there a high likelihood that I could have been infected with Hep C? I haven't taken a Hep C test yet, I just wanted to check up with you about whether or not Hep C is actually more difficult to transmit via sex rather than sharing needles.

Response from Dr. Taylor

Hep C is most efficiently spread through sharing needles and other equipment used to inject drugs, and via transfusion of blood or blood products that contain hep C.

However hep C may be spread with sex especially in the presence of HIV. Unprotected anal intercourse ( penis in the butt without a condom) is the highest risk sexual activity. There is an alarming rise in new hep C infections among HIV- infected gay men and other men who have sex with men. There are also data suggesting higher risk of sexually transmitted hep C among HIV- infected women who haves sex with men who have hep C.

So yes please do get tested for hep C.

HCV transmiting by blood
Can a CBC checking elevated liver enzymes help hint towards hcv?

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