My partner and I are
HIV negative and monogamous. He has been vaccinated against
Hepatitis A and B (neither of us has had C). I have had
Hepatitis A and am a chronic carrier of
Hepatitis B. Is it safe (for either of us) for me to rim him? [COMMENT: the piece below is from
http://www.gayhealth.com/templates/1139610374373070752247/network/ask/index.html?
record=1009&answer=1&type=1
This is one of the many signs of the profound denial into which the homosexual community has sunk. Rimming is the licking of the anus of another person with one's tongue, and inserting the tongue into the anus for sexual pleasure. There is no way on earth this can be a safe and healthy thing to do. This kind of contact with human waste, which is a given in homosexual behavior, is one of the main reasons why practicing homosexual persons are losing from 30% to 40% of their lifespan. They do not typically live into their 50's -- in a culture where the average lifespan is reaching into the high 70's.
We MUST force the discussion of what homosexual behavior is into the public, or continue to let them win the public arena.
Homosexuality is a compulsive, lethal, addiction. Susan Ball below is betraying her patients into death, not supporting their lives, because she will not tell them the truth. E. Fox]
My partner and I are
HIV negative and monogamous. He has been vaccinated against
Hepatitis A and B (neither of us has had C). I have had
Hepatitis A and am a chronic carrier of
Hepatitis B. Is it safe (for either of us) for me to rim him?
If your partner has been
vaccinated against Hep B then there is no reason not to rim him. The one
exception is the rare situation in which a vaccinated individual does not mount
an antibody response and is, as a result, still vulnerable to infection. We see
this occasionally in
HIV-infected individuals and it can also occur (rarely) in those not
infected.
He could get his antibody titre drawn just to be absolutely sure. Rimming him is also not a very infectious means of transmitting Hep B (as a rule). As far as your liver goes, if you are antigen positive, that is, with active Hepatitis, rimming him is unlikely to impact on your liver unless of course he has other infections which you then need to take medications for.
As you are both monogamous this seems pretty unlikely. If you do have an
active Hep B infection (it is unclear to me from your letter whether you are
antigen positive or not) then you should look into getting this treated by a
hepatologist. Hep B puts you at significantly higher risk for hepatocellular
carcinoma. If you are just antibody positive from a prior infection then there
is no worry.
by
Susan C. Ball, M.D., M.P.H.
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