- There is a risk associated with non-barrier protected fellatio from virus in pre-ejaculate since pre-ejaculate contains lymphocytes. - Fellatio with ejaculation into the mouth carries a risk of HIV infection although the risk that does exist is smaller than that of intercourse. - The informed client who wishes to accept the risk of non-barrier protected fellatio from virus in pre-ejaculate should not permit ejaculation into the mouth. - Persons who wish the greatest possible protection should use latex condoms, dental rubber dams, or plastic wraps as barriers. - Persons should refrain from fellatio in the setting of oral or penile bleeding or disease.

- Vaginal-oral transmission is possible due to the presence of virus in vaginal fluids. - Persons who wish the greatest protection should use dental rubber dams or plastic wrap as barriers. - Persons should refrain from cunnilingus in the setting of vaginal or oral bleeding or disease and during menstruation.

Vaginal-vaginal transmission by triadism is theoretically possible.  The presence of virus in vaginal fluids has been demonstrated. - Persons who wish the greatest protection should use dental rubber dams or plastic wrap as barriers - Persons should refrain from triadism during menstruation or when vaginal infection or disease is present.

-Anal-oral transmission during anilingus is theoretically possible since anal secretions and fecal matter may contain lymphocytes.   - Persons should refrain from fecal/oral contact to avoid enteric infections - Persons who wish the greatest protection should use dental rubber dams or plastic wraps as barriers. -Persons should refrain from anilingus in the setting of concurrent rectal-anal or oral bleeding or disease.

- Fecal-oral transmission during coprolagnia is theoretically possible since anal secretions and fecal matter may contain lymphocytes. - Persons should refrain from fecal-oral contact to avoid enteric infections. - Persons should refrain from fecal oral contact in the setting of rectal or oral bleeding or disease.

- Urino-oral transmission during urolagnia, in paticular immediately following ejaculation while ejaculate is still in the urethra, is theoretically possible.  Virus has been recovered from urine. - Persons should avoid oral contact with a partners urine immediately following ejaculation. - Persons should avoid oral contact with a partners urine in the setting of concurrent urinary or oral bleeding disease.

- Brachio-vaginal and brachio-rectal transmission during brachio-rectal and brachio-vaginal contact is theoretically possible. - Persons who wish the greatest protection should use latex gloves and a water-based lubricant. - Persons should refrain from these behaviours in the setting of concurrent bleeding or disease of hands, vagina or anus/rectum.

- Breast milk has been demonstrated to contain virus, and has shown to infect infants. - Partners should avoid ingestion of breast milk from an infected person.