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In April 1988 the woman developed what appears to have been a seroconversion illness.Upon the death of her partner in 1989 the woman tested HIV-positive.

As a woman who has sex with women (WSW), you may not always identify yourself as a lesbian, or bisexual.Sexual activity consisted of mutual fingering, oral sex and use of a shared sex toy.In 1987 the patient developed vaginal herpes; her partner was not suffering from herpes.Many WSW had their first sexual experience with a man, have had multiple experiences with men, or still have sex with men.1 HIV transmission a risk between women through fingering/fisting, oral sex and sharing sex toys.2 3 The risk is lower than sex involving a man because less bodily fluids are exchanged between women.When considering the issue of female-to-female sexual transmission it is important to draw a distinction between the risk of transmission by this route and diagnoses of HIV infection in women who identify as lesbian.

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