Module 5: HIV Transmission and Prevention
Completion requirements
Module 5: HIV Transmission and Prevention
Module 5: HIV Transmission and Prevention, Screen 8 of 17

Risk Reduction Options for Linda
Linda does not want to tell her husband about her drug use, her STD, or her sexual relationship with Brad, so she won’t tell her husband to wear a condom. Brad doesn’t want to use a condom when he has sex with Linda because he can’t maintain an erection. It seems clear that condoms are not an option right now. What options to reduce risk might work for Linda?
Once she and Brad no longer have gonorrhea, Linda could increase the amount of oral sex and decrease the amount of intercourse in both relationships. (Oral sex decreases the risk of HIV transmission, but gonorrhea can be transmitted orally. If another STD is present, the risk for HIV transmission is also higher.)
With Brad, she could suggest starting with intercourse and finishing with oral sex or a hand job. While precum (pre-ejaculate) can transmit HIV, it is less risky than cum (ejaculate). She could also try a Reality (female) condom with Brad. She can wear this condom when they have intercourse to protect herself from HIV and other STDs.
Linda could also use lots of lube with both partners. A water-based lubricant will decrease the amount of friction during sex and reduce the chances of HIV transmission.
Ask yourself: Other than using condoms, what are a few ways people can reduce their risk for HIV? If you’re not sure, reread the last few screens.

Risk Reduction Options for Linda
Linda does not want to tell her husband about her drug use, her STD, or her sexual relationship with Brad, so she won’t tell her husband to wear a condom. Brad doesn’t want to use a condom when he has sex with Linda because he can’t maintain an erection. It seems clear that condoms are not an option right now. What options to reduce risk might work for Linda?
Once she and Brad no longer have gonorrhea, Linda could increase the amount of oral sex and decrease the amount of intercourse in both relationships. (Oral sex decreases the risk of HIV transmission, but gonorrhea can be transmitted orally. If another STD is present, the risk for HIV transmission is also higher.)
With Brad, she could suggest starting with intercourse and finishing with oral sex or a hand job. While precum (pre-ejaculate) can transmit HIV, it is less risky than cum (ejaculate). She could also try a Reality (female) condom with Brad. She can wear this condom when they have intercourse to protect herself from HIV and other STDs.
Linda could also use lots of lube with both partners. A water-based lubricant will decrease the amount of friction during sex and reduce the chances of HIV transmission.
Ask yourself: Other than using condoms, what are a few ways people can reduce their risk for HIV? If you’re not sure, reread the last few screens.