[Question #9503] Worried parent child to child sex before puberty hiv hepatitis c

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32 months ago
please see my questions I could not FIND and information on this topic   and help my Christmas will be wonderful if you can provide help :/ 

1) I have  dumb questions do children to children  BEFORE they reach PUBERTY   transmit hiv or hepatitis  c or hepatitis b from sex that is vaginal or anal  sex or oral sex  that’s not known to happen ? May I know the REASON ?  
Im asking for both male and female children before puberty  
and  by PUBERTY i mean before females  get their first period(blood coming out of vagina )  and males  before they develop semen .  

2a) i mean young kids before reaching puberty assuming one of the child is infected with these virsues . 
e.g  if a 6 year old boy inserted a penis into a 6 year old girls vagina or anus 

or 6 year old boy inserting penis into another 6 year old boy anus 

Or from oral sex between 6 year old  boy or girl 

Why has hiv or hepatitis c  or hepatitis b never known to transmit this way  ? To both children  boy or girl  before reaching puberty at any age the child may be  ? 

2b) is  it true for other stds as well but first tell me for hiv and hepatitis c? 

3) I am assuming children have only gotten hiv or  hepatitis c or other stds  from ADULTS  when they have been raped and Not from child to child transmission before they age of puberty  from one child  inserting penis into anus or vagina into another child  but can you tell me the reason and confirm this I would like not worry anymore  ? 

3a) and the above question in point 1 and 2a  and 3 I asked above  is for any age that is  age 0 of a child to the age they reach puberty that would be I think 9 years of age till that age my child is safe for both male or female child . 

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H. Hunter Handsfield, MD
32 months ago
Welcome to the forum. Thanks for your unique question:  to my recollection, we've never had a similar one on the forum.

While I am unaware of conclusive studies or data, your assumption in question 3 is correct:  Few if any pre-teen children acquire HIV, anywhere in the world, except by sexual contact, i.e. sexual abuse by sexually mature adults or teens. I am not an expert in childhood sexual abuse or sexuality, but my understanding is that sex play among children that amounts to intercourse -- direct vaginal, anal or oral sex -- is extremely rare if it occurs at all.

The biological reasons for no risk from other forms of sexual experimentation is that HIV and STDs are actually hard to transmit, which is why they are sexually transmitted in the first place. The bacteria and viruses that cause them evolved to require sex itself to be transmitted; the amounts of bacteria and virus needed for infection to take hold mean that simple genital touching or hand-genital contact are entirely safe sexual activities, even in sexually mature adults if one is infected. For example, during a single episode of unprotected sex in which one partner has HIV, the average transmission risk by unprotected vaginal intercourse (lasting several minutes, with ejaculation) is once for every 1,000-2,500 exposures. Another factor that protects prepubertal children is that until sexual maturity, genital tissues are less susceptible to some if not all sexually transmitted bacteria and viruses.

You misunderstand hepatitis C (as many people do) as an STD. The hepatitis C virus is not sexually transmitted at all except among men having potentially traumatic anal sex with other men. The frequency of HCV infection is no higher in the heterosexual partners of infected persons than in the general population -- for example, even after years of unprotected sex when one partner is infected, the other partner doesn't catch it unless there also is blood sharing, e.g. with shared drug injection equipment.

For those reasons, you needn't worry at all about any STD, HIV, or hepatitis B or C in your kids until they become sexually active, i.e. probably not before their early teen years (and hopefully not quite that soon). Of course they could get hepatitis A or herpes due to HSV1 (mostly oral herpes), which are non sexually transmitted and not considered STDs anyway. And of course they should have been vaccinated against hep A and B, now included in routine childhood immunizations. Finally, all persons should be vaccinated against HPV, and the vaccine is most effective and generally recommended any time starting at age 9 or 11, to assure they are protected (including protection against cervical and other cancers) before they become sexually active; discuss with their pediatrician.

I believe those comments cover all your questions. But let me know if anything isn't clear.

HHH, MD
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32 months ago
Thank you For assuring me  please do answer my specific points . 

1) I don’t know even if boys before puberty can’t insert penis into a vagina or anus  before the age of puberty  they don’t get erections ?
 But it’s doesn’t matter right 

1a) so my assumption is CORRECT that children only get these viruses hiv or hepatitis c or b and stds etc  from adults when they rape them thats it and NOT from child to child sex before they reach  puberty  I will REMEMBER this only. 

1b) so since you doctor  have never heard of child to child transmission from sex causing hiv hepatitis b or c and  even other stds  that is before they reach puberty 

I DONT need to be  worried at all for my children ANYMORE regarding this as you have ENCOURAGED  me to forget this till they become sexually active. 
 I will DO that thanks ! 

1c) and above points 1 to 1b and in previous question was for my children  & was for children before they reach puberty from age 0 to the age they reach puberty meaning before females get their first periods or like boys develop semen
 
2) I do have NEW  additional questions I can confirm that hiv has not been transmitted from FEMALE  to FEMALE  sex no proven cases  is that correct ? I read on Website from medhelp . 

2a)  you cannot get hiv  female to female sex e.g from vagina to vagina rubbing or vagina rubbing on anus even body fluids or blood coming out of vagina  on the anus or vagina  

3) bottom line :if a PENIS with no condom does not Go INSIDE vagina or rectum or maybe mouth I cannot get hiv  that’s all no other ways I can get hiv . 


3a) I want to clarify point 3 is penis in mouth is only from giving blow jobs right? That’s also a maybe ?
  
3b) In point 3 penis inside rectum is  the anus ? 

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H. Hunter Handsfield, MD
32 months ago
It becomes apparent you are equally concerned with your own risks for HIV as for risks in children. Most of your statements are correct in general, but there are exceptions. Female to female sexual HIV transmission probably has occurred, although because a penis isn't involved, it happens much more rarely than for male-female or male-male sexual contact. Statements 2, 2a and 3 are mostly correct, but probably with rare exceptions. "Penis in mouth" (technical term fellatio) is the same as "blow job". The anus is the opening to the rectum:  the terms anal sex and rectal sex are different words for the same thing, i.e. penile penetration into the anus and rectum.

Young boys get erections all the time. I'm not a pediatrician or otherwise expert in sexual development in childhood, but certainly penile erection starts to occur by age 3, as I recall. But probably almost no prepubertal children participate in sexual activity with penetration.



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32 months ago
I would like to forget about female to female transmission hiv for sure 

1)  to be clear on medhelp I asked them two days ago   they said hiv transmission hiv from female to female sex has not yet been PROVEN  and thus I don’t need to be worried about it so you agree with experts from medhelp  and may I Not worry anymore  . ? 

1b) I also read your statement doctor Hunter from years ago that hiv from female to female sex has not yet been documented  meaning no proven cases  that eased my mind I’m sure you still maintain that doctor ? 

1c) in conservative stand point female to female sex  transmission for hiv I was told from another forum it’s like 1 and million risk  which basically means zero for all practical purposes so no need to worry 

2)  I don’t want to confuse myself hiv is not transmitted  by woman rubbing vagina on the anus   to both male or female  if body fluids or blood came out of the vagina 

2b) also hiv has not been transmitted from bare vagina to vagina rubbing  between females only with fluids or blood etc 

2c) may I just use point 3 of  my previous post  for all hiv concerns 
And ignore all other risks . 

3) hepatitis c is transmitted only from anal sex  and to clarify 

Anal sex means penis must enter the anus  so Hepatitis c is NOT transmitted from fingering or getting fingered with cuts  Or rubbing penis on outside of the anus ? 


Thank you happy Christmas please give assurance on this 
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32 months ago
To be clear hiv testing is NOT recommended from female to female sex e.g vagina to vagina rubbing or any other activity 

That’s what I was told 
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H. Hunter Handsfield, MD
32 months ago
ALL people who are sexually active outside mutually committed and truly monogamous relationships are wise to be tested for HIV from time to time (maybe once every 1-2 years) even if all such sexual contacts were safe or very low risk. But not after any single exposure except maybe if a partner is known to have HIV.

That completes the two follow-up comments and replies that come with each new question and so ends this thread. I hope the discussion has been helpful. Best wishes and happy holidays.
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