How far are sex and AIDS?

page views:1 Publication date:2023-04-29

Interview Unit: Department of Dermatology and Venereology, Second Affiliated Hospital of Guangzhou University of Chinese Medicine Interviewee: Dr. Wu Yuansheng, Attending Physician
Keywords: Sexual transmission routes, latency, chronic, urgent and dangerous
Reporter: Broadly speaking, AIDS also falls under the category of sexually transmitted diseases. Are all AIDS patients treated in the Department of Dermatology and Venereology infected through sexual transmission?
Dr. Wu: Not entirely. Although people with sexually transmitted diseases are indeed more likely to contract AIDS through high-risk sexual behavior than healthy people. For example, many drug addicts initially try drugs to enhance sexual pleasure, making them prone to sexually transmitted diseases, and a small number of them will contract AIDS through sexual transmission. After drug addiction, a person's central nervous system is disordered, physical strength declines, and libido and sexual ability may be lost, but they may still be infected by sharing needles with AIDS patients. Such patients often cannot explain how they were infected.
Reporter: What do doctors generally consider when suspecting that a patient with a dermatology or venereology may have AIDS?
Dr. Wu: We first judge based on clinical manifestations, and then confirm through laboratory blood tests. HIV patients have weakened immune systems, making them susceptible to diseases that are difficult for healthy individuals to contract or easily cured. I encountered a 36-year-old woman who was thin and pale; she suffered from severe yeast infection complicated by genital warts. Yeast infections are common in gynecology and are likely to occur several times in a woman's lifetime. They are not difficult to treat with effective antifungal therapy and proper hygiene, but she experienced recurrent infections. Blood tests revealed many abnormalities, such as hemoglobin and white blood cell counts, and her HIV antibody test was positive.
Reporter: In your experience, what are the challenges in HIV prevention and control?
Dr. Wu: The more patients I encounter, the more I realize that many problems cannot be solved simply by advanced medicine, including HIV. For example, if we discover a case of AIDS, according to the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases" and the "Regulations of the People's Republic of China on the Prevention and Control of Sexually Transmitted Diseases and AIDS," we must report it to the local epidemic prevention department. However, hospitals and epidemic prevention departments have no enforcement power over patients. If a patient refuses to provide their real name and contact information, or refuses to cooperate with treatment or conceals their condition due to cost or social pressure, it poses a great danger to those around them. Prevention and control depend on the implementation of measures. If measures are well-designed but lack funding and manpower support, they will only remain on paper.
Reporter: So, AIDS is not far from us?
Dr. Wu: Not at all, and the situation is urgent and dangerous. HIV-infected individuals in the incubation period or early stages of illness are not outwardly visible. Some patients have incubation periods that can last for years or even decades. Many infected individuals are unaware that they have the HIV virus in their bodies, which is very dangerous. Furthermore, the high mobility of people in society and changes in people's attitudes towards social interaction are significant factors. For example, in large cities like Guangzhou, some men and women engage in sexual relations when the time is right and there is mutual consent. One-night stands with online acquaintances, ending the night after meeting, are not uncommon among some groups. These are all very dangerous factors. In fact, everyone should have basic awareness of protection.
Reporter: Does using a condom during sexual intercourse guarantee 100% safety?
Dr. Wu: Personally, I don't think we can be complacent just because condoms exist. From a physiological perspective, condoms only prevent localized contact and have limited effectiveness. However, condoms can reduce the number of viruses that come into contact with the body, so in that sense, using one is better than not using one. Awareness of protection should be more about mindset and attitude; condoms alone cannot guarantee absolute safety. (

The above is from a website.)
My personal opinion: In today's society, with increasing sexual liberation, stronger sexual needs, and more frequent and easily accessible sex work, AIDS prevention should be on the agenda. My personal opinion is not to discuss our social problems, but to explore how netizens can better protect their own safety.

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How far are sex and AIDS?

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