HIV is an infectious disease. It is spread through:
• Unprotected sex--this is the most common route. HIV is transmitted through sex when infected body fluid (meaning semen, precum, vaginal secretions, and blood) manages to enter the body. This can happen through unprotected sex, either vaginal or anal, when infected fluid can enter through cuts, wounds, sores, or abrasions in the rectum, vagina, or penis; through the urethra; or the mucous membranes of the vagina.
• The presence of other sexually transmitted diseases (STDs) can increase the risk of HIV infection during sex.
• Oral sex has very low risk of HIV transmission, but it is very much possible.
• Sharing needles, syringes, and other drug injection equipment
• Mother-to-child or perinatal transmission--HIV can be passed from mother to child during pregnancy, birth, or breastfeeding.
• Receiving blood or organs (during blood donation or organ transplant) that is infected with HIV--this is very rare nowadays because of stringent requirements for blood and organ donors all over the world.
HIV is not transmitted through saliva (e.g. casual kissing), sweat, tears, insect bites (e.g. mosquitoes), the air, sharing utensils, using public toilets, shaking hands, and other forms of sexual activity that do not involve the exchange of body fluids into the body.
It is a misconception that HIV affects only men who have sex with men. Anyone regardless of age, gender, or sexual orientation can be infected with HIV.