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HIV can be transmitted from an infected person to another through the following infectious fluids: 1  Blood. 2  Semen (including preâseminal fluid) 3  Vaginal secretions. 4  Rectal fluids. 5  HIV can also be transmitted through breast milk expressed through feeding, in limited circumstances, where there is exposure to large quantities.
However, even when your viral load is undetectable, HIV can still exist in semen, vaginal and rectal fluids, breast milk, and other parts of your body. For this reason, you should continue to take steps to prevent HIV transmission. For example: HIV may still be found in your genital fluids (semen or vaginal fluids).