“…Although HIV RNA levels in blood roughly correlate with levels in seminal plasma (13,39,56,69,72), local genital factors, particularly concomitant sexually transmitted infections (STI), can increase HIV shedding in semen (38,39,61). Common bacterial STI can also increase the number of immune cells in the genital tract (9,52), and elevated counts of white blood cells in semen are associated with higher seminal HIV shedding (3,4,69,80). Since HIV principally infects and replicates in CD4 Ï© T lymphocytes, monocytes, and macrophages (16,30), an accumulation of these cells in semen is likely to increase the risk of sexual HIV transmission (40,79).…”