Is TB sexually transmitted?

Yes, especially through oral and anal sex. The mouths and throats of people with Pulmonary and Abdominal TB are infectious.  The anus and faecal matter of those with abdominal TB are also infectious.  The blood is infectious, and all other body fluids and the faecal matter of people with Miliary TB may be infectious depending on the severity of the disease.

The following types of TB could be sexually contracted:

• Abdominal TB due to swallowing of infected matter.
• Pulmonary TB due to inhalation of infected matter.
• Miliary TB due to absorption of the bacteria into the blood stream via cuts, especially fresh cuts incurred during sex.  The TB then spreads throughout the body via the blood and later the lymphatic systems and infects the  internal organs, bones etc..
• TB of the skin due to direct contact of bacteria on the skin:
• Lupus Vulgaris: Main type of TB of the skin resulting in infected ulceration of the mouth, tongue, tonsils and oesophagus.
• Erythema Nodosum: This starts off as red lesions which several weeks later turn bluish/purple then fade through the colour changes of a bruise. 

Miliary TB can cause the immune system to become deficient and eventually collapse.  Gay men were particularly vulnerable to sexually contracting this disease during the Gay Liberation years due to their hyper-promiscuity, group sex and rough/violent sex (anal fisting etc.).  In many cases their immune systems were already weakened due to fatigue from their all night "partying", and contracting repeated doses of other STD's eg. syphilis and gonorrhoea.  I believe that their use of amyl nitrate may have facilitated the absorption of TB.  The medical profession were completely baffled when gay men in the West suddenly presented with bluish/purple skin lesions, pneumonia, swollen lymph glands, abdominal problems and other symptoms.  All were clear signs of Miliary TB, which the doctors and specialists failed to recognise because TB had virtually been eradicated in the West (after the introduction of the testing of cattle and the pasteurisation of milk).  It was decided that this was a new disease affecting gay men (AIDS).  Really! What is more likely, that a new disease with exactly the same signs and symptoms as Miliary TB emerged out of nowhere, or, that an old deadly disease (TB) re-emerged?  This disease re-emerged due to: 

• The increased travel of people between the West and Third World Countries
• The migration to the West of people from Third World Countries. 
• Gay liberation in the West.

Later other people in the West contracted Miliary TB (AIDS) via blood transfusion, sexually, contaminated needles, person to person contact (infected body fluids) etc..

People in Third World Countries contracted/contract Miliary TB congenitally (born with TB), through ingestion of infected animal produce (milk and meat), person to person contact, sexually, blood transfusion and handling of infected animals (general handling as well as milking and butchering).

The HIV virus is a secondary opportunistic infection.