How to Have Safer Sex

Avoiding STIs

Use latex condoms. External/male condoms should be used for any kind of sex, including vaginal, anal, and oral contact. The external latex condom is easy to use, efficient and cheap. It is also widely available for free at Planned Parenthood locations, other counseling services, and many schools. Consistently and correctly using latex condoms during sexual intercourse can reduce the risk of STIs and pregnancy with up to 99% reliability. If you’re allergic to latex, you can also use polyurethane condoms, which offer some protection against STIs. Natural or lambskin condoms offer reliable protection against pregnancy, but the material isn’t fine enough to prevent the transmission of some infections, making them less reliable for that purpose. Make sure to properly place the condom on the erect penis. Doing this together can create a more intimate experience. Remember, both partners are responsible for safe sex. If you are sexually active, you should always have a supply of condoms on hand. Make sure to regularly check the expiration date, too. Condoms do not typically break when used properly; however, if the condom rips or tears during intercourse, make sure that both partners get tested within 10 days.

Consider using a female condom. Internal/female condoms can be used for vaginal penetrative sex. They are effective against most STIs and can help reduce the chances of pregnancy. Though the failure rate is higher than with hormonal contraception, internal condoms can be very effective when used in combination with other protection. You should never use an internal and external condom at the same time. That can cause friction that will tear one or both of the condoms, making them ineffective. Make sure to carefully read the instructions on the packaging. You want to ensure that you properly insert the internal condom. You will insert the internal condom in a similar manner as inserting a tampon. The penis or strap-on should be inside the internal condom during intercourse. It is unlikely that the internal condom will break if used correctly; however, if there is a tear, make sure to visit your physician to get tested within 10 days.

Use a dental dam for oral sex. Dental dams are latex sheets, or condoms that have been cut open to form squares. When used correctly, dental dams have been proven to reduce the risk of passing blood and other fluids to the mouth from the genitals. These are effective in preventing STIs and HIV. You can use them when performing oral sex on both the vulva and the anus. Make sure the latex doesn’t have any holes, tears, or other damage. Rinse off any cornstarch if necessary, as this can promote vaginal infection. Cover the genitals or anus while performing oral sex. Never switch back and forth between the vagina and anus without first replacing the dental dam. Discard after use.

Try a lubricant. While friction can be a pleasurable feeling during sex, it can also heighten the risk of infection. Friction is often the cause of broken condoms or dental dams. To prevent too much friction, try using a lubricant during intercourse. Make sure to read the ingredients on the package. Don't use an oil-based lube on a latex condom. It will break down the latex. Instead, choose a water-based lubricant. Silicon-based lubes are also a good choice. You can also use lubricants to make dental dams more supple and less likely to tear.

Find other ways to be intimate. You and your partner can engage in sexual activities that carry absolutely no risk. Be creative and explore new ways to turn each other on. You can use words and fantasies to arouse one another. Some no risk sexual acts include: Phone sex or sexting Mutual masturbation Cyber sex

Try low-risk activities. Anal and vaginal intercourse are considered “high risk” sexual activities. The risk of infection when having anal intercourse is greater because the skin of the anus is thinner, making infection and disease transmission more of a possibility. Likewise, sexually transmitted diseases and infections are transmittable between the mouth and the genitals, making unprotected oral sex also a risky behavior. You can still be intimate without engaging in intercourse. Talk to your partner about trying out some new sexual activities. You could try: Deep kissing Fondling Experimenting with sex toys such as dildos or vibrators. Keep sex toys clean. Always wash them between uses, and never use one that you're not sure is clean. A weak solution of disinfectant in a bowl of water is a cheaper option. Rinse the toys well and be sure to dry them before storing them in a sealed bag in a clean and dry environment. Do not share sex toys with partners you aren't fluid-bonded with since you can spread infections this way.

Consulting Your Doctor

Get tested regularly. Go to your doctor or a free clinic regularly to get screened for HIV and other STIs. Get tested together with a monogamous partner before deciding to stop using protection. You should continue to get tested regularly even when you are in a relationship, to be on the safe side. It is better to get tested than to unknowingly be infected with an STI. Ask your partner to go with you if you're nervous. It's not lame to request that your partner do this enthusiastically and willingly. If your partner doesn't want to go together, ask them to go on their own and share the results with you. You can try saying, "I respect your need for privacy. But please remember that this affects both of our bodies and health. We need to share this information with each other." If your partner is not willing to practice safe sex, find another partner.

Learn specific symptoms. Educating yourself can help keep you safe. One of the best ways to protect yourself is to boost your knowledge. Take some time to learn about different STIs. You can learn about methods of contraction, and symptoms. Your doctor is one of your best resources. Ask your doctor for some information or look at a reputable website. For example, you should know that one of the most common STIs, chlamydia, often has no symptoms. For that reason, it is often unknowingly passed to others. Ask your doctor to test for all STIs before you sleep with a new partner. Genital warts are another common STI. These warts are easily spread by skin-to-skin contact. The flesh-colored bumps may look similar to cauliflower. Your doctor can help you find the best treatment plan. Many STIs don’t have visible symptoms; however, if you see any abnormalities on your partner’s genitalia, you should avoid having sex until they have visited the doctor. Know your body. If you notice any changes in your body, visible or not, don't hesitate to contact your doctor. You're always better safe than sorry.

Get vaccinated. One of the best ways to prevent certain STIs is by getting vaccinated. There are currently vaccines that can be used to prevent hepatitis A and B, and human papillomavirus (HPV). Talk to your doctor about whether these vaccines are right for you. The CDC recommends the HPV vaccine be given between the age of nine and 26. Before the age of 15, it's administered in two doses over six months to a year; afterwards, it is given in three doses over six months. While the HPV vaccine was formerly only recommended for cisgender women, it's now recommended that anyone receives it, regardless of sex or gender. The CDC recommends the Hepatitis A vaccine for all children, males who engage in intercourse with other males, and illegal drug users. There are many populations who should receive the Hepatitis B vaccine. These groups include: Children under 19 who have not previously been vaccinated Intravenous drug users Males who have sex with males Individuals with HIV or chronic liver disease

Get treated. Part of having safe and responsible sex is making sure that you are not passing a disease to your partner(s). If you have contracted an STI, you need to make sure that you receive the proper medical treatment. If you receive a positive diagnosis, ask your doctor about the best treatment option for you. For example, maybe you learn that you have contracted gonorrhea. Your doctor will prescribe a course of antibiotics as a treatment. For this, and any infection, make sure to take the medicine exactly as instructed. Ask your doctor if you have any questions, or are concerned about side effects. Tell your partner. You need to say, "I need you to know that I was recently tested for STIs. I have gonorrhea. You need to get tested as soon as possible."

Ask about high-risk sex. You might find yourself in a situation where you want to knowingly engage in high-risk sex. For example, maybe your partner was previously diagnosed with HIV. Talk to your doctor before engaging in sexual activity. Ask a lot of questions. You can say, "My partner is HIV-positive. What extra steps can we take to make sure that I remain negative?" Keep the lines of communication open. If you or your partner have questions, make sure to ask. It is possible to have a healthy and happy sex life with someone who has tested positive. You just need to make sure that safety is always part of your routine.

Preventing Unwanted Pregnancies

Try the pill. Hormonal contraception methods reduce the risk of pregnancy by preventing ovulation (the release of eggs from the ovaries). The most common type of hormonal birth control is often referred to as "the pill" and is taken orally every day. When taken correctly and regularly, hormonal birth control is 99% effective. If you're interested in hormonal birth control, talk to your gynecologist or general care provider about a prescription. Always take hormonal birth control correctly. Hormonal birth control is incredibly effective, but only when taken properly and consistently. You need to take your pill at the same time each day, and avoid smoking, which can increase your blood-pressure and cause dangerous health problems. Pay attention to how your body responds to the hormones, and discuss any concerns. It sometimes takes some experimenting to get the right medication. Set an alarm on your phone to remind you to take your pill and do it at the same time each day.

Consider alternative hormone therapies. Other hormonal methods are also available and quite reliable, up to 99% effective. Hormonal patches, the NuvaRing, and implants can last for weeks or several years and are quite effective. The Depo-Provera shot is another option, administered every few months. Intrauterine devices/systems (IUDs or IUSs) are also options to consider. Use both birth control and condoms to reduce the risk of pregnancy and STIs. Using other kinds of contraceptives in addition to condoms is the best way to practice the safest kind of sex. You can have fun with your partner in a more worry-free environment.

Use barrier contraception. The following methods offer no protection against the transmission of HIV and other sexually-transmitted diseases, but are somewhat effective at preventing pregnancy. Diaphragms, contraceptive sponges, and cervical caps are placed over the cervix and should be used together with a spermicidal gel. These methods of contraception are typically worn for at least six hours after intercourse. At most, these methods are about 90% effective, on average, making them somewhat less reliable than other methods of birth control. The fact that they offer no protection against STIs and are typically more difficult to obtain than condoms makes them a less recommended, but still a useful method. Ask your doctor to fit you for a diaphragm. You can purchase sponges at most drug stores. Make sure to follow the directions very carefully.

Know your options. If you have a vulva and you are sexually active, it is possible that you could inadvertently become pregnant from someone with a penis. Part of having safe sex is knowing what you will do if you have an unplanned pregnancy. Think ahead and know where you can find resources. Be aware that the counselors at Planned Parenthood can talk to you about options that include terminating or continuing with your pregnancy. Talk to your partner. If you are in a serious relationship, say, "What would we do if I became pregnant?" Make use of emergency contraception. Drugs like Plan-B, Next Choice, and ella can decrease the possibility of pregnancy after unprotected sex when no contraceptive is used. Most don’t require a prescription, though some do have age limits that vary depending on the country and state.

Choosing Responsible Behaviors

Consider being monogamous. Monogamy means being in an exclusive relationship with only one sexual partner at a time. Having one sexual partner helps reduce the risk of transmitting or contracting STIs. If you are going to be sexually active, consider being monogamous. Make sure that your relationship is mutually monogamous, which means you are both committed to only having sex with each other. Trust is a big part of monogamy. Make sure that you and your partner are open and honest with each other about your sexual activity — past and present.

Always take time to talk with your partners before and after sex. Each time you enter into a new sexual relationship, it's important to take time to talk to your partner before jumping between the sheets. Be honest about your own sexual experiences and your own desire to practice safe sex. If your partner doesn't want to practice safe sex, or isn't forthright with you about their sexual history and experiences, don't have sex with them. You don't need to have the "numbers" talk, necessarily, but you do need to find out if your partner has regularly engaged in risky sexual behaviors. Get tested together before you decide to have sex. Have consensual sex. Make sure your partner is capable of consenting to sex and that both people in the relationship agree to the sexual activity each and every time. Consenting once doesn't mean consenting to future sexual encounters, and likewise consenting to one activity in no way suggests the consent of another. Never assume consent.

Put your safety first. Avoid mixing drugs and alcohol with sex. Having sex under the influence of drugs or alcohol is never a safe idea. Your safe sex practices can be compromised and less effective if you're drunk/high and you might misread the other person's signals or they might misread your signals, potentially resulting in non-consensual sex. If you go to parties and want to get drunk or use drugs, it's safest to be with friends. Look out for one another. Don't share drinks. Don't accept a drink from someone you don't know. Keep your drink with you at all times — don't leave it sitting exposed if you go to the bathroom. Cover the top of your cup with your hand to prevent someone from adding something to your drink when you aren’t looking. Being mindful of your safety can help you avoid falling victim to "date rape drugs." Common date rape drugs are Rohypnol (roofies), GHB, and Ketamine. Common symptoms include dizziness, confusion, and difficulty with motor skills. Get medical care if you suspect you have been drugged.

Protect your emotions. No one has the right to pressure you into having sex. This applies to intercourse, but also other forms of sexual activity. If you feel uncomfortable, remove yourself from the situation. Common pressuring tactics include threatening a break up or trying to influence you with drugs or alcohol. You can say, “I don’t feel comfortable. Please stop.” You can also say, “I was really enjoying kissing you. I’d like to keep things on that level.”

Figure out if you are ready for sex. Whether you’ve never had sex before or you’re just starting a new relationship, you might be nervous to have sex with someone new. That’s perfectly normal. It’s a good idea to take a self-assessment. Reflecting on your feelings can help you decide if you’re ready to take the next step. Ask yourself a series of questions. For example, are you prepared to talk to your healthcare provider about your sexual activity? Additionally, you should ask yourself if you feel comfortable discussing intimacy with your partner. Moreover, do you feel comfortable saying that you don’t want to have sex? If you can’t confidently answer “yes” to these questions, it might be a good idea to hold off on having sex. Remember, every relationship moves at its own pace.