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Safe Sex
Topic Overview
Sexually transmitted diseases (STDs) are spread by
sexual contact involving the genitals, mouth, or rectum, and can also be spread
from a pregnant woman to her fetus before or during delivery. STDs, which
affect both men and women, are a worldwide public health concern.
Although most STDs can be cured, some cannot, including
HIV (which causes
AIDS),
genital herpes, and
human papillomavirus (HPV), which can cause
genital warts.
STDs can be spread by people who don't know they are infected.
Always use protection every time you have sex, including oral sex, until you
are sure you and your partner are not infected with an STD.
If you are in a relationship, delay having sex until you are
physically and emotionally prepared, have agreed to only have sex with each
other, and have both been tested for STDs.
Abstinence as prevention
Completely avoiding sexual contact (abstinence), including
intercourse or oral sex, is the only certain way to prevent an
infection.
Discuss safe sex with your partner
Discuss STDs before you have sex with someone. Even though a sex
partner doesn't have symptoms of an STD, he or she may still be
infected.
Questions to ask someone before having sex include:
- How many people have you had sex
with?
- Have you had sex without a condom?
- Have you ever
had unprotected oral sex?
- Have you had more than one sex partner
at a time?
- Do you inject illegal drugs or have you had sex with
someone who injects drugs?
- Have you ever had unprotected sex with a
prostitute?
- Have you ever had an STD, including
hepatitis B or
hepatitis C? Was it treated and cured?
Safe sex practices
Some STDs, such as HIV, can take up to 6 months before they can
be detected in the blood. Genital herpes and the human papillomavirus (HPV) can
be spread when symptoms are not present. Even if you and your partner have been
tested, use condoms for all sex until you and your partner haven't had sex with
another person for 6 months. Then get tested again.
- Watch for
symptoms of STDs, such as unusual discharge, sores,
redness, or growths in your and your partner's genital area, or pain while
urinating.
- Don't have more than one sex partner at a time. The
safest sex is with one partner who has sex only with you. Every time you add a
new sex partner, you are being exposed to all of the diseases that all of their
partners may have. Your risk for an STD increases if you have several sex
partners at the same time.
- Use a condom every time you have sex.
Latex and polyurethane condoms do not let STD viruses pass through, so they
offer good protection from STDs. Condoms made from sheep intestines do not
protect against STDs.
- Use a water-based lubricant such as K-Y
Jelly or Astroglide to help prevent tearing of the skin if there is a lack of
lubrication during sexual intercourse. Small tears in the vagina during vaginal
sex or in the rectum during anal sex allow STDs to get into your
blood.
- Avoid douching if you are a woman, because it can change the
normal balance of organisms in the vagina and increases the risk of getting an
STD.
- Be responsible. Avoid sexual contact if you have symptoms of
an infection or if you are being treated for an STD or HIV. If you or your
partner has herpes, avoid sexual contact when a blister is present and use
condoms at all other times.
Related Information
Credits
| Author | Maria G. Essig, MS, ELS |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Pat Truman |
| Primary Medical Reviewer | Adam Husney, MD - Family Medicine |
| Specialist Medical Reviewer | Peter Shalit, MD, PhD - Internal Medicine |
| Last Updated | June 6, 2007 |
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| Author: | Maria G. Essig, MS, ELS | Last Updated June 6, 2007 |
| Medical Review: | Adam Husney, MD - Family Medicine
Peter Shalit, MD, PhD - Internal Medicine |
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