Safer Sex


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Safer Sex

  1. 1. Safer Sex CHAPTER 14
  2. 2. WHY SAFER SEX? <ul><li>Approximately 65 million Americans currently have an incurable sexually transmitted disease. </li></ul><ul><li>Approximately 18 million Americans get one or more STIs every year. </li></ul><ul><li>There has been an increase in the STIs that are viral and incurable. </li></ul><ul><li>Curable and treatable STIs can cause serious health problems if they are not treated early. </li></ul><ul><li>If you have one STI, the symptoms of a second STI may be more serious. </li></ul>Talking to your partner about safer sex can make you feel more comfortable, relaxed, and intimate.
  3. 3. <ul><li>Has either of us, or any of our partners, ever had an STI? When? What was it? Did it ever come back? </li></ul><ul><li>Does either of us have (or have we ever had) any unusual sores, bumps, discharge from the genitals, or other symptoms? Where? </li></ul><ul><li>Have we or any of our other partners ever been exposed to an STI, been tested for an STI, or had an abnormal Pap test? </li></ul><ul><li>What do we usually do to make sex safer? </li></ul><ul><li>What are we going to do right now to prevent disease? </li></ul>
  4. 4. SAFER SEX GUIDELINES <ul><li>Barrier methods rule the day (and the night)
  5. 5. Latex condoms used during vaginal,oral, and anal intercourse are the
  6. 6. safest and the best known barrier protection.
  7. 7. Other barriers such as squares of latex (dams) can be used for mouth- to-
  8. 8. vagina or mouth-to-anus contact.
  9. 9. Use protection even if you don't need birth control
  10. 10. IUDs, a diaphragm, or hormonal methods of birth control do not protect
  11. 11. against STIs.
  12. 12. Lather up, then cover up
  13. 13. Washing genitals, anal area, and hands before and after sex, and between anal and vaginal contact, may cut down on urinary track infections,
  14. 14. however, it will not prevent STI transmission.
  15. 15. Watch out for blood
  16. 16. Direct contact with blood (including menstrual blood) of an infected
  17. 17. person can transmit infections, including HIV or hepatitis. </li></ul>
  18. 18. <ul><li>Know your risk
  19. 19. Knowing what kind of sex puts you at higher risk of getting an
  20. 20. STI, can help reduce the risk of getting infected.
  21. 21. It's never too late for safer sex
  22. 22. If you don't have an STI, practicing safer sex will help you ensure that you do not get one. If you have an STI, safer sex protects
  23. 23. your future partners and prevents you from getting another STI.
  24. 24. Make foreplay the main course instead of just the appetizer
  25. 25. If you don't have a condom outer-course is a safe way to get off.
  26. 26. Touching, stroking, and caressing each other can be very erotic
  27. 27. and fulfilling. Foreplay also ensures that the vagina is lubricated
  28. 28. which can prevent the condom from breaking during sex. </li></ul>SAFER SEX GUIDELINES
  29. 29. ACTIVITY-SPECIFIC SAFE SEX TIPS <ul><li>Vaginal intercourse
  30. 30. Use a lubricated latex or polyurethane male condom or the
  31. 31. female condom. Hold the condom rim while having sex;
  32. 32. visually check the condom during sex; change the condom
  33. 33. when changing activities or if the sex lasts a long time; use
  34. 34. your own condom so you will know that it was stored correctly.
  35. 35. Anal intercourse
  36. 36. Use a strong latex condom with plenty of lubricant. Condom is
  37. 37. less likely to break if the anus is massaged with finger or sex
  38. 38. toy to help relax the muscles.
  39. 39. Oral sex on a man
  40. 40. Use a non-lubricated latex condom as soon as the penis is
  41. 41. erect to prevent pre-cum from contacting the mouth. Pre-cum
  42. 42. can contain HIV.
  43. 43. Oral sex on a woman
  44. 44. Use dental dam, a cut-open latex glove, a non-lubricated
  45. 45. condom, or nonmicrowaveable plastic wrap. </li></ul>
  46. 46. ACTIVITY-SPECIFIC SAFE SEX TIPS <ul><li>Fisting and finger play
  47. 47. Use latex gloves to protect yourself from your partner's body fluids. HIV can travel into the
  48. 48. bloodstream through cuts or cracks on hands or fingers.
  49. 49. Rimming (mouth-anus contact)
  50. 50. Use a nonmicrowaveable plastic wrap or dental dam. Rimming has some risk of HIV
  51. 51. transmission and can also spread hepatitis A and intestinal parasites.
  52. 52. Dildos, sex toys, vibrators, bondage or S/M
  53. 53. Toys can transmit STIs from one partner to another. Put a condom on a dildo before use and do not share a dildo without washing it thoroughly with hot soapy water. Sex toys can be
  54. 54. cleaned with 10 percent hydrogen peroxide. Clean S/M gear after use.
  55. 55. Fluid bonding
  56. 56. Sharing body fluids with only one person, and using condoms with all
  57. 57. others.
  58. 58. Water sports
  59. 59. It's low-risk if there is no blood mixed in with urine. Protect eyes and broken skin or cuts. </li></ul>
  60. 60. CONDOMS 101 <ul><li>Sex with a man- put the condom on while the penis is erect. Roll condom with your fingers to see which way it unrolls. If you put the wrong side on the penis-use a new condom. Pinch the tip of the penis to get the air out so the condom doesn't break when he ejaculates. Hold the base of the condom so it doesn't come off when the male partner pulls out. </li></ul><ul><li>Use a new condom every time you have sex and carry more than one with you. </li></ul><ul><li>If you or your partner experience irritation try a brand without spermicide. If you experience itching, rash, or dryness use a polyurethane condom. </li></ul><ul><li>Use flavored condoms for oral sex to prevent bacteria infections. Use ribbed condoms for extra sensation. </li></ul><ul><li>Use water-soluble lubricants to prevent condoms from breaking. Never use an oil-based product with latex. </li></ul><ul><li>If male partner can't or won't use a condom use female condoms. They are as convenient as male condoms. </li></ul>
  61. 61. CHALLENGES TO USING PROTECTION <ul><li>Your own attitudes
  62. 62. Who me? I'm not a man or a junkie...I'm too young...I can tell who's infected...I'm afraid he'll refuse..He'd never do anything to hurt me...Talking about sex is too embarrassing..
  63. 63. Our partner's attitudes
  64. 64. Complains that sex with condom does not feel as good; some men are afraid that they won't stay hard; men may resent when women initiate safer sex; a lesbian may believe that there's no HIV risk for lesbians and not wash sex toys; partner might feel being accused of sleeping around or of using drugs.
  65. 65. Drug and alcohol use
  66. 66. Drugs and alcohol compromise our judgment and weaken our power to practice safer sex.
  67. 67. Lack of information
  68. 68. Not learning how to protect yourself makes it more likely to have unsafe sex. Getting incorrect information from friends, family or health care providers. Thinking that if you have an STI, your partner might already have it and safer sex is not longer helpful, however, your partner might not have yet been infected. If both partners are HIV positive, practicing safer sex can prevent being reinfected with a different stain of HIV. </li></ul>
  69. 69. I HAD UNSAFE SEX-WHAT SHOULD I DO? <ul><li>STI diagnosis and treatment </li></ul>If you have been raped, had a condom break, or engaged in unprotected sex with someone who you know or think might have HIV, your health care provider may be able to get medication that will prevent infection from developing. <ul><li>The morning after pill </li></ul>If you have unprotected sex and are worried about getting pregnant, the morning after pill will help prevent conception. The pill contains large concentrations of hormones and is best to be taken within 72 hours of having unprotected sex.
  70. 70. Quote and Question Question: How can sexual partners avoid making each other feel that they are being accused of sleeping around or being a drug user? “ That condom seems to pour cold water on the romance by saying, “OK, to be brutally honest, we've both slept with other people.” The condom seems like a statement of distrust: “You could give me a disease, you could kill me.””
  71. 71. Reference <ul><li>Brigham and Women's Hospital. Our Bodies, Ourselves. 35 th Anniversary Edition. Simon and Schuster: New York. 2005 </li></ul>