What Sexual Activities Put You at Risk of STIs?

Photographer: Alex Louis Engival

Photographer: Alex Louis Engival

Most sex educators and medical professionals use the term “safer” instead of “safe” sex because certain risks do not completely go away when engaging in sexual activities. No matter our age, race, economic status, sexuality, gender, relationship type, married or single, all of us are at risk of sexually transmitted infections (STIs). The most effective way to guarantee zero exposure of STIs to yourself and others is to never have sex with anyone! Now, if abstinence is not an ideal choice for you, other things to consider are the different intimate contacts that reduce the risks of exposure.

Here is a list, provided on Scarleteen, of sexual activities in which there are zero or very low risks.

  • Kissing or making out (does pose an oral herpes risk)
  • General body stroking (“feeling up”) or massage without genital contact
  • Dry sex (with both partners clothed)/clothed tribbing or frottage
  • Mutual masturbation or solo masturbation
  • Receptive anal intercourse where the insertive partner is using a sanitized sex toy/dildo, not a penis
  • Sex toy play where toys are not being shared and are cleaned properly before use
  • Phone sex or cybersex
  • Sharing fantasies and/or role playing (within the context of the activities above)

Safer sex practices, such as using protective barriers like condoms, dams and gloves, as well as being tested regularly, all reduce risks.

It’s important to know which sexual activities put you at risk of transmitting or contracting different infections. Here is a list provided by The STD Project of all the STIs you could be exposed to.

The highest risk activities are listed first; activities with the lowest risk are last.

Vaginal intercourse, anal intercourse or vaginal intercourse with a condom that has been used for anal sex:

Bacterial Vaginosis (BV/Vaginitis)
Chancroid
Chlamydia
Cytomegalovirus (CMV)
Gonorrhea (‘The Clap’)
Hepatitis (A, B & C)
Herpes Simplex
Human Immunodeficiency Virus (HIV)
Human Papillomavirus (HPV, Warts)
Intestinal Parasites
Lymphogranuloma Venereum (LGV)
Molluscum Contagiosum
Mononucleosis (‘Mono’)
Mycoplasma Genitalium
Nongonococcal Urethritis (NGU)
Pubic Lice
Scabies
Syphilis
Trichomoniasis

Oral sex (going down, eating out, blow job, giving head, rimming):

Chlamydia
Cytomegalovirus (CMV)
Gonorrhea
Hepatitis
Herpes Simplex
Human Immunodeficiency Virus (HIV)
Human Papillomavirus (HPV, Warts)
Intestinal Parasites
Lymphogranuloma Venereum (LGV)
Molluscum Contagiosum
Mononucleosis (‘Mono’)
Mycoplasma Genitalium
Nongonococcal Urethritis (NGU)
Pubic Lice
Syphilis

Manual sex (hand job, fingering):

Bacterial Vaginosis (BV/Vaginitis)
Cytomegalovirus (CMV)
Herpes Simplex
Human Papillomavirus (HPV, Warts)
Molluscum Contagiosum
Mononucleosis (‘Mono’)
Pubic Lice
Scabies
Syphilis

Kissing- when no open cuts or sores outside/inside the mouth are present:

Cytomegalovirus (CMV)
Herpes Simplex
Mononucleosis (‘Mono’)

The original list is published at The STD Project

1533882_446848112083407_2051712922_n THE STD PROJECT is a multi-award-winning independent website and progressive movement eradicating STD stigma by facilitating and encouraging awareness, education, and acceptance through story-telling and resource recommendations. Fearlessly led by Founder, Jenelle Marie, The STD Project is committed to modern-day sexual health and prevention by advocating for conscientious and informed decisions. Find them on twitter @theSTDProject

scarleteenSCARLETEEN is an independent, grassroots sexuality education and support organization and website. Founded in 1998, Scarleteen.com is visited by around three-quarters of a million diverse people each month worldwide, most between the ages of 15 and 25. It is the highest-ranked website for sex education and sexuality advice online and has held that rank through the majority of its tenure.
Find Scarleteen on twitter @Scarleteen

Is Saran Wrap OK to Use Instead of Sex (Dental) Dams?

screen-capture-16Many people do not think about protection when it comes to oral sex mostly because pregnancy is not an risk. However, STI transmission is a very real risk during oral play. Sex dams (also known as “dental dams”) are the best oral sex protection method available but they tend to be fairly expensive and not widely available.  But not to worry! There is an extremely cheap and effective alternative if you don’t have access to a commercial sex dam.

In this video from Oh Megan you’ll learn:

  • Commercial dental dams are pieces of latex (non-latex is very hard to find).
  • They can be purchased at adult stores, sex store, online and sometimes for free at sexual health clinics and from a doctor.
  • Dental dams are to be used for oral-vaginal or oral-anal contact.
  • Dental dams stop the transmission of bodily fluids.
  • In march 2010 the CDC stated that saran wrap can be used for the prevention of sexual transmitted infections and the FDA, in 1993, found that saran wrap (the brand) could be an effective barrier to viral size particles.

This video is originally posted here

BY MEGAN ANDELLOUX | ohMegan.com

megan_andellouxMEGAN ANDELLOUX  is a Clinical Sexologist and certified Sexuality Educator, listed on Wikipedia as one of the top sexuality educators in America, her innovative education programs, writing, social media presence, and ambitious speaking schedule has made her one of America’s most recognized and sought-after experts in the growing field of sexual pleasure, health, and politics.
Follow Megan on twitter @HiOhMegan

4 STI Myths That Get In The Way of a Healthier Sex Life

Image from Bedsider.org

Image from Bedsider.org

Think you know everything you need to know about STIs? You might be surprised.

There is a lot of misinformation about sexual health and STIs (sexually transmitted infections) running amok. You’ve probably heard some of them (such as the myth that you can get an STI from a toilet seat). Here is Jenelle Marie, founder of the The STD Project, equipped to bust four common myths about STIs that all of us have heard before, and too many of us continue to believe.

Here are four myths about STIs that you need to watch out for:

1) A lot of people believe contracting an STI won’t happen to them. The fact is that STIs are common. 1 in 2 people will contract an STI before the age of 25.
2) Most STIs are asymptomatic and most people who have an infection are not aware of it.
3) Contrary to popular belief, oral and anal sex are not safer forms of sex. Both pose STI risks.
4) Even if you and your partner have been tested for STIs there are still risks. It’s impossible to be tested for everything. There are several common STIs for which there are either no commercial tests, or for which the tests are only accurate during an outbreak.

This article was originally published on Bedsider.

BY JENELLE MARIE at BEDSIDER | Bedsider.org

Safer sex—comprehensive safer sex, that is—includes more than just using barriers consistently and correctly. You also need to talk about risk in advance of any sexual activity.

That’s where most people get stuck. As soon as someone utters the letters S-T-I (short for sexually transmitted infection) in sequence, people run for the hills. It can be especially daunting to bring up STIs with someone you don’t know very well. And even if you’ve known the person for forever, that conversation can still be awkward.

Whatever the scenario, having this conversation is crucial, so don’t let these 4 common misconceptions get in the way of your healthy sex life.

1. An STI won’t happen to me.

Think you don’t need to go there? Think again. The most common myth about STIs is that they won’t happen to you—they only happen to certain kinds of people, right? Not right. STIs don’t categorize people like we do.

The truth is, 1 in 2 people will contract an STI by the time they reach the age of 25—some curable, some not. An astounding 20 million people in the U.S. contract an STI every year, and those are only the STIs which get reported. That number is likely much higher due to under-reporting and many STIs not getting reported at all—some are diagnosed visually, and others are not documented by the Centers for Disease Control and Prevention (CDC). Of the 30-plus STIs out there, the CDC only reports on about 8 of them. Things like pubic lice, scabies, and HPV infections among guys are not part of those numbers.

In so far as HPV is concerned, outside of the visual symptoms of genital warts caused by low-risk HPV strains, there’s no way to know if a man has it since he can’t be tested for it. This is shocking, I know—and it’s one of the reasons why by the age of 50, at least 80% of women will have acquired the infection.

Keep in mind, HPV is transmitted via skin-to-skin contact, so even the most careful barrier-user is still at risk of contracting HPV, because barriers do not always cover all contact areas. If you’re under 26, another good option for preventing HPV is Gardasil, a vaccine that protects against the four most common HPV strains.

2. I’ll know if I get an STI—or if someone I’m seeing has one.

It’d be great if you could tell who had an STI and who didn’t, if we (I’m living with genital herpes) wore some kind of warning label or if you knew just by the type of person we were. On the other hand, I’m not a big fan of “scarlet-lettering”; it didn’t bode well for Hester Prynne, and it doesn’t suit the vast number of people living with an STI, especially since most are actually entirely unaware they have one.

The most common symptom of all STIs is no symptom at all. STIs are often asymptomatic or display such mild symptoms they go unnoticed and/or are mistaken for something else. For that reason, most people with an STI are unaware they have one.

When STIs are asymptomatic or exhibiting mild symptoms, they’re still transmittable to others—and there’s no guarantee the STI will remain asymptomatic in the newly infected individual. Recognizable symptom or not, STIs can wreak havoc internally long before we’re aware of their effects; untreated asymptomatic STIs can pose long-term health risks like liver damage (eg. Hepatitis) and infertility (eg. Chlamydia and Gonorrhea).

Contrary to popular belief, things like appearance and cleanliness are not indicators of infection—outside the obvious visible symptoms when they’re present. Hygiene is still important to help safeguard you against things like the common cold and the flu, of course, but some traditional practices such as douching after sex or brushing your teeth after a make-out session can actually make you more susceptible to STIs.

3. If I just do oral/anal sex or have sex with a virgin, I’m safe.

Anal sex might seem like a viable option if you’re concerned about pregnancy or losing your virginity in the traditional vaginal penetration sense; however, unprotected anal sex poses one of the highest STI risks. The anal cavity is comprised of permeable mucous membranes which can provide an entry point for infection. Due to the nature of sexual activity involving the anus, small tears and cuts are common—especially if you’re not using enough lube—so, additional points of entry present infection opportunities.

Choosing to have oral sex or engaging in activities with someone who’s only had oral sex might also seem like a way to lower your risk, but the risk of contracting an STI is still high. The mouth too is made up of mucous membranes, and something as common as a cold sore—herpes (usually HSV1)—can be transmitted to the genitals or vice versa.

4. We’ve both been tested, so we’re safe.

Getting tested is really important. But even if someone says they’ve been tested—and definitely if they say they’ve been tested for all STIs—it’s important to ask additional questions.

Anyone who says they’ve been tested for all STIs and is “clean” is giving you incorrect information right off of the bat. Not all STIs can be tested for—for some there just aren’t tests, or they can only be diagnosed if there are visual symptoms. Even most comprehensive STI tests only test for a handful of STIs—usually HIV, syphilis, chlamydia, and gonorrhea.

Pap smears test for cervical abnormalities caused by high-risk types of HPV. They don’t detect any other STIs—or low-risk strains of HPV for that matter.

The Take-Away.

If you have fallen prey to one or more of these myths, don’t beat yourself up. Most people think they know about STIs because they’ve heard a lot of misleading information. I was one of them. Before I contracted genital herpes at a young age, I thought STIs only happened to certain types of people. I thought I was practicing “safe” sex by getting on the pill and I had no idea of the level of risk involved in my sexual activities while I was still a virgin in the traditional sense—and even later, once I became “officially” sexually active. To hear more of my story and to gather some practical tips about how to practice comprehensive safer sex, read my 3-part series on Bedsider’s Tumblr!

Unsure what size

1533882_446848112083407_2051712922_n THE STD PROJECT is a multi-award-winning independent website and progressive movement eradicating STD stigma by facilitating and encouraging awareness, education, and acceptance through story-telling and resource recommendations. Fearlessly led by Founder, Jenelle Marie, The STD Project is committed to modern-day sexual health and prevention by advocating for conscientious and informed decisions. Find them on twitter @theSTDProject

bedsiderBEDSIDER is an online birth control support network for women operated by The National Campaign to Prevent Teen & Unplanned Pregnancy. Bedsider is totally independent (no pharmaceutical or government involvement). Honest and unbiased, Bedsider’s goal is to help women find the method of birth control that’s right for them and learn how to use it consistently and effectively, and that’s it.
Find Bedsider on twitter @Bedsider

The CSPH: Q&A Safer Oral Sex

25- Q&A safer oral sexMany (both teens and adults alike) believe oral sex to be the safe alternative to vaginal and anal intercourse. However, the truth is that although less risky, it certainly is not completely safe. STIs, like HPV and Herpes are the top risks when engaging in unprotected oral sex.

A little education goes a long way though, and it only takes a few necessary steps to keep yourself protected.

This article by The Center for Sexual Pleasure & Health (The CSPH) covers the following points:

  • HPV and Herpes are contracted through skin-to-skin contact.
  • HPV is the leading cause of throat cancer above even tobacco use.
  • Gonorrhea and chlamydia are common STIs transmitted during oral sex but are relatively easy to treat.
  • HIV can be transmitted during oral sex although it’s extremely rare. There are only a few proven cases of this mode of HIV transmission in the world.
  • A cut or sore in the mouth greatly increases the risks of infections passing during oral sex.
  • Many STIs show very few symptoms.
  • Condoms, internal condoms or dental dams can be used to prevent skin-to-skin contact. A dental dam can also be made form saran wrap or a condom.
  • According to studies, up to 82% of people practice oral sex without protection, meaning that unprotected oral sex is a societal norm.
  • Lack of knowledge and worry that sensation may be lessened could be the reason why unprotected oral sex is so highly practiced.
  • Flavored lubricants could be a good solution to cover the taste of latex.
  • Safe oral sex could increase sexual pleasure.

This article was originally published on The CSPH website.

BY The CSPH | theCSPH.org

What precautions one must take to enjoy oral sex healthily?

Ahh, the good ol’ Lewinski, giving dome, eating peaches, carpet munching, knob-polishing, and court-addressing.  Many of us are familiar with oral sex (and its various slang affiliates!), but considerably fewer of us have a comprehensive understanding of how to safely engage in mouth-led southern explorations.

Image from the CSPH

Image from the CSPH

The common perception of oral sex is that it is a risk-free sex act.  This belief is most accepted among young adults and adolescents, many of whom engage in oral sex before other forms of intercourse as a deliberately risk-preventative measure.  Indeed, while penis-in-vagina sex is often understood as potentially resulting in exposure to sexually transmitted infections and pregnancy, oral sex is mostly contextualized as wholly safe.  This results in people of all ages being less cautious in their oral sex forays by not utilizing safer sex materials, thereby putting them at greater risk for STI transmission.

With that said, it is in fact true that oral sex is less risky than other sexual activities insofar as pregnancy and STI transmission.  However, this doesn’t mean that we should all be giving and receiving oral sex without appropriate safety measures.  Unprotected oral sex can result in the contraction of a number of sexually transmitted infections, and while there has yet to be research published on the risk of all STIs during oral sex, a closer look at individual infections proves to be enlightening.

There are two primary STI risks in engaging in unprotected oral sex: herpes simplex and human papillomavirus, also known as HPV.  As I discussed in Q&A: Herpes, some 50 to 80% of adults have herpes simplex virus 1 (HSV-1), also known as cold sores.  Despite its colloquial framing as “oral herpes,” HSV-1 can also be transmitted to genitals, with up to half of new genital herpes contractions occurring as a result of HSV-1.  Unlike most STIs, herpes is not curable, and while there is no shame in contracting HSV, which is in many ways a simple skin condition that flares up occasionally, most individuals would prefer to not deal with it.

Like herpes, HPV is contracted through skin-to-skin contact as opposed to the sharing of bodily fluids, such as semen and vaginal secretions.  Oral HPV affects approximately one in 15 Americans, and is much more commonly contracted genitally, with a projected 80% of people having HPV in their lifetime.  While HPV generally doesn’t require treatment since the body’s immune system tends to be well-equipped in fighting the infection, it’s noteworthy that HPV is the leading cause of oral and throat cancers, more so than even tobacco use.

Other sexually transmitted infections that are more commonly contracted through oral sex are gonorrhea and chlamydia.  Unlike herpes, however, these STIs are usually fairly easy to treat with the use of antibiotics.  The human immunodeficiency virus (HIV), may also be transmitted during oral sex, although this is incredibly rare.  Furthermore, hepatitis and other bacterial infections may be transmitted during unprotected mouth-to-ass play.

Regardless of the STI in question, there is a greater risk of transmission when there is a cut and/or sore in the mouth, which allows these infections to pass into the bloodstream.

It’s important to note that many sexually transmitted infections are asymptomatic, meaning individuals who have contracted the STIs show extremely minor or no signs of the infections.  Furthermore, while annual STI testing should be a tool in everyone’s sexual health arsenal, the fact is that patients are not regularly tested for oral sexually transmitted infections unless the individual is experiencing symptoms.

With all that said, it should come as no surprise that using safer sex precautions when engaging in oral sex is integral in limiting the spread of sexually transmitted diseases.  This translates into using external condoms during fellatio (blowjobs), and dental dams during cunnilingus (good ol’ muff diving) and even analingus (anyone want to toss some salad?).  If you don’t have any dental dams on hand, use saran wrap or make one out of a condom!  These barrier methods allow individuals to engage in mouth-to-genital action without direct skin-to-skin contact, limiting the chances of STI transmission.

Unfortunately, the vast majority of individuals who engage in oral sex do not, in fact, use barrier methods.  One study found that 82% of adults do not utilize these protective tools when engaging in oral sex, while another study suggested the same for 70% of adolescents.  This is significant, not only from a public health perspective, but also because it leads to the conclusion that safer oral sex is something out of the norm, potentially making it especially difficult to have important conversations regarding barrier methods as people may often feel uncomfortable introducing such safety precautions into their sex lives.  Furthermore, many people are resistant to the idea of condoms and dental dams during oral sex specifically, even if they welcome their use in other activities.

Although I can’t make sweeping generalizations on the topic, I’d hasten to suggest that there are two main reasons why people may be contrary to using barrier methods during oral sex: a lack of knowledge on the issue and a worry that protection will limit sensation.  The former reason can be addressed by a casual conversation regarding the potential risk of STI transmission, and,  if you’re regularly in contact with said sexual partner, by directing them to resources such as this Q&A.

Though the concern that barrier methods will make oral sex less “worth it” due to decreased pleasure also tends to be a common argument against using condoms during penetrative sex, just as with penis-in-vagina and penis-in-anus intercourse, safer sex is important in empowering people to care for their bodies, their health, as well as the bodies and health of their sexytime partners.  Besides, what would the individual rather have: oral sex with a condom/dental dam, or no oral sex at all?  When framed as a non-negotiable safety measure, I’d bet the resistant party will find themselves suddenly amenable to using protection.

Of course, like I previously mentioned, due to how relatively rare safer oral sex is practiced, it can be uncomfortable to introduce such measures into one’s sex life.  Feeling unsure as to how to go about having such conversations?  Try out these nifty scripts:

“I think you’re unbelievably sexy and would love to give you head, but I want to you to know that I make it a point to have safer oral sex.”

“I want you in my mouth so bad. Do you have a condom?”

“Have you ever had someone put a condom on you with their mouth?”

Another common concern regarding safer oral sex is the taste of latex; after all, not many people like a mouthful of plastic.  Flavored condoms and lubricants can do wonders in addressing this issue.  With that said, a note about flavored lubes: many of them contain glycerin, which may trigger yeast infections in those prone to them.  For this reason, either opt for a flavored lube without glycerin, or make sure to not apply it directly to the vulva.  Some great glycerin-free flavored lubricants include Sliquid Naturals Swirl and Nature Lovin’.  You can also opt for flavorless silicone-based lubes such as Gun Oil and Uberlube.  For lubricant and other sexual aid reviews, visit The CSPH Blog’s Center Stage Sexual Aid feature.

When you’re ready to go down, keep in mind that, just as with other forms of sexual play, safer sex precautions can be used to not only protect yourself or your partner, but also help to increase the sexual excitement from discovering the oyster, chewing brown, or licking a popsicle.

csphThe CENTER for SEXUAL PLEASURE and HEALTH (The CSPH) is designed to provide adults with a safe, physical space to learn about sexual pleasure, health, and advocacy issues. Led by highly respected founder and director, Megan Andelloux, The CSPH is a sexuality training and education organization that works to reduce sexual shame, fight misinformation, & advance the sexuality field.

All Barriers All The Time: Condoms, Dams, Gloves…

With permission from Scarleteen

With permission from Scarleteen. Illustrated by Isabella Rotman.

Safer sex barriers like condoms, dams, gloves, and finger cots, offer some of the most effective protection against STI transmission. However, many people feel stumped on exactly what they should be using to best protect themselves and their partners, and how  to integrate safer sex practices in a way that adds to the experience, rather than detract from it. This article, originally published at Scarleteen, answers all your barrier questions and helps you learn about every single barrier choice you have:

The main topics covered below are:

  • How much protection barriers actually offer
  • What they don’t protect you from
  • How to use both external (male) condoms and internal condoms, dental dams and gloves
  • How to protect sex toys
  • 3 ways to ease the use of barrier methods

This article was originally published on Scarleteen

BY HEATHER CORINNA | Scarleteen
Illustrations by ISABELLA ROTMAN | thismighthurt.tumblr.com

Barriers-SquareHooray for barriers! Not the crummy kind that keep us from things we want, the kind that can protect us from pathogens that can be passed from one person to another, resulting in in illness and infection. Safer sex barriers do a great job reducing our STI risks, so we’ve got the best chance of enjoying the good things sex can offer without big risks of transmitting (giving) or acquiring (getting) infections in the process. Barriers keep germs out while letting us do the things we enjoy, want and which can bring us closer; to our own sexuality and to other people we may share it with.

If we still want to engage in genital sex — like vaginal or anal intercourse, oral sex or manual sex — safer sex is the only thing yet proven to effectively reduce the STI risks those activities can present. That means regular STI testing, and consistently (not just sometimes) and correctly (used exactly as directed) using barriers. Most STIs are primarily transmitted through body fluids, so protecting ourselves against them is mostly about limiting or avoiding our contact with each others fluids. Barriers are what help us do that when we don’t also want to limit or avoid being sexual with other people.

How much protection do they offer? When used consistently and correctly, latex condoms are highly effective preventing STIs, and are the only thing that’s yet shown to be highly effective. With fluid-borne infections, like HIV, Hepatitis or Chlamydia, condoms have been found in studies to reduce the risk of infection by as much as 99%, and as little as around 50%, with both figures largely influenced by how consistently and correctly condoms are used. Specifically addressing HIV protection, the UNFPA states an effectiveness rate of 90-96%, Family Health International states a rate of 80% – 97% protection. With infections transmitted by skin-to-skin contact alone, findings for protection range from around 30% to around 90%. Again, proper use and consistency is a big player. Barriers can also help prevent infections like urinary tract infections and bacterial vaginosis.

Barriers protect us better from infections spread only or mostly by fluids than they do with those spread by skin-on-skin contact (like molluscum, HPV and Herpes). That’s mostly because most barriers do not cover the whole surface of the genitals of a person, their partner, or both. But the biggest player in how effective barriers are in preventing infection is just like with methods of birth control: it’s if they are used all the time, and also used properly. How effective a barrier is is far more within your control than outside of it: effectiveness has way more to do with always using them and using them right than it does with any limitations of the barriers themselves.

All you really need to use them well and get the protection they offer is to learn which ones you use for what activity or body part, how to use them properly and some practice, confidence and a commitment to the health and well-being of you and yours. We can give you most of that right here, and we can give you a good start to developing that last part for yourself.

Condom-title
Let’s start with the barrier people tend to be the most familiar with: condoms. We currently have two different options when it comes to condoms on the whole: the “male” (or outside) condom, and the “female” (or inside) condom. Outside (“Male”) Condoms are the barrier to use for any kind of intercourse (vaginal or anal) or oral sex involving a penis. [Go here for more instructions on how to use a condom, and how to find the right fit].

How to Use outside (“male”) condoms:

whitecondom-Diagram-Scarleteen1) Use a condom that is new, and at least six months in front of the expiry date: make sure your condom is not expired. The expiration date is somewhere on every individual package. Be sure you’re also using a condom that hasn’t been kept anywhere where it could have gotten worn, or too hot or cold . We always need to keep condoms and all other barriers places with moderate temperatures, and store them only in places they won’t get too knocked around or sat upon.

2) Open the condom wrapper with your fingers: don’t use teeth or scissors if you can help it. Take it out, then roll it out a tiny bit so the edge is rolled up on the outside of the condom, facing up. Otherwise the condom won’t roll down right. Put a few drops of water-based lubricant inside the tip of the condom: that helps with getting it on, and makes condoms feel a lot better for the wearer during use.

3) Pinch and hold the tip of the condom with your fingertips to leave some space — about an inch — and roll the rest down the length of the penis while still holding the top. The ring of the condom should be as close to the base of the penis as possible. When you’re down to the base, run your fingers from the tip all the way down to press out any air bubbles: this helps keep condoms from breaking. (This isn’t necessary when using a condom to cover toys.)

4) Put some lube on the outside of the condom. The amount of lubricant already on lubricated condoms is rarely enough for the condom to feel good for everyone, and the lubrication the vagina or penis can produce by itself often doesn’t fare so well with latex: it’s easy for parts to feel dry and raw fast. Plus, a well-lubricated condom is a condom that is not at all likely to break. While you are using the condom, neither you nor your partner need to hold onto it: condoms are designed for hands-free use.

5) After ejaculation (or not, but you’re finished for now) — and before you withdraw — hold the base of the condom with your hand. Keep your hand there while you withdraw, and until the penis, or toy, is all the way out of the vagina, anus or mouth. Pull it off (slowly, so slowly: whipping condoms off fast usually ends in a mess, tears or unstoppable laughter) with that same hand on the rim of the condom and your other hand by the tip. Tie a knot near the base of the condom.

6) Throw the condom away in the rubbish bin – NEVER reuse condoms.

For those using outside condoms who’re uncircumcised, there’s a variation in putting a condom on. You, or your partner, will need to first gently move the foreskin back a bit, then put on the condom, rolling it about halfway down the shaft of the penis before letting go of the foreskin, and then rolling the condom down to the base. Because of the foreskin, you or a partner may find the condom doesn’t go as far down to the base as it does with a circumcised penis, and that’s okay. You also may find that using a few drops of lubricant inside the condom, before you put it on, is more important (or not) to your comfort than it is to those with circumcised penises. This is just another thing to practice with to find out what feels best for you.

Uncircumcised-Condom-Application

Most of this is just going to be about working out what feels best for you and your own foreskin, insofar as how much you roll the foreskin down, and when you let it slide back up. Some people with foreskins even find that putting them on the same way you would without a foreskin is what works best for them. So long as the base of the condom is firmly on the base of your penis and it all feels comfortable for you, you’re good.

You can find condoms in pharmacies, grocery stores, gas stations, in clinics and health centers (often for free), or you can order them online. No barriers, including condoms, are only legal or available for people of a certain age: people of every age can purchase them lawfully.

whitebananaThere are a LOT of brands and styles of condoms out there to choose from right now. So many choices! Yay! People are going to have some that don’t work for them, some that are fine, and others that are their Best Condom of Ever. If condoms don’t feel good, fixing that can sometimes be as easy as just using a different size, style or brand.

We’re fans of everyone knowing how to use condoms, not just people with penises or people who use condoms as a method of birth control. It can make it way tougher to get and keep in the habit of using condoms if we don’t all know how, or only one partner knows. If you don’t have a penis yourself, or a partner with one, that doesn’t mean you can’t still learn! You can learn to put condoms on by using a dildo, or food items like bananas or cucumbers. (Extra bonus: it’s kind of hilarious. As it turns out, bananas look silly with condoms on.)

With any kind of barrier, it can be harder to learn to use when we only practice with partners. Even when a partner is great and we feel great with them, there’s always an extra pressure just by virtue of someone else being involved, especially if we both also want to be sexual at the time, so we can be a little hasty or distracted. Learning to use, and practice using, barriers when you’re all by yourself makes becoming a pro easier.

whiteinternal-CondomInsider (“female”) condoms

Inside condoms may be the most underrated barrier there is.They’re amazing! An inside condom can be put in in advance of sexual activity, making it great for those who feel like outside condoms are an interruption, no matter how brief, they’d prefer not to manage. The materials they are made of conducts body heat better than latex condoms. They are made of a non-latex material, so are just as good for those who can’t use latex as those who can, and can also be used with even oil-based lubricants, unlike most outside condoms. They also don’t tightly grip the penis, so for those who dislike the tight feeling of the base with outside condoms, the inside condom can be a great way to get the protection we want without the feel of a standard condom.

They cost a little more than outside condoms, and can be harder to find, but if you have never tried one, we’d say it’s worth it. Inside condoms may just turn out to be your new favorite thing of ever. If you can’t find them where you buy condoms, they can be ordered widely online. You can also ask a pharmacy if they can order some in for you.

For those who used female condoms a few years ago and vowed never to do so again, because the material they were made of made louder sounds during sex than your mouth is even capable of making- They are not made of that material anymore. The new materials are soft, smooth, and best of all, perfectly quiet.

How to Use Inside (“Female”) Condoms:

1) Just like with outside condoms, you want to first open the package carefully with your fingers.

2) Then, put a little lubricant on the outside of the closed end. As the illustration above can show you, the inside condom has two rings, an inner one in back, where the material covers it completely — where it is closed — and an outer ring in front, where there is an opening to the condom, just like with an outside condom. whiteHow-To-use-Female-Condom

3) Next, you will need to insert it inside the vagina, or anus, depending on what kind of genital sex you are choosing to do. Some put the inside condom inside while they stand with one foot up on something, or squat, or sit on the edge of a chair or toilet, or lay down. You’ll find out by experimenting what works best for you. Inside condoms can be inserted up to 12 hours before use, so if you prefer to put it in way before sexual activity, you can do that. You’ll squeeze that inner, or back ring, together with your fingers until it basically makes a line, and put it inside the body the way you’d put in a tampon or menstrual cup, pushing it gently back as far as you can. With vaginal insertion, until it reaches your cervix (which feels like a little nose inside the vagina, if you have never felt it before). When it’s all the way back, you pull the finger you pushed it inside with out, and let the outer ring of the condom hang about an inch outside the vagina or anus.

4) Then, a partner will insert their penis — or a toy — inside the vagina or anus and the condom inside. The base will not grip them like an outside condom’s base does. For those new to sex or using this kind of condom, do be sure and check that the penis, or toy, is being inserted inside the condom in the vagina, rather than to the side of the condom.

5) To remove the inside condom, you will have your partner withdraw — no need to hold anything. Then you twist the outer ring, and the part of the condom outside your body until it’s closed, gently pull it out and throw it away.

Dental-Dam-Header

Dental dams are the barrier we have to help reduce our risks of infections during cunnilingus (oral sex involving the vulva) or analingus (oral sex involving the anus). Some people have the idea that oral sex with someone with a vulva does not pose STI risks. While oral sex risks are higher when there is a penis involved, rather than a vulva, please know that does not mean cunnilingus poses no risks, or is an activity where it’s sound not to protect yourself or your partners. It does still present STI risks, particularly with common infections like Gonorrhea, HPV and the Herpes virus.

Like condoms, dams come in both latex and non-latex. Like condoms, they also are available with or without flavoring, if you have preferences in this regard.

How to Use Dental Dams:

Open the package carefully, take out the folded square and open it up — it’s like the littlest bedsheet on earth, and you just want to open up that sheet like you were making the littlest bed. You and/or the person whose vulva, or anus, is having the dam put unto may want some lube on their genitals before putting it on. Then you, or they, just place it over the genitals, and you, or they, hold it there with hands during sexual activity. whiteDental-Dam-Placement

That may sound like a stumper, until you think about how often you’re usually also using your hands anyway with cunnilingus or analingus. Basically, all you’re doing with the dam is having the edges of it stay between where your fingers might be anyway, or your partners, and being a little mindful about that to keep it in place.

Make sure the same side of the dam that’s been against the body stays on that side.(Pro-tip from one of our volunteers: use a permanent marker to put an irreversible word/letter on the corner of one side if you’re worried about spacing which side is which.) When you’re done using it, throw it away, and as with other barriers, don’t reuse: you need a new dam for any additional sexual activities, or if you want to change the part of body you are using it on, like, for example, starting with cunnilingus and shifting to analingus.

Dams can be tricky to find in some areas, or for some populations — like younger people. If they aren’t available where you already purchase condoms, they can be found online. If online ordering won’t work for you, that doesn’t mean you have to go without! You can make a dam by cutting a condom lengthwise, or by cutting a glove: check out these easy instructions for DIY dams. You also have the option of using Saran Wrap or Cling Film instead, just don’t choose the kind expressly for microwave use, since, as it tells you on the box, that kind has tiny perforations in it intended to let steam out, but which would also let germs in.

Want more information on dental dams and related issues? Take a look at these links:

Gloves-and-finger-cotsGloves and finger cots can be used to reduce the risk of infections with manual sex, like fingering, handjobs, or any kind of anal play with the hands. While manual sex poses far less risk of infection than intercourse or oral sex do, and handwashing does a great job by itself at reducing risks, gloves and finger cots still have some good things to offer. Like condoms, you can find both latex and non-latex options.

For instance, they make things feel better for some people. Genital tissue is tender, and hands, fingers, or nails can be rough, even when we take good care of them. Callouses and hangnails can cause abrasions that don’t feel good and increase our risk of infections. Gloves feel slick and uniformly smooth; that not only tends to feel mighty-nice, it helps prevent small genital tears or abrasions which do not feel mighty-nice at all. It can also be harder to wash our hands sometimes or in some settings, and gloves or finger cots give us the ability to change them, without having to run to the bathroom for another handwash, between activities easily.

You probably already know how to put on a glove: you just put your fingers and thumbs inside. Just know that hands need to be dry before using them, otherwise they can be harder to put on. You also want to avoid using the kind of latex gloves with powder inside when using gloves for genital sex. As with other barriers, lube plays a big role in things feeling good. As with other barriers, you don’t want to reuse gloves. You want to use them for sexual contact with one specific body part only: a different sexual activity means a new glove is needed. To take them off, pull from the base of the glove, at your wrist, towards your fingertips. The glove will turn itself inside out as you pull it off from the bottom. That makes getting them off easier, and also keeps all those fluids inside when you toss it.

Finger cots look like really tiny condoms: you just roll one on a fingertip (or more than one, if you like!), when you are going to use just fingertips for something. You know the drill: lube, one cot per activity or place, no reusing, roll them off and toss’em when you’re done.

Gloves are available at pharamcies, and sometimes even at grocery stores (look in the drugstore aisle). Finger cots can be found online. whSex-Toys-Header

Sex toys, like people’s bodies, can also carry, harbor and transmit pathogens. Many can’t be boiled, and are made of porous materials that pathogens like hanging out in. If you want to be safe with your toys, even when you’re the only one using them, you want to cover any toy that can’t be boiled or otherwise safely and effectively sanitized, and use a new barrier with every use. Ideally, you don’t want to be sharing most toys, but if and when you do share, or plan to, using barriers is important for everyone’s best health. Using barriers with toys also often makes cleaning them and keeping them clean a whole lot easier! Dildos-look-good-in-condoms

Condoms cover dildos and other long-shaped toys well, and you can also drop a small, corded vibrator, like bullet styles, into a condom and cover it that way. For sleeves or pumps, toys meant for the insertion of penises, you simply use a condom like you would for intercourse while using it. If you are using household objects for masturbation, they very much should be covered, but even if they are, they shouldn’t be shared. For several reasons, some pretty basic etiquette and good-neighborliness among them.

Finger cots can also cover small toys. If you feel stumped about what to use, a dam can be a good option, because you can wrap almost anything in it and have plenty of it left to hold unto. You can also use a dam (or condoms) for safer sex with toys by putting it on your body part you were going to contact with the toy.

Don’t forget lube!

whiteWater-based-lubricantsLatex barriers should not be used with oils or oil-based lubricants, as most will degrade the latex. The easiest way to be sure you’re using the right lube? If it says it’s latex safe, and/or meant for sexual (or vaginal) use, you’re good. When in doubt, stick with something water-based or, if you want to get more adventurous with your lubes, do so only when using non-latex barriers.

Barriers are usually easy to use once you get the hang of them and get into the habit of consistent use. They’re easy to learn to like once we feel confident and capable with them: when using barriers feels like a major drag, it’s often because one or more of the people using them, or thinking about it, doesn’t feel experienced enough using them, or doesn’t know how to use them in the ways that feel good yet. Learning how to use them and getting practice can not only help them to be most effective, it also will typically help people feel a lot more happy about them emotionally and socially.

Three ways to make using barriers feel easier:

1) There’s no perfect thing to say to convince a person who does not want to use barriers to use them. There’s also no special way we need to ask — beyond something like, “Can you/we use a condom/dam/glove, please?” — or even can ask to make magic happen and change someone’s mind on this.

Letting go of any expectation you will ever need to say anything to someone who refuses EXCEPT, “Oh well, seeya later then,” can make you feel more relaxed pretty instantly about inviting partners to use barriers with you. You don’t ever, seriously, ever, have to have arguments about this or write a fully cited thesis to try and prove your point to a partner. You just need to offer, and if they don’t accept, just graciously choose not to have sex with them.

If your words feel clumsy or uncomfortable,the easiest, simplest way to ask someone to use a barrier is just to hold it out and offer it to them before you do what you were about to start doing. That’s it. So easy. And it works very, very well.

You don’t even need to use any words; you often won’t have to, since most people know what barriers are for. When you’re about to do something sexual and you just take out the barrier and hold it out, or start putting it on yourself, most people get that barriers are a given if they want to have sex with you, and they will just get right on board if sex with you is something they want. (Or, they may feel the same way, you just pulled out the barrier before they did!).

All people asking each other to use barriers is is just someone, or more than one someone, actively caring for their health and that of their partner in a very basic, noninvasive way and asking for cooperation with that. You may need to negotiate or adjust some things, like what style or kind of material or lube someone likes, talk about testing, or show a partner how to use a barrier. But really, just taking it out and using it or handing it over — or words as clear and simple as, “Can you/we use a condom/dam/glove, please?” — should generally suffice. Which leads us to…

2) Keep barriers (and lube!) on hand. Don’t rely on others to have them, or set things up so only one partner is responsible for getting them. Share in both the freedom and responsibility of having them yourself! If you want to offer them to partners, you obviously need to have them in the first place. Plus, when barriers aren’t used when they’re needed, it’s often because no one has them handy when they need them, and both people were assuming the other person would. whiteStop-in-the-name-of-love

3) Know and understand: a barrier against pathogens is not a barrier to intimacy, to closeness, bonding or pleasure. A LOT of people think or believe those things, and this is a case where thinking or believing a thing actually CAN make it so. We know from study that those negative thoughts influence people’s experience of condoms. People who think condoms or other barriers are a drag, or get in the way of closeness or pleasure often wind up experiencing them exactly that way because they strongly believe those things to be true. On the other hand, people who don’t believe those things, who think neutrally or positively about barriers, often experience intimacy, closeness, pleasure and bonding while still using barriers. Because barrier use also often involves communication, honesty and mutual care, it, and the skills we hone when practicing safer sex together, can actually help facilitate and support intimacy and pleasure, rather than standing in their way.

Look, we can’t always stay healthy. We’re people, we get sick sometimes. STIs are very common, especially among those in their late teens and 20s: they are challenging to avoid. Some people have already contracted an STI early, especially since so many people don’t use barriers right from the start, don’t use them with all kinds of genital sex, or have not used them consistently or correctly. It happens, and like any illness, it’s not something anyone needs feel shame around, even if and when they contracted an STI by knowingly choosing to take risks. Rather, it’s something to get better from or cope with, changing what habits you need to to better support your health in the present and future, just like with any other kind of illness.

We obviously want to avoid STIs or transmitting them whenever we can, just like we want to avoid getting or passing on strep throat. Using barriers is about doing something basic to protect our health and that of others, like covering our mouths when we cough, washing hands before eating, or staying home when we’re sick instead of giving everyone the flu. It’s also harder to feel a desire to be intimate, and to experience pleasure when we’re sick.

These kinds of barriers? Good stuff. Good stuff that even helps the good stuff stay good stuff, even. Once you know what they are and how to use them, and get some practice with them under your belt (as it were), they’ll likely turn out to be one of the easiest things you do to protect your health and also one of the things you do in your sex life that leaves you feeling highly empowered, capable and in control of your body and health.

Go to Scarleteen to read the entire post for more instructions on how to use all the protective barriers under the sun!

heatherHEATHER CORINNA is an activist, artist, author and the director of Scarleteen, the inclusive online resource for teen and young adult sex education and information. She is also the author of S.E.X.: The All-You-Need-to-Know Progressive Sexuality Guide to Get You Through High School and College and was a contributor to the 2011 edition of Our Bodies, Ourselves. She’s received the The Champions of Sexual Literacy Award for Grassroots Activism (2007), The Society for the Scientific Study of Sexuality, Western Region’s, Public Service Award (2009), the Our Bodies, Ourselves’ Women’s Health Heroes Award (2009), The Joan Helmich Educator of the Year Award (2012), and The Woodhull Foundation’s Vicki Award(2013).

ISABELLA ROTMAN is a Chicago cartoonist and illustrator from Maine who truly cares about your genital well being. She is the author of the queer and quirky sexual health book You’re So Sexy When You Aren’t Transmitting STDs and a recent graduate from the School of the Art Institute of Chicago. Other than educational comics, Isabella’s art is usually about the ocean, mermaids, crushing loneliness, people in the woods, or sex. If any of the above interests you then you may enjoy her self published comics or blog ThisMightHurt.Tumblr.com.

scarleteenSCARLETEEN is an independent, grassroots sexuality education and support organization and website. Founded in 1998, Scarleteen.com is visited by around three-quarters of a million diverse people each month worldwide, most between the ages of 15 and 25. It is the highest-ranked website for sex education and sexuality advice online and has held that rank through the majority of its tenure.
Find Scarleteen on twitter @Scarleteen