I try to keep my posts sexuality-neutral, since most sex & relationship subjects apply to all women (and sometimes to men). But since so much information out there has a definite hetero slant, I want to talk directly about lesbians and sexual health. I've had lesbian patients
think that they're safe, but many of the same
safer sex practices apply.
- Whether or not you've ever had intercourse with a guy, you still need regular pap smears. HPV
can be transmitted from genital-to-genital contact, even if a penis
isn't involved, and may hitch a ride on your fingers or sex toys. If
your gyno doesn't seem attuned to your concerns and needs, find
another. Some of my patients didn't seek care for years after facing
prejudice from a doctor. Don't let someone else's bias impact your
health care.
- Speaking of toys, it's best not to share. Any bodily fluids can
transmit infection; keep your toys clean, but keep them to yourself.
- While the risks of sexually transmitting HIV between women are very
low, and very few women are known to have become infected with the
virus through sexual activity with a woman, it is possible. There's increased risk of transmission if a woman has cuts or cold
sores in her mouth, or if her partner receiving oral sex has genital
sores or is menstruating.
- Make oral sex safer by using a barrier to prevent any vaginal fluid or blood from getting into your mouth. While you can buy dental dams for this specific purpose, a condom cut open or even a piece of Saran Wrap can be used in a pinch.
- Any sexual activity that can lead to cuts or breaks in the lining
of the vagina or anus is risky. So if you engage in aggressive play
like fisting, make sure you use plenty of lube and take your time.
I'll directly address particular STDs in my next post. Have any of you felt safer by only having sex with women?
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