Last week I said safe sex means different things to different people. On a personal level, that means each of us needs to define safe sex for ourselves. Today we’re going to walk through defining safe sex. What is means to you, and how you can take steps to keep yourself safe while enjoying the sex life that suits you.
How Safe Do You Want to Be?
An Indie driver and a commuter both try to be safe when they drive–but what an Indie drive considers “safe” most commuters would consider suicidal. Race car drivers wear fire-proof undies for a reason.
Do you want to be completely protected from any risk of STIs? Are you comfortable with maybe getting herpes but want to be sure you are safe from HIV? Maybe you know your statistics and just want to get tested once in a while so you can get treated for anything early.
In addition to STIs, there is also pregnancy. Unlike STIs, how protected you want to be when it comes to pregnancy may vary from partner to partner.
As far as pregnancy goes you can opt entirely by never putting penis and vulva together. Or (slightly less extreme) never have PIV and except the infinitesimal risk that sometimes comes with getting semen on the outside of the vulva.
You can use various forms of birth control, which has more risk that not having PIV sex at all, but way less risk than going without birth control.
Or you can say fuck it, I don’t care about starting a pregnancy (or fuck it I WANT to start a pregnancy) and go for all the PIV sex with no birth control.
STIs are complicated–maybe there are some STIs you are willing to risk (Personally, I don’t give a fuck about herpes) but others you want to be protected from. What protects against some STIs won’t offer protection against others.
In general terms, you can choose not to have genital contact at all, and that will reduce your chance of getting STIs to almost nothing. (Sexually transmitted infections can be transmitted other ways–they aren’t exclusive to sex. For most STIs however, non-sexual transmission is rare.)
You can only have genital contact with people who get tested regularly and weren’t infected at the time they got tested. This offers significant protection, but not perfect protection. The more frequently you and your sex partners connect with new sex partners, the less protection it gives.
You can use barrier methods such as condoms and dental dams. This provides some protection against some STIs. It provides significant protection against HIV and Hep B, two of the STIs that are the most worrisome in terms of treatment and long-term impact.
You can combine STI tests and barrier method for more protection than either alone.
You and your partners can do visual checks of each other for outward signs of infection, which provides some protection against a few STIs.
You can not worry about protection for most STIs ahead of time. Truvada will protect you against HIV.
You can just get tested yourself regularly so you can catch and treat any infections early.
Which of these options sounds like “safe sex” to you?
Once you have a general idea of how you would define safe sex, it’s time to do some research. Learn about the different STIs and how they are transmitted. Learn about different birth control options. As you learn, you are further defining safe sex for yourself.
Maybe you started with wanting the protection that comes from only having sex with partners who test regularly and test STI negative. But as you learn more you decide that you really aren’t concerned about herpes and genital warts, so you’re comfortable being with a sexual partner who has either one of those STIs. Maybe you aren’t worried about barrier methods as protection from STIs, but as you learn about birth control options you decide that you definitely want to use condoms in addition to any hormonal birth control. That extra protection is reassuring.
Make sure you take the time to talk with your partner(s) about how they define safe sex. You don’t need to agree, you do need to respect each other’s definitions. Always remember that people need to be able to consent to risks. Don’t put your partner at risk in ways they don’t consent to, and if a partner puts you at risk without your consent, it’s time to get out of that relationship.
This post is part of the Safe SEx and Polyamory blog series.