A Note On Safer Sex
Anyone entering a new sexual relationship or who has multiple sexual partners, should be aware of the risk of unprotected sexual activity when the history of the partner is not known. Although many people focus on HIV, which is thought to cause AIDS, there are many other sexually transmitted diseases (STD's) which are much more common and more easily transmitted. They include chlamydia, gonorrhea, genital herpes, hepatitis B, human papillomavirus infection, and syphilis. Some of these STD's may cause no symptoms when you contract them and are only revealed when serious complication (e.g. sterility) occur.
The cornerstone of safer sex is good communication. Realistically, many people will not share the intimate details of their sexual past with a new partner. It is therefore necessary to at least discuss safer sex practices when a relationship becomes intimate. Since the most serious STD is HIV infection and since it requires the strictest measures for protection, taking precautions against HIV will also protect you against other STD's.
After discussing the need for safer sex, both partners should visit a physician for an HIV test (which can be done anonymously with only a birth date and initials given), and examination to detect any pre-existing STD's. A latex condom should be used for sexual intercourse until the results are available. (NOTE: To be absolutely sure about HIV infection, a condom should be used until a second test is done six months later. If the partner has been recently infected, the test may not be positive initially.) If a lubricant is necessary, be sure it is a water based product, rather than an oil-based product, such as Vaseline, which can compromise the integrity of the latex condom.
Remember that there are many pleasurable sexual activities that are low risk, such as massage, intimate kissing, or mutual masturbation. These activities do not require a condom and may actually be more enjoyable for some female partners who do not experience orgasm through intercourse (up to 50% of women).
Detailed information on safer sex practices, STD's or the proper use of condoms is available in our patient information centre. Please do not hesitate to ask questions of our nursing staff if you have concerns.