sex-and-relationships - safe sex

 

 

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Safe Sex - Making Sex Safe

Sex is, as we know, great fun and very tempting. You meet a new person, you both feel attracted, you have a few drinks, and before you know it you're in bed together hopefully having a great time. Unfortunately, a few days later, you find you have an itchy vagina or a discharge from your penis - and alas, it's off to the sexually transmitted infections clinic for you.

 

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In days gone by, of course, this common scenario might have been inconvenient but it could be rapidly sorted out with a dose of antibiotics. Nowadays, though, things are not so simple: unprotected sex can kill you if you catch HIV, the virus that causes AIDS. This is an unpleasant disease in which your immune system stops working effectively and you die of horrible infections of the lungs, brain or other organs. Think about that. In the moment when you decide to have sex with someone you don't know, without a condom, you can be signing your own death warrant. It's a sobering thought, or at least it ought to be, but unfortunately the facts seem to suggest the message about safe sex isn't getting through to the groups most at risk.

Among men who have sex with men, one recent study by the Center For Disease Control in seven US cities showed that 25% were infected with HIV, and 48% of those infected were unaware of their infection. Many of these men will also have sex with women, which may be why the total number of people diagnosed with AIDS in the USA is fast approaching one million. This total increases by more than 40,000 each year. 

Around half of all people with AIDS were probably infected with HIV through male-to-male sexual contact. People exposed through heterosexual contact comprise around 16% of the total. However, the number of heterosexual infections has recently increased dramatically. Reliable sources suggest heterosexual contact led to about one third of new AIDS diagnoses and new HIV diagnoses in 2003. Just to scare you a little more, in New York one in every thirty adults is estimated to have HIV.

More than 18% of all adults and adolescents diagnosed with AIDS have been female. Among new AIDS diagnoses in 2003, and among new HIV diagnoses, this proportion was 27%. (Source.)

And in case you think a bit of a fling on vacation is harmless fun, in countries outside of North America, Europe and Australia, the majority of sexual transmission of HIV takes place by the heterosexual route. (Source.)

"But I'm not in a high risk group," you may say, "and in any case, I won't get infected, I don't meet that kind of person." The truth is that anyone and everyone can be carrying a sexually transmitted infection - including the HIV virus. There are even some people who have it who won't tell you they've got it before you have sex with them. "Ok," you say, "but these days no-one dies from catching HIV - there are drugs to stop AIDS." And that's true up to a point, for even though they are horrendously expensive and have a lot of unpleasant side-effects, these drugs can indeed extend your life by inhibiting the development of the HIV virus into full-blown AIDS. However, no-one knows what the long term effect of taking them may be. And while some doctors regard HIV infection as just a chronic illness which necessitates taking drugs and constantly seeing doctors (reducing it almost to the status of an inconvenience), others take a different view. Jeffrey Lennox, professor of medicine at Emory University, for example, says: "People are getting infected in their early 20s and 30s. It is hard to predict that in 20 years they will still be alive. People like to say HIV infection is like having adult-onset diabetes, where you can live for 40 years with the disease. We certainly hope that is the case with HIV, but it is hard to predict. It is hard to say that will happen for sure."

Unless you want to play Russian Roulette with your life, what this all amounts to is that your sexual choices outside a regular relationship are these: (1) no sex with partners whose sexual history you're unsure about or who haven't had a recent HIV/AIDS test; (2) sex without intercourse; (3) intercourse with a condom.

No sex please, we're keeping safe

Abstinence can be a hard choice - temptation is all around us, and besides which, in my view, not having sex is an unnatural way of life, even if it suits some people (Catholic priests and ascetics, for example. Hmmm...). The practical problem is that when you get into a situation where you have the option of sex, you may not be prepared for it (for example, by not carrying a condom) if you opt to take this route. So plan ahead: decide what you'll do and say if the opportunity for sex arises and you don't want to take it.

 

Sex without intercourse

 

There are many ways to make love without penetrative sex. Mutual masturbation, ejaculating over your own or someone else's body, provided your semen or vaginal fluids don't enter your partner's body, can be fun, especially if you use a lube to make masturbation easier (a water-based lube for her vulva, and either a water-based or oil-based for his penis. But remember oil-based lubes rot condoms pretty quickly, so you don't want to mix this type of sex-play with vaginal or anal penetration). 

Oral sex is another good approach to avoiding penetration of the vagina or rectum; even so, some people still think there may be a  risk of HIV transmission through oral sex. If a man ejaculates into his partner's mouth and she has a cut or abrasion in her mouth or gums that is certainly risky: many people bleed slightly when they brush their teeth, so it's probably best not to ejaculate inside a partner's mouth unless you're sure of each other's sexual history. HIV can be found in saliva, but there seems to be no recorded case of infection through saliva. Reasons why? Probably because the lining of the mouth is less prone to infection than the wall of the vagina or rectum; it's also been suggested that saliva inhibits the virus. Current thinking is that HIV is transmitted when blood, breast milk, vaginal fluids, semen or menstrual blood get into your blood stream through a mucus membrane (lining of the mouth, nose, vagina, rectum) or a cut in your skin. HIV can also be transmitted by sharing needles if you're injecting drugs intravenously.

Juts in case you don't know, the greatest risk of infection is from unprotected anal sex: the lining of the rectum is thin and unsuited to the rough and tumble of penile thrusting - it bleeds easily. 

Finally, if you want more non-penetrative sex fun, try massage, frottage (rubbing your bodies together), masturbation, kissing, and using other parts of the body as stimulation - men may like to get off by rubbing their erect penis between their partner's breasts or buttocks, for example. Women can enjoy getting off as their partner masturbates them or gives them head. In the end, though, there's no sex like penetrative sex, so see below. 

 

Sex with a condom

 

During the war, so my father tells me, the troops were issued with a condom in a hard-wearing box, complete with instructions to wash and dry it after use, ready for next time. I guess sex with a rubber tire around your penis didn't strike horny young soldiers as much fun, which probably accounts for the high levels of gonorrhea and syphilis among the troops. It's a legacy of those days that makes us think condoms are still thick enough to reduce pleasure and make sex much less enjoyable. 

What's the truth?  First of all, condoms are effective in preventing pregnancy and transmission of HIV and STIs (sexually transmitted infections) when they are used correctly. This means

  • Putting the condom on after you get an erection, preferably as part of sex-play so you don't lose your erection.

  • Ensuring no air is trapped in the teat as you unroll the condom onto your penis. This way you can fill it with your ejaculate without shooting the condom off with the force of your massive ejaculation.

  • Unrolling it all the way down your penis.

  • Withdrawing from the vagina or rectum before your penis collapses after its exertions, and holding the condom on while withdrawing so no semen leaks out.

  • Using the right sized condom (it's not true that one size fits all. At least look for "snugger fit" or "tight fit" if you are less well-endowed and "maxim" or "gold" or other such euphemisms if you are well-endowed).

For men: Having conducted a lot of research on a personal basis, I can promise you that the supposed loss of those glorious sexual sensations you get when enjoying vaginal or anal thrusting will be minimal if you use the right sized condom made of a modern thin and extra sensitive latex.

You might care to read the material on condoms on this website, which includes a table of sizes so you can get the right one to fit your penis.

Second of all, condoms will work well for you and your partner in allowing you to enjoy safe sex without worrying. Both men and women need to be prepared by working out in advance which condom brand suits you and then carrying it with you into those situations where casual sex might occur. A man can get the size that fits him best, but it's harder for a woman to do this, as she doesn't know what size penis her lover may pull out of his pants. Even so, if she's made the decision to enjoy casual sex, then she has a responsibility to be prepared to protect herself. So even if she doesn't need the condom when things get sexy, she can still carry an average size condom that works for her.

A few other pieces of advice: 

If you're allergic to latex condoms, use polyurethane ones like Durex Avanti. 

An interesting alternative to the male condom is the female condom, which slips into the vagina and is held in place by a ring outside the vulva. (You can see all these at the links provided below.) 

And there's a new breed of condom with a huge head (known as "pleasure shaped") which is designed to allow the glans to move around freely inside its latex coat. These condoms are reputed to improve the experience of sex with a condom to the point where the man wouldn't know the couple's using one. Quite how the experience is for his partner, I'm sorry to say I can't report!


Pleasure shaped condoms

Left to right: Lifestyles His and Hers Pleasure Condom, Trojan Twisted Pleasure Condom, InSpiral Condom. 

Buy them here: when you get to the retailer's website select "Condoms" from the menu bar and then Shop by type: "Pleasure shaped." 

See below for other suggestions. Buy any type of condom here.


The Female Condom

Read about it here. 

Buy it here. When you get to the retailer's website select "Condoms" from the menu bar and then Shop by type: "Female."

 

 


Large condoms for the thicker or longer penis

We recommend Lifestyles XL or Similar Brands.

Buy them here. When you get to the retailer's website select "Condoms" from the menu bar and then Shop by size: "Roomier top to bottom."

 

 

 


Snugger fitting condoms for the less-well-endowed man

And for the most compact of penises, we recommend Lifestyles Snugger Fit condoms or Kimono Beyond 7.

Buy them here. When you get to the retailer's website select "Condoms" from the menu bar and then Shop.

 

 

 

 

 

 


 

 

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