IB HUMAN SEXUALITY
SEXOLOGY IN THE AGE OF AIDS
Dr ML Ng
Mon 23-09-02
Aim
- To prevent transmission of STD
- To prevent transfer of body fluids, especially blood and semen during sexual intercourse.
Some wrong ideas about safe sex
- Ask for absolute safety
- One sex partner, monogamy
- What is promiscuity?
- A partner that you can trust
- Blood checking
- No sex
The concept of safety in degrees
- Different sexual behaviours have different degrees of safety
- To teach and to know about them
- Informed choice depending on situations
The Very Safe
- Sexual fantasy
- Masturbation
- Pornography
- Watching
- Embrace, petting, dry kissing, bathing
- Sex talking
Fetishism
The Moderately Safe
- Wet kissing
- Playing with excreta
- Fingering, fisting
- Coitus with condom
- Anal sex with condom
- Oral sex with condom
- Proper use of sex aids
The Unsafe
- Unprotected coitus
- Semen swallowing, unprotected oral sex
- Unprotected anal sex
- Contact with bleeding sites
- Contact with menstrual blood
- Shared use of uncleaned sex aids
- Post-coital douching
How to use a condom
- Know the types of condom and their uses
- Selecting the right condom ® size, colour, smell; try with the partner; change of partner or self?; reselect after some time
- Expiration date
- Carriage and storage
- How to open the package
- Testing for leaks?
- The air-bag at the tip
- Root of penis
- Non-oily lubricant
- Sexual position
Double safety?
- Prevent drying up
- Withdrawal
- Removal of the condom
- Disposal and no reuse
- Covering of nearby exposed wounds (plastic shields)
Emergency Measures
- Stop and withdraw
- Urination
- No douching
- Emergency shields
- Spermicide, soap, bleaching liquid, 0.3% - 3% H2O2, 40% ROH (external only)
Do not forget the female condom!
Social policies for safe sex
- Attitudes and laws on deviant sexual behaviours and relations Prostitution
- Marital system
- Development of safe-sex facilities: condoms, sex aids, pornography etc.
- Sex health counselling and services
- Sex education
Target problems
- Denial, shame and stigma
- Bans, isolation and quarantine
- Discrimination against risk groups
- Mandatory testing?
- Problems of AIDS education ® morality, explicitness, timing, target population