Lesbian Safer Sex

Whether a sexual practice is safe or not depends upon the likelihood of body fluids coming into contact with one another (including blood, vaginal fluids, and semen). This is the same for sexual relationships between partners of any gender. Some of the female-specific precautions that can be taken, particularly necessary when your partners sexual history is unknown or unconfirmed to you, are indicated here.

Female to female transmission of Syphilis, Gonhorrea, Chlamydia, Herpes and Crabs are as likely as any other gender pairing. As such lesbian couples should also be aware of the need to protect and seek advice immediately if anything abnormal occurs. With the structures of the reproductive systems as they are, women are more likely to suffer serious consequences of untreated STDs, including fallopian tube damage, uterine dysfunction and sterility brought about by secondary and tertiary infections.

Activity Risk Comments
Kissing Low Low risk if no mouth cuts or ulcers
Tribadism & Massage Low Risk minimal if no contact with body fluids
Sex Toys Low Avoid sharing
Masturbation Low Providing no contact with body fluids
Cunnilingus (oral sex) Moderate
Use a dental dam or other barrier device. Avoid during menstruation
Fisting High Use a barrier device.
Rimming High Use a dental dam
Bondage Moderate - High Avoid contact with body fluid and blood through cuts. The heavier the bondage the higher the risk

Female – Female HIV Transmission

Whilst often thought of as a virus only spread during heterosexual or male homosexual penetrative sex, this is not the case. Cases of HIV transmission amongst monogamous female relationships have been reported. Just as the virus can be spread from male to female prior to ejaculation, the vaginal fluids can theoretically harbour the HIV virus. As such, dental dams or other barrier devices should be used. The blood provides the greatest risk of HIV transmission (along with Hepatitis B & C), and as such any activities that may result in contact with blood are best avoided. Barrier devices (dental dams or Microwavable Cling Film, when practicing oral sex, gloves during fisting etc) are the best approach to minimising the risk.

Sourced and written by: Matt J Booker RMT

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