Safer sex and sexually transmitted infections (STIs)

There are many things you can do to have safer sex. Safer sex means more than preventing STIs or unintended pregnancy. It’s also about communication, consent and respect.
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What is safer sex?

Safer sex is not just about protection from unplanned pregnancies and sexually transmitted infections (STIs). It’s also about making sure everyone involved feels safe and respected.

Communication is an important part of safer sex, no matter what type of relationship you’re in. Before you have sex, it’s important to talk about:

  • consent
  • contraception
  • sexual preferences
  • boundaries
  • STIs.

Consent is an important part of safer sex. Sex should only happen when the people involved give enthusiastic consent.

It’s also important to check in during and after sex. This helps everyone feel safe and respected.

How to have safer sex

Practising safer sex helps protect you from STIs. Anyone can get an STI, even people who look strong and healthy. Some people don’t even know they have an STI.

It’s important to communicate openly and agree on protection before you have sex.

Oral sex doesn’t reduce the risk of getting an STI. Common STIs such as herpes, gonorrhoea and chlamydia can all be transmitted through unprotected oral sex.

Some STIs can even be spread by mouth-to-mouth contact, so it’s important to consider this before kissing someone.

Sexually transmitted infections (STIs)

An STI is an infection spread from one person to another usually during sex. STIs can be spread through:

  • semen
  • vaginal fluids
  • anal fluids
  • blood
  • skin-to-skin contact
  • saliva.

There are different types of STIs. For example:

  • viruses
  • bacteria
  • parasites (e.g. pubic lice).

Safer sex can protect against:

  • sexually transmitted infections
  • blood-borne viruses, such as Hepatitis B and C.

Some infections can be cured, but others must be managed. You can have an STI and not have any symptoms. The only way to know is to have an STI check.

Common STIs

Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is an infection of the uterus, fallopian tubes and ovaries. While it’s not an STI, PID can be a complication of some STIs, most commonly chlamydia and gonorrhoea.

If not treated early, PID can scar your fallopian tubes. This can lead to infertility or pregnancy complications such as an ectopic pregnancy (when a fertilised egg grows outside the womb).

Symptoms of PID can include:

  • pain in your lower belly
  • bleeding after sex or between periods
  • heavy or more painful periods
  • smelly vaginal discharge
  • painful sex
  • feeling sick
  • fever.

If you have any of these symptoms, see your doctor. Treatment usually involves a combination of antibiotics for at least 14 days. It’s also important to avoid sex for at least 7 days after starting treatment.

What to do if you have an STI

If you are diagnosed with an STI, it’s important to follow the treatment recommended by your doctor. Take the full course of medicines, even if you start to feel better and symptoms go away.

It’s also important to tell anyone you’ve recently had sexual contact with so they can be tested and treated too.

If you find this hard, the following websites have tips on how to tell your partner and ways you can send an SMS or text without them knowing it’s from you:

Safer sex after a long-term relationship

If you have been in a long-term relationship and, for different reasons, you’re ready to start having sex with other people, it’s important to have safer sex.

STIs are increasing among older women in Australia at a faster rate than among younger women.

Many older women say they find it awkward to talk about safer sex if they are starting a new relationship. They’re also less likely to use condoms. This might be because they:

  • have not used condoms in their past relationships
  • are not worried about getting pregnant
  • do not know about the risk of STIs
  • find sex with condoms uncomfortable, especially if they symptoms like dry vagina
  • have an older partner who finds condoms difficult to use or keep on.

If you’re starting a new relationship after many years, it’s important to discuss safer sex with new partners. To be even safer, you can both have an STI check before having sex. If any issues make it hard for you or your partner to use condoms, talk to your doctor.

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