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Definition Return to top
Safe sex means taking precautions during sex that can keep you from getting a sexually transmitted disease (STD), or from giving an STD to your partner. These diseases include genital herpes, genital warts, HIV, Chlamydia, gonorrhea, syphilis, hepatitis B and C, and others.
Information Return to top
An STD is a contagious disease that can be transferred to another person through sexual intercourse or other sexual contact. Many of the organisms that cause sexually-transmitted diseases live on the penis, vagina, anus, mouth, and the skin of surrounding areas.
Most of the diseases are transferred by direct contact with a sore on the genitals or mouth. However, some organisms can be transferred in body fluids without causing a visible sore. They can be transferred to another person during oral, vaginal, or anal intercourse.
Some STDs can also be transferred by nonsexual contact with infected tissues or fluids, such as infected blood. For example, sharing needles when using IV (in the vein) drugs is a major cause of HIV and hepatitis B transmission. An STD can also be transmitted through contaminated blood transfusions and blood products, through the placenta from the mother to the fetus, and sometimes through breast-feeding.
The following factors increase your risk of getting a sexually-transmitted disease (STD):
Drinking alcohol or using drugs increases the likelihood that you will participate in high-risk sex. In addition, some diseases can be transferred through the sharing of used needles or other drug paraphernalia.
Abstinence is an absolute answer to preventing STDs. However, abstinence is not always a practical or desirable option.
Next to abstinence, the least risky approach is to have a mutually monogamous sexual relationship with someone you know is free of any STD. Ideally, before having sex with a new partner, each of you should get screened for STDs, especially HIV and hepatitis B, and share the test results with each another.
Use condoms to avoid contact with semen, vaginal fluids, or blood. Both male and female condoms dramatically reduce the chance you will get or spread an STD. However, condoms must be used properly:
Here are additional safe-sex steps:
In summary, safe sex requires prior planning and good communication between partners. Given that, couples can enjoy the pleasures of a sexual relationship while reducing the potential risks involved.
For information about preventing pregnancy, see birth control and family planning.
References Return to top
Cohn SE. Sexually transmitted diseases, HIV, and AIDS in women. Med Clin North Am. 2003; 87(5): 971-995.
Greydanus DE. Contraception for college students. Pediatr Clin North Am. 2005; 52(1): 135-161, ix.
Polizzotto MJ. Prevention of sexually transmitted diseases. Clin Fam Pract. 2005; 7(1): 1-12.
Workowski KA, Berman SM. Centers for Disease Control and Prevention (CDC). Clinical prevention guidance. Sexually transmitted diseases treatment guidelines. MMWR Morb Mortal Wkly Rep. 2006;4;55(RR-11):2-6.Update Date: 5/12/2008 Updated by: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.