Historically, when sex education was introduced to the general public, content was focused on puberty education for cisgender people, heterosexual sex, pregnancy prevention, and reduction of sexually transmitted infections (STIs). During that time, there was a great deal of stigma and discrimination associated with being lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA). Gender-inclusive terms such as “nonbinary” and “trans” hadn’t yet entered mainstream language and culture.
This historical context and rampant homophobia and transphobia created a foundation where most sex education curricula didn’t acknowledge the existence of LGBTQIA and nonbinary individuals. Sex education programs were, instead, developed based on the assumption that those receiving the information were solely heterosexual and cisgender.
That’s why we worked with GLSEN and Advocates for Youth to ensure that this safe sex guide is aimed at understanding the nuanced, complex, and diverse gender identities, sexual orientation, attractions, and experiences that exist in our world, which vary across cultures and communities.
Update: We have updated this section to clarify how we use terms referring to genitalia. You can read more about these changes here.
Traditional safe sex guides are often structured in a way that presumes everyone’s gender (male/female/nonbinary/trans) is the same as the sex they were assigned at birth (male/female/intersex or differences in sexual development).
Sex education resources often use videos, pictures, and diagrams as a way to convey important information, though these images and videos have historically failed to reflect or provide information about same-sex and queer relationships. In fact, the GLSEN 2015 National School Climate Survey shows that only about 5 percent of LGBTQ students saw LGBTQ representation in health class.
These guides also often unnecessarily gender body parts as being “male parts” and “female parts” and refer to “sex with women” or “sex with men,” excluding those who identify as nonbinary. Many individuals don’t see body parts as having a gender — people have a gender.
And as a result, the notion that a penis is exclusively a male body part and a vulva is exclusively a female body part is inaccurate. By using the word “parts” to talk about genitals and using medical terms for anatomy without attaching a gender to it, we become much more able to effectively discuss safe sex in a way that’s clear and inclusive.
For the purposes of this guide, we’ve chosen to include alternative words for readers to use for their genitals. For example, some trans men choose to use the words “front hole” or “internal genital” instead of “vagina.” Alternatively, some trans women may say “strapless” or “girl dick” for penis. This usage is meant for one-on-one communication with trusted persons, such as your doctor or partner, not for broad discussion.
In this guide, whenever we use the medical term “vagina,” we’ll also include “front hole” as clinically recommended by researchers in the BMC Pregnancy and Childbirth journal.
The lack of representation and anti-LGBTQIA bias that LGBTQIA and nonbinary people often see in safe sex guides stigmatizes certain sexual behaviors and identities. It’s also directly related to the reported within these communities.
Discrimination in the sex ed world along with lack of access to healthcare tailored for LGBTQIA people and their needs plays a role in health disparities observed in LBGTQIA communities. For these reasons, it’s imperative for safe sex guides to become more inclusive of LGBTQIA and nonbinary people and their experiences. This will help address barriers to accessing care and effective educational tools, while simultaneously normalizing and acknowledging the true diversity that exists with regard to gender and sexuality.
Gender identity is one component of gender and refers to the internal state of being a male, female, some combination of both, neither, or something else completely. Gender also includes gender expression and gender roles. Gender is different from sex, which is related to biological traits such as chromosomes, organs, and hormones.
While a medical professional attending a birth assigns sex by looking at an infant’s genitals, gender is something each person comes to understand about themselves. It’s important to remember that gender has to do with who someone is, and sexual orientation has to do with who someone is attracted to.
Here’s a list of more common gender identities and a quick description to better understand them:
- Cisgenderis the word used to describe someone whose gender identity is the same as the sex that was assigned to them at birth.
- Trans is an umbrella term that often includes anyone who might identify as transgender (a gender identity describing someone who doesn’t exclusively identify with the sex they were assigned at birth), genderqueer, nonbinary, transfeminine, transmasculine, agender, and many more. Sometimes people wonder if trans people are always gay, while other times people assume trans people can’t be gay. Just like cisgender people, individuals who identify as trans can have any sexual orientation — straight, gay, bisexual, queer, lesbian, or asexual. Also, different people use gender identity labels differently, so it’s always good to ask someone what that term means to them in order to get a better understanding.
- Genderqueeris a gender identity used by people who do things that are outside of the norm of their actual or perceived gender. Sometimes this label overlaps with the sexual orientation label.
- Nonbinary is a gender identity label that describes those who don’t identify exclusively as male or female. This means that a nonbinary person can identify as both male and female, partially male, partially female, or neither male nor female. Some nonbinary people identify as trans, while other don’t. If you’re confused which one of these terms to use for someone, as always, just ask!
- Transfeminine is an umbrella term used to describe someone who was assigned male at birth and identifies with femininity. Someone who identifies as transfeminine may also identify as a trans woman or female.
- Transmasculine is a gender identity describing someone who was assigned female at birth but identifies with masculinity. Someone who identifies as transmasculine may also identify as a trans man, trans woman, or male.
- Agender is the word used to describe those who don’t identify with any gender or can’t relate to gender terms or labels at all. Sometimes people assume those who identify as agender also identify as asexual, but this isn’t true. Agender people can have any sexual orientation.
Sexual orientation describes someone’s emotional, romantic, or sexual attraction to another person or group of people. Sexual orientation doesn’t tell us anything about the types of sex someone prefers or what body parts someone has. It simply gives us an idea of the range of people someone is attracted to.
Here are some common sexual orientations:
- Heterosexual, also known as straight, is a sexual orientation to describe the physical, emotional, and sexual attraction to people who have a gender that’s different from their own.
- Gay is a sexual orientation to describe a person who’s emotionally, romantically, or sexually attracted to people of their same gender and sometimes used by a person who identifies as man and who is emotionally, romantically, or sexually attracted to other men.
- Lesbian is a sexual orientation to describe a person who identifies as a woman, and who is emotionally, romantically, or sexually attracted to other women.
- Bisexual is a sexual orientation to describe a person who is emotionally, romantically or sexually attracted to two or more genders; often used to mean attraction to people with one’s own gender and other genders.
- Queer is a sexual orientation to describe a person whose feelings of emotional, romantic, or sexual attraction don’t fit into predetermined categories.
- Asexual is a sexual orientation to describe a person who doesn’t experience sexual attraction or desire towards other people but may experience romantic attraction.
- Pansexualis a sexual orientation used to describe a person who’s emotionally, romantically, or sexually attraction to people regardless of their gender or sex.
Sexual consent is the act of agreeing to participate in any kind of touching or sexual activity. Sexual consent should take place in every sexual encounter and with all types of sexual activity and touching. Yes, even kissing!
Often, consent involves a lot more than just a simple yes or no. It’s important to remember that the absence of a no doesn’t mean yes. There are often multiple behaviors to a sexual interaction, and consenting to one stage doesn’t necessarily mean someone is consenting to everything.
Checking in with your sexual partner before and during sexual behaviors can help create a safe environment where sex can be a mutually pleasurable and positive experience grounded in respect and understanding. If you’re worried about ruining the mood or moment, take time before things get heavy to talk about consent and sex as well as barriers and protections. This strategy allows sexual partners to stay in the moment while also having clarity about what’s OK and what isn’t.
Though consent is a serious thing, it doesn’t have to be a buzzkill. They are lots of ways to provide consent and finding the ones that work for you and your partner(s) can help create the trust and open communication that’s necessary to explore and have fun with sex.
It’s important to remember that the absence of a no doesn’t mean yes.
Consent can come in different forms, and it’s important to become educated on the various types in order to decide which form is the best fit for a particular person, group of people, or situation.
- Verbal or expressed consent is the act of using words to confirm agreement that you want something. The main thing to remember about this form of consent is that everything about the agreement is verbalized using words and there are no elements that are assumed or implied. If it wasn’t stated in the conversation or question, it wasn’t consented to.
- Implied consent is conscious and intentional agreement that someone wants something through their actions or body language. This type of consent can be tricky because the way body language and actions are interpreted varies from person to person. For example, one person may view flirtatious body language and touching as implied consent for more touching of other parts of the body, whereas someone else may view it as simply consenting to the flirtation and touching that’s currently happening. For this reason, it’s always best to get verbal consent too. Talk with your partner about how they feel about implied consent and the ways they use their body to communicate consent in a given sexual interaction.
- Enthusiastic consent involves both the verbal act of agreement and communicating the level of desire associated with that agreement. In simplest terms, it’s telling someone what you want and how badly you want it. The idea behind enthusiastic consent is that taking ownership and stating personal needs and desires is an important part of the consent process. Not only does this guide someone in knowing their partner’s wants and desires, both generally and in a given moment, but it also establishes a system of open communication for conveying preferences, turn-ons, and fantasies before and during sex.
- Contractual consent involves creating a written contract that outlines the sexual preferences of the partners involved and clearly states the sexual acts that can and can’t be performed, and in which situations. For some people, contractual consent means consent isn’t needed in the moment. For others, verbal, implied, or enthusiastic consent still need to happen. It’s important to remember that anyone can opt out of the contract or change the terms of the contract at any time. It’s helpful to revisit contractual consents regularly to ensure each person is still on the same page.
Practicing contractual consent allows partners to engage in sexual encounters knowing what’s agreed upon, both in terms of consent and sexual activity. That’s why contractual consent is nice for many partners who prefer not to talk about consent in the midst of sex. This can help people feel more prepared and comfortable, while also eliminating the need to interrupt a passionate moment.
Some ways to discuss consent with your partner
- “I was reading this article about different types of consent and realized we’ve never talked about it before.”
- “I want to make sure we’re respecting each other during sex. Can we talk about consent?” “Hey, I’m wondering if we can check in about consent?”
- “There are usually a few conversations I like to have before having sex. Do you mind if we talk about consent?”
- “I know it can be awkward to talk about these things, but I’m hoping we can talk about consent. I know that’ll make me feel more comfortable and lead to a more positive experience for me.”
An STI is an infection that’s passed from one person to another through sexual contact and activity. Although there’s often a lot of negative stigma — and sometimes shame — around contracting STIs, it’s actually quite common. According to the Centers for Disease Control and Prevention, there are approximately new STIs contracted every year in the United States, and 50 percent of these cases occur among people aged 15 to 24. Talking about STIs can be scary, but it’s super important to get tested regularly and talk with your healthcare provider about STIs if you’re sexually active.
Ways STIs can be transmitted
- Skin-to-skin contact
- vaginal/front hole sex
- anal sex
- oral sex
- contact with bodily fluids, such as blood or semen
Testing is also important, because many people with an STI may not know they have one. There are a number of STIs that don’t come with significant or visible symptoms, which is why getting tested is the most effective way to stay STI-free.
Most STIs can be treated with medication and many are cured with antibiotics. But when risk factors are ignored and STI symptoms go untreated, serious health issues can arise.
Some of the most common STIs
- human papillomavirus (HPV)
- hepatitis C
Each of those infections falls into a class of either bacterial STIs (chlamydia, gonorrhea, and syphilis) or viral STIs (HPV, HIV, herpes, and hepatitis C).
Treatment for a bacterial STI is typically a course of antibiotics. Unlike bacterial STIs, most viral STIs can’t be cured with antibiotics. The only one that can be entirely cured with treatment in most cases is hepatitis C.
When someone becomes a carrier of a viral STI other than hepatitis C, that person remains a carrier of the virus. Medications are used to help decrease the chances of transmission and protect against the serious health issues that could surface if the STI is untreated. But the virus remains inside the body.
Thanks to effective medications and safe sex precautions, most people with viral STIs are able to effectively manage symptoms and reduce their risk for transmitting the infection during sex.
Ways to prevent STIs
- frequent STI testing
- condoms and gloves used correctly with each sex act
- medications such as pre-exposure prophylaxis (PrEP) or post-exposure prophylaxis (PEP)
Talking with a healthcare provider about these options and their effectiveness may help someone decide which combination of methods makes the most sense for them.
Previously, there’s been a significant amount of research and data pointing to increased rates of STIs within the LGBTQIA community. , however, suggest that flaws in the language, questions, and topics included in past research result in questionable conclusions related to STI disparities and contribute to stigma surrounding the LGBTQIA community.
The language used in research should shift away from using gender and sexual identities to categorize certain sexual activities and experiences and instead focus on the sexual acts and behaviors that present the most risk for transmission and contraction of STIs.
We frequently hear about the importance of paying attention to our physical and mental health. For many people, it’s important to add sexual health to that list. Sexual health is an important part of your overall health. Sexual health includes:
- discovering sexual identity and attractions
- finding ways to communicate them to others
- preventing the transmission of STIs
Having access to information about how to stay safe during sex gives people the comfort and confidence to explore and fulfill their sexual desires with less anxiety and worry. Understanding different types of sex and ways to make it safer is the first step in taking charge of your sexual health.
Tips for safe oral and penetrative sex
- Talk with your partner about the last time they were tested for STIs.
- Don’t participate in this type of sex if you notice cuts, sores, bumps, or high-risk bodily fluids — such as blood — on their genitals or in their mouth, as this can be signs of an infection and can increase the chances of transmitting an STI.
Safe penetrative sex in a front hole, vagina, or anus
Penetrative sex, also known as intercourse, is the act of inserting a body part or toy inside someone’s front hole, vagina, or anus. It’s important to be aware that the person being penetrated, also known as the receptive partner, or “bottom,” is typically at a higher risk for contracting STIs than the partner who’s penetrating, also known as the inserting partner or “top.”
Ways to make penetrative sex safer
- Use a barrier such as a condom. Most condoms are made out of latex, but there are others made out of polyisoprene or polyurethane for those with a latex allergy.
- Use a new barrier or condom with each new sexual partner and sexual activity.
- Be sure to put the condom on correctly. Pinching the reservoir tip of a condom before rolling it over the penis will leave space to collect semen and reduce the chances the condom will break when the semen is released. The condom should be rolled down to the base of the penis so the barrier is covering the entire body part.
- Secure the base ring of the condom when removing the condom-covered penis from the other person’s body. This helps prevent bodily fluids from sliding out of the condom and having contact with your partner.
- Never put more than one condom on a penis at one time. Using two condoms on the same penis at this same time increases friction and the likelihood that one or both condoms will break.
- Apply lube. Lube cuts down on the amount of friction on a condom, which helps prevent the chance that the condom will break.
- When using a condom for penetrative sex, it can be helpful to place lube on the front hole, vagina, or anus before inserting. This will decrease pain and friction while increasing pleasure.
Safe oral sex on a clitoris, front hole, vagina, penis, scrotum, or anus
Oral sex is when someone uses their mouth to stimulate a partner’s genitals or anus.
Ways to make oral sex safer
- Place a latex barrier between the mouth and body part oral sex is being performed on.
- Apply lube to both sides of the barrier to enhance pleasure and decrease the chances of transmitting an infection.
Safe sex with hands
Fingers and hands can be used during sex to stimulate parts of the body such as the penis, front hole, vagina, mouth, nipples, or anus.
Ways to make sex with hands safer
- Apply a generous amount of lube to help prevent cuts and pain.
- Wash your hands and trim your fingernails before using them during sex.
- important to note that sex with hands and fingers isn’t a common way of transmitting STIs, but we always want to be as safe as possible.
- Use a hand or glove that’s different from the one you used to touch yourself, when touching your partner(s).
Safe sex with toys
One way to have sex with yourself and with partners is by using toys such as vibrators (can be used on the front hole and vagina), dildos (can be used on the front hole, vagina, and anus), plugs (can be used anally), and beads (can be used anally). These toys can help stimulate body parts both internally and externally.
Ways to make sex with toys safer
- Use a barrier such as a latex condom on toys being used for penetration in the front hole, vagina, anus, or mouth.
- If a toy’s been exposed to bodily fluids such as semen, vaginal fluids, saliva, or blood, try not to share it. This can reduce the risk of transmitting an STI.
- If you do decide to share a sex toy that’s been used by or with a previous partner, be sure to clean and sanitize it thoroughly, following manufacturer’s instructions. Toys are made out of many different materials and therefore require different methods for sanitization. Some should be cleaned using soap and water while others should be boiled in hot water for a period of time. Follow the manufacturer’s instructions on how to sanitize each toy in the safest, most effective way.
Knowing how to properly protect yourself is key to both safe sex and staying in good sexual health. There are a number of different types of sexual protection barriers, including:
- outside condoms
- inside condoms
Water-based lubes are always best with latex condoms. This is because they reduce the chance that the lubricant will break down the barrier and reduce its effectiveness.
These methods of protection can and should be used for all kinds of sex, which means everything from touching genitals to penetrative sex. Using barriers during sex helps reduce the risk of getting or giving STIs to sex partners, providing peace of mind that can make sex more fun and pleasurable for everyone. Barriers should also be used with sex toys, if sharing between two or more persons.
In order to get the most out of sexual protection barriers, they need to be used correctly and for the appropriate sexual activity. Here’s a step-by-step guide for using some of the most common barriers:
Outside condoms (commonly referred to as ‘male condoms’)
An outside condom is a sexual protection barrier that can be used for penetrative and oral sex involving a penis. Outside condoms are designed to contain the bodily fluids (such as semen or ejaculate) that are released during sex. This prevents sexual partner(s) from being exposed to anyone’s fluids but their own.
Outside condoms can be purchased at convenience stores, grocery stores, and drugstores. They can be purchased at any age and are often free at many health centers and STI testing clinics.
For those with a latex allergy, use a non-latex condom made with polyisoprene or polyurethane.
How to use an outside condom
- Make sure to use a new condom that’s not expired.
- Open the condom gently. Be careful to only tear the wrapper, not the condom.
- Take a look at the condom before putting in on, keeping your eyes out for any tears or unusual bumps.
- Place the rim of the condom over the penis, holding the tip in order to leave a small space to capture the bodily fluids that will be released.
- Roll the condom over the outside of the penis, until the rim of the condom meets the base.
- Apply lube to the outside of the condom, even if the condom came with existing lubricant. This will help reduce the amount of friction on the condom while also increasing pleasure.
- At the end of sex, make sure to secure the rim of the condom with your hand as it’s slowly pulled out from your partner’s body. Carefully tie a knot in the condom so bodily fluids can’t escape the barrier. Throw it in the trash.
Inside condoms (commonly referred to as ‘female condoms’)
An inside condom is a sexual protection barrier that can be used for penetrative sex involving a front hole/vagina or anus.
Inside condoms are designed to line the wall of the front hole/vagina or anus in order to prevent bodily fluids from coming into contact with the toy or body part penetrating it.
Inside condoms are often harder to find than outside condoms. Only one brand is available in the United States, but health clinics often have them. They’re also available by prescription.
How to use an inside condom
- Just like with outside condoms, make sure to use a new condom that’s not expired.
- Open the condom gently. Be careful to only tear the wrapper, not the condom.
- Take a look at the condom before putting in on. Keep your eyes out of for any tears or unusual bumps.
- Unlike an outside condom (which has one rim/ring), inside condoms have two rims/rings. One rim is closed, and the other is open. This creates a space between the two rims that protects the penetrating toy or body part from the bodily fluids secreted by the front hole/vagina or anus.
- Apply a small amount of lube to the outside of the closed end of the condom. This is the part of the condom that will be inserted inside.
- Different people have different preferences about the best way to insert an inside condom into the front hole/vagina or anus. A couple options include inserting it while sitting on the edge of a chair, standing, or lying down. Before inserting the condom inside, pinch the closed rim/ring with your fingers so the width is small enough to place inside the hole opening.
- Push the closed, pinched rim as far back as possible, allowing the condom to line as much of the internal hole as possible. After it’s placed as far back as possible, remove your finger and allow the open rim of the condom to hang out of the hole opening. There should be around an inch of condom hanging.
- When used for sex, a partner will insert a body part or toy into the open rim of the inside condom.
- After sex, the penetrating partner should remove the toy or body part from the inside condom slowly.
- Gently pinch the open rim of the condom together as you pull the remaining part of the condom from inside the body.
- Throw the condom in the trash. Use a new one for another sexual act.
Dams (also known as dental dams)
A dam is a sexual protection barrier used during oral sex to help decrease the risk of contracting or transmitting an STI, such as gonorrhea, HPV, or herpes.
Dams can be used with lots of different body parts, including a front hole/vagina, clitoris, and anus. Even though oral sex involving a penis has a higher risk of STI transmission, it’s important to know that oral sex involving other body parts still presents risks.
Dams can be harder to find in stores than outside condoms. You can create your own dam by cutting open an outside condom and using it as a barrier between body parts. Check out this step-by-step guide to get you started.
How to use a dam
- Open the dam packaging gently. Be careful to only tear the wrapper, not the dam.
- Unfold the dam all the way, ensuring it’s large enough to cover the area of the body where oral sex will be performed.
- Apply a small amount of lube to the genitals or anus of the partner receiving oral sex. This increases pleasure and serves as a form of protection.
- Place the dam over the body part where oral sex will be performed, keeping it in place between the mouth and body part using one partner’s hands.
- During oral sex, be sure to keep the side of the dam that’s against a body part facing the body. Don’t switch sides.
- When finished, throw the dam away. Don’t reuse it on another body part or with another partner.
Gloves are a great way to prevent the risk of infection when having sex with hands and fingers. They protect genitals from the germs found on hands and also keep hands safe from the bodily fluids that the genitals and anus release during sexual activity. Gloves can also provide a smooth texture that often increases pleasure during sex with hands.
How to use gloves
- After washing and drying your hands, place the glove over the thumb, fingers, and palm.
- Apply lube to increase pleasure and avoid friction that could cause the glove to rip or tear.
- Use one glove for only one body part. If you switch body parts, put on a new glove.
- When finished, pinch the base of the glove below your palm and pull it toward your fingers, causing the glove to turn inside out. This helps the bodily fluids that were on the outside of the glove stay inside.
- Tie a knot at the bottom of the glove to keep bodily fluids from dripping out.
- Throw the glove in the trash.
Lube by itself isn’t the most effective sexual protection method, but it can still act as a protective factor during sex. This is because it prevents excessive friction from occurring, which can break down condoms and cause small tears in the genital area.
If using a latex barrier with lube, you’ll want to make sure to use lube that’s safe for latex. Non-water-based lubes can break down latex, causing the latex barrier to become less effective. Water-based lubes, however, are always a good choice. They can be used on latex, toys, and body parts. When the correct lube is used, it can both enhance pleasure and add an extra element of protection.
Using lube is easy! Just apply it to a barrier or body part as needed to prevent friction, cuts, and tearing. If used for oral sex, make sure it is an edible lube.
Protection for trans bodies
Body parts and genitals vary in shape, size, color, and texture among all humans. Trans people use the same methods cisgender people use to engage in safer sex: outside condoms, inside condoms, gloves, and dams. Some trans and nonbinary-identified people choose to use gender-affirming interventions, such as hormones and surgery, to change their body to align with who they are. There are other trans-identified people who don’t feel the need to change their bodies to feel alignment and congruence around gender. There are also many who would like to but can't due to other factors, such as finances, medical reasons, and legal issues (depending on where in the world they live).
For those who are able to and choose to pursue gender-affirming interventions (and for their partners), it’s important to have access to information about how those changes impact pleasure, sexual functioning, sexual health, and risk of STI transmission.
As mentioned before, there’s no gender or sexual identity that automatically places someone at more of a risk for STI infections. It’s the sexual behaviors someone engages in — not how they identify — that make them more or less at risk.
Each person is responsible for doing their part to understand their most appropriate forms of protection for their body. This only leads to safer and more fun sex for them and their partner(s).
Staying informed about your STI status and overall sexual health is an important goal. In order to maintain good sexual health, it’s important for people to know their own body and pay attention to it.
Finding a healthcare provider who’s the right match can be another key factor in sexual health and wellness. Establishing care with a healthcare provider who’s the right fit creates space for open communication between patient and provider and can make regular checkups for general overall health more appealing.
Likewise, if someone is sexually active, STI testing should be a regular occurrence. It’s also important to know that there are at-home STI tests and other types of testing centers that allow people to get tested without seeing a doctor. In the United States, minors who are 12 years old or over can seek out sexual health and STI testing without a parent’s permission. Many of the clinics serving youth and young adults offer a sliding scale, so people can pay what they can afford.
Talking about STIs with a partner(s) isn’t always easy or comfortable, but it’s an important thing to practice. Going to get tested with a partner is a great way to open up the conversation about STIs while also staying informed about your own status. Doing it together can foster trust, vulnerability, and confidence — three things that also lend themselves to great sex!
Knowing your status and your partners’ STI status will also provide important guidance around the sexual protection barriers, medications, or combination of both that will keep everyone safest.
Ways to discuss STI testing
- “Before I forget and get lost in our conversation, I wanted to ask — when was the last time you got tested?”
- “I realized we’ve never gotten tested together and thought it could be a nice thing to do.”
- “Hey, I was thinking we’d stop by this testing center on our way out today. What do you think?”
- “I recently read something about these new at-home STI tests. Want to give them a try?”
- “I’ve been meaning to get tested soon! When’s the last time you were tested? Maybe we can go together?”
It can be hard to talk about testing positive for an STI. It’s important, however, to remember that contracting an STI is much more common than people might think. The shame and embarrassment many feel around testing positive stem from the fact that there’s not enough openness and conversation about how common it is.
When someone tests positive, it becomes their responsibility to share this status with past partners who may have been exposed and current partners who could be exposed. That said, the person sharing the news shouldn’t be made to feel badly about their status. For many who have had an STI in the past, they took medication, no longer have it, and therefore can’t transmit it.
For others, they might have an STI with chronic symptoms they need to manage in an ongoing way. Open, honest, nonjudgmental communication will lead to better sex. Plus, there are tons of ways to stay safe even if someone has an existing STI.
Ways to talk about existing STIs For current partners:
For past partners:
- “Honesty and communication are important to me, so I wanted to let you know I recently got tested for STIs and it came back positive for ______. I’m getting treated and will update you if anything about my status changes.”
- “Do you think we can check in about STI status? I have something that’s important to share. It’s not necessarily a big deal, but I just want to make sure we’re staying safe and responsible.”
- “Do you have a minute to chat? I want to talk about my recent STI test, because the results may impact you.”
- “I wanted to do the responsible thing and reach out to let you know about my STI status. I recently found out I’m positive for _______, and wanted to let you know. Given our sexual history, there may be a chance you were exposed. I want to do everything I can to keep my past and current partners safe and healthy.”
Each person deserves access to information and services that affirm and support their sexual and gender identity while also caring for their overall sexual health. The right educational tools for the community and training for medical providers and mental health professionals can ensure LGBTQIA communities are better equipped to understand how to protect themselves and how to practice safer sex.
Practicing safer sex and protecting yourself won’t only increase the chances you and your sex partners stay STI-free. It’s also a tangible way to practice self-care and self-love.
Mere Abrams, MSW, ASW, is a gender specialist, researcher, educator, and consultant in the San Francisco Bay Area, providing gender-affirming services to trans, nonbinary, and gender-expansive children, teens, and young adults. As a clinical researcher at the UCSF Child and Adolescent Gender Center, Mere works on the first National Institutes of Health-sponsored research, studying long-term medical and mental health outcomes for trans youth starting puberty blockers or cross-sex hormones. Mere was a contributor and editor of “The Transgender Teen: A Handbook for Parents and Professionals Supporting Transgender and Non-Binary Teens” and speaks publicly on the topics of ethical considerations for working with trans youth and their families, nonbinary experiences, and gender diversity and inclusion.