While all women have certain risks to their overall wellbeing, women who have sex with women face an increased risk of specific health concerns; to do with sexual wellness. Certain sexually transmitted infections — such as human papillomavirus (HPV), bacterial vaginosis and trichomonas — can spread between women, and all forms of sexual contact – not just penetrative sex – can spread such STIs. Here are the Mayo Clinic’s sexual health recommendations for women who have sex with women:
1. Get Tested and Have Your Partner Get Tested: The Mayo Clinic warns, ‘Don’t have unprotected sex unless you’re certain you and your partner aren’t infected with HIV or other sexually transmitted infections — whether you have sex with a man or a woman. Testing is important because many people don’t know they’re infected, and others might not be honest about their health.’
2. Use a Condom or Other Protection: ‘During oral sex use a split-open condom, dental dam — a small piece of latex — or plastic wrap,’ the Mayo Clinic instructs. ‘Don’t share sex toys, and keep them safe by protecting them with a condom and cleaning them before and after every use.’
3. Be Monogamous: The Mayo Clinic notes, ‘Another reliable way to avoid sexually transmitted infections is to stay in a long-term mutually monogamous relationship with a partner who isn’t infected.’
4. Consider Truvada: According to the Mayo Clinic, ‘In July 2012, the Food and Drug Administration (FDA) approved the use of the drug Truvada to reduce the risk of sexually transmitted HIV infection in those who are at high risk. Truvada is also used as an HIV treatment along with other medications. When used to help prevent HIV infection, Truvada is only appropriate if your doctor is certain you don’t already have an HIV or hepatitis B infection. The drug must also be taken daily, exactly as prescribed. And it should only be used along with other prevention strategies such as condom use every time you have sex. Truvada isn’t for everyone. If you’re interested in Truvada, talk with your doctor about the potential risks and benefits and whether it’s right for you.’
5. Stay Sharp: ‘Limit the amount of alcohol you drink and don’t use drugs,’ the Mayo Clinic advises. ‘If you’re under the influence, you’re more likely to take sexual risks. If you choose to use injectable drugs, don’t share needles.’
6. Get Vaccinated: The Mayo Clinic explains, ‘Vaccinations can protect you from HPV as well as hepatitis A and hepatitis B, serious liver infections that can spread through sexual contact.’
7. Remain Vigilant: ‘There’s no cure for HIV/AIDS and many sexually transmitted infections, such as HPV and genital herpes,’ the Mayo Clinic cautions. ‘The best way to stay healthy is to protect yourself.’
8. Tackle Depression: ‘Lesbians and bisexual women might be at higher risk of depression and anxiety,’ the Mayo Clinic points out. ‘In addition, youth who identify themselves as lesbian, gay, bisexual or transgender might have a higher risk of depression and attempted suicide. Contributing factors could include social alienation, discrimination, rejection by loved ones, abuse and violence. The problem might be more severe for lesbians who try to hide their sexual orientation and those who lack social support. Left untreated, depression can lead to risky sexual behaviour and a downward spiral of emotional, behavioural, health, and even legal and financial problems. If you think you might be depressed, talk to your doctor or seek help from a mental health provider. If you’re reluctant to seek treatment, confide in a trusted friend or loved one. Sharing your feelings might be the first step toward getting treatment.’