Lesbian Sexual Health
If you were a queer woman growing up in the 80s and 90s, your sex education probably consisted of mostly heteronormative standards, focusing on relationships between men and women, assuming heterosexuality as the standard overall. If you had a progressive teacher or parents, you may have been exposed to healthy examples of same-sex relationships (fingers crossed!). But, for most women who are now either well into their adult life or are parents themselves, there is a general lack on queer sex education. If like many of us, you have been fed myths, here are some that can be easily refuted:
Myth 1: Lesbian and Bisexual Women don’t get STIs
That is absolutely not the case. We may believe that the risk of Sexually Transmitted Infections between women is relatively low, but new research suggests this is not the case. In fact, lesbians are at as much risk as heterosexual women when it comes to getting an STI. Even if you are very careful in your intimate relationships and the risk is low, that does not mean that lesbians and bisexual women are not prone to STIs.
Along with dispelling this myth, we should bring up the fact that many women who identify as lesbians may have had sexual relations with men in the past–they may be carrying STIs without even knowing it. Consider this especially true for bisexual women, who may be sexually active with partners of all genders. Vaginas have the ability to fight off STIs naturally–to a certain level–while penises do not have that ability.
Face the Taboos
Many people in the queer community may identify as one gender, but carry the biological bits of another gender; if you are further exploring your own sexuality, or if you are parenting a child who is or is already a member of the queer community, it is important to keep this information in mind and not shy away from discussing matters of sexual health on all fronts. “The talk” has become more complicated, but it is our responsibility to remain educated and parent openly.
Myth 2: STIs Cannot be Transmitted Between Women
Bold lie. If you were ever told that, or have a partner/friend/family member who believes that–it is a lie. STIs are transmitted mostly through the exchange of bodily fluids, and some STIs are also contracted through skin-to-skin contact. Additionally, the risk of STI transmission is higher during menstruation.
Face the Taboos
STIs can be transmitted through oral to vaginal/vulva contact; oral-anal contact also places the participants at high risk of infections. STIs like herpes, syphilis, hepatitis A and intestinal (gut) infections, as well as possibly gonorrhea may be transmitted in this manner. Genital contact can spread HPV, pubic lice, and herpes. Fingers-in-vagina also carry the risk of transmitting herpes, HPV and bacterial vaginosis, trichomonas, chlamydia, and gonorrhea. This is especially true if one of the partners has been previously exposed to those STIs through an infected person. Use of toys that may be inserted in the vagina or anus can absolutely place the partners at risk of infection; washing the toys is not enough– you will only be 100% safe by using condoms on them.
Myth 3: Queer Women Don’t Need PAP smears
If the above two myths have shown us anything, it is that everyone is at risk of contracting an STI–no matter their sexual preferences. PAP smears are recommended for all sexually active women, even if they have never had sexual contact with a cisgender male. This is a good resource on HPV transmission : https://www.gmhc.org/resource_category/hiv-aids-information/
Myth 4: There is no Safe Lesbian Sex
Wrong! As mentioned above, the no-brainer would be to use condoms on toys (shared or not). Use different condoms for each partner, and when switching orifices. If you have any cuts or open sores on the mouth and lips, it is recommended that you use a dental dam during oral sex to protect yourself from contracting any STIs. Since some infections are transmitted by hands, always make sure that you thoroughly wash your hands before and after sex; if you have cuts or sores on your hands, you can always use a latex glove–or as many as you need!
Any member of the queer community has the right to respectful and knowledgeable treatment by their healthcare professionals. If you are having trouble finding queer-friendly health professionals, for any health issue, in your are or somewhere you are visiting, this resource can help you locate queer-safe providers: https://www.glma.org/