Healthy Living

Wednesday, February 10, 2010

Ask Dr. Kate: STD risk without condoms?

Hi Dr. Kate,

My boyfriend is a virgin, and I'm...not. I've always used protection with previous sexual partners, and I got tested for STD's after my last encounter. Last weekend he wanted to have sex, but didn't have condoms. I'm on the NuvaRing, but I made up an excuse and told him I didn't trust my birth control. My real reason was I was afraid to pass on STD's to him that I wasn't aware of carrying (even though I'm clean). I know that it's possible to transfer STD's to your partner when you show no symptoms (like herpes and warts). My question is, if I theoretically didn't use condoms with him(I think I still will use protection with him, I already bought us a box), how likely am I to pass on something to him?

The (possibly) dirty devirginizer

Dear (P)DD,

How considerate of you! First thing is to assess your chances of actually having an STD to pass. Gynos can test you for the following infections:

  • chlamydia and gonorrhea (during your pelvic exam or with a urine sample)
  • trichomoniasis (also with a pelvic)
  • HIV (generally a blood test, though sometimes a finger stick or a cheek swab)
  • syphilis and hepatitis (blood tests)
  • HPV (during your pap smear)--we can't directly test you for warts

Herpes testing is tricky, and the best way to know for sure if you have genital herpes is to swab a bump during an outbreak. If you were tested for all of the other infections after your last encounter (and to be safest, six months after, to allow time for any tests to become positive), that gives you great peace of mind.

If you've never had an outbreak of warts or herpes, your chances are low of not having either one. Not zero chances, but lower. These two infections, unfortunately, are also the ones most likely spread even when using a condom...or by "outercourse" (which may mean that your boyfriend has been at risk as well, depending on what you mean by "virgin"). So what is the chance of passing an infection that you don't know you have? It's not high, but I can't say how low. While most infections with warts or herpes lead to an outbreak in the first several weeks of exposure, we don't know how common it is to not have your first outbreak for months or even years after infection (it's a hard thing to study).

Unfortunately, sex always entails a certain degree of risk--emotional and physical. Using condoms certainly lowers the physical risks, and gives you the best peace of mind. How often do you all use condoms during sex?


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From the Community…

Comments 1-10 of 14
  • 's Avatar
    Posted by Thu May 22, 2008 8:33am PDT

    I have had between 200 and 300 sexual partners in my lifetime. I have always insisted on safe sex practice and have even taught partners how to use a condom. There were 2 breaches in cases of rape. After a breach of safe-sex, I would remain in a 6-month term of celibacy before being tested. To this day no disease has been found by any physician. My last test for HIV was last January prior to a surgery. It came up negative.

    The requirement for condoms and dental dams cannot be underestimated in any case of penetration. And at the same time, because of those breaches of safe sex, I regard myself as having dodged 2 bullets.

    If one truly cares for a partner, safe sex practices will be observed. Those who try to discard them should be automatically disqualified as a partner. That is one disqualification I maintain with any partner, including intoxication by alcohol, tobacco, marijuana, and any recreational drug. It isn't just an issue of safety. I want my partners to fondly remember their experience with me forever and to have no regrets. Drunk and high people won't. The rules don't limit. They enhance.

    Report Abuse
  • S. M.'s Avatar
    Posted by S. M. Fri May 23, 2008 2:01pm PDT

    First off, Nephthysya, I applaud you for being so safe. But how can you talk about caring for your partners when you've had so many? Even if this is over a 30 year span, that means you'd have had a new partner about every month or two. And how can you talk about wanting them to remember the experience, when you yourself won't? Practicing safe-sex is extremely important, but people should also consider SELECTIVE safe sex.

    Report Abuse
  • choochiscute's Avatar
    Posted by choochiscute Fri May 23, 2008 2:45pm PDT

    There were 2 breaches in cases of rape????

    Report Abuse
  • Valery's Avatar
    Posted by Valery Mon May 26, 2008 8:01am PDT

    When was the last time the woman/girl in the photograph had a good meal?

    Report Abuse
  • estanina's Avatar
    Posted by estanina Mon May 26, 2008 1:17pm PDT

    Same question about the meal?????? Isn’t this blog about healthy living?

    Report Abuse
  • Beth's Avatar
    Posted by Beth Tue May 27, 2008 6:03am PDT

    I don't think how many partners Nephthysya has had should be frowned upon, I think the fact that they practiced safe sex every single time shows that they are a good, caring, considerate person. They care about themselves and their partners.

    My partner and I have used condoms on and off during our long term relationship, but we were both complete virgins so there was no worry about STDs. It was mainly for birthcontrol. With any other partner though, it's important for me that condoms are used.

    Report Abuse
  • Suzanne's Avatar
    Posted by Suzanne Tue May 27, 2008 2:18pm PDT

    To stick to the topic:

    My boyfriend and I use condoms every time. We don't really count previous sexual partners with each other, but each of us has basically had under ten. Prior to getting together, he hadn't been with anyone for about a year and I hadn't for more than a few months. We prefer using condoms to birth control. I react badly to hormonal birth control (mood swings, depression, etc.), and with the dangers of spermacides, we both feel like condoms are our best bet. We use them every time (regardless of penetration point) except for oral.

    Also, although it may sound odd, I think we both have a notion that we'll stop using condoms when/if we get married.

    Report Abuse
  • Pretty's Avatar
    Posted by Pretty Tue May 27, 2008 2:58pm PDT

    i think all women should read and learn more about them sucking and f------ dicks that are not clean.

    Report Abuse
  • pintu's Avatar
    Posted by pintu Wed May 28, 2008 5:21am PDT

    always use condom

    Report Abuse
  • Maree's Avatar
    Posted by Maree Tue Jun 3, 2008 11:39pm PDT

    Yo Brothasista,

    U R freakishly funny! good day!

    Report Abuse
Comments 1-10 of 14

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