Many adult women circling health care on the need for contraception. In many ways is American medical establishment designed around this accepted fact. Women often get their primary care via OB/GYNs and similar handlers, which delivers not only gynecological services, but also regular health screening exams. Women who do not need contraception, either on grounds of age, sexual orientation or other issues, lifestyle, are less inclined to take advantage of recommended preventive health services. In some cases, this can be life threatening. The lack of regular pap smears among lesbians and older women have been implicated in their increased risk of dying from cervical cancer.
Lesbians can also have other obstacles for the handling of mainstream medical system. Even if they use traditional health care, they may feel uncomfortable disclosing their sexuality doctors if they fear they will be judged. Inability to discuss sexual health, however, can affect other areas of a woman's life. When you close the door to talking about something as important as sexuality, you also lose the opportunity to speak about many other health issues.
It may be difficult for a woman to discuss sexual health issues with his doctor. It is often easier when they just need to answer the direct question, but these questions can not be relevant to lesbians and other women who have sex with women (WSW). For example, the doctor asks "how many men have you had sex with this year?" or "Use condoms every time you have sexual intercourse?" and neither the question would give an accurate picture of a WSW sexual history. This, combined with a fear of prejudice, can be intensified by these heterosexist assumptions can make lesbians reluctant to discuss their sexual history with a doctor. Even, or perhaps especially when this sexual history occasionally include men.
Many women who identify as lesbians have had sex with a man at least once in their lives. For many reasons, women who identify as lesbians are less inclined to use protection during sexual encounters with men. This increases the risk of transmission of the disease at each meeting, which means that many lesbians male sexual partners, when they have them, tend to be higher risk than heterosexual women partners.
These lesbians, who has never slept with a man is also threatened by sexually transmitted diseases. A higher number of female partners have been associated with increased risk of bacterial vaginosis, herpes and HPV in various studies. This risk is aggravated by the fact that many lesbians and bisexual women consider sex between women a low risk activity and so do not practice safer sex.
Lesbian safer sex is not an oxymoron. There are ways to improve the safety of most, if not all, sexual activity, which takes place between women. Mechanics in many safer sexual acts between women are the same as for many other types of couples and include: user obstacles, such as dental dams, saran wrap or carved open the condoms for oral, vaginal and oral-anal contact. Use gloves when inserting fingers into the vagina or rectum. Put condoms on the insertable property sex toys and change the condom for each partner.
Note: Condoms should also be changed when you move a toy from the vagina to the rectum, or vice versa.
Sources:
Roberts SJ. "Health care recommendations for lesbian women." J. Obstet. Gynecol Neonatal Nurs. 2006 Sep-Oct; 35 (5): 583-91.
McNair r. "risks and prevention of sexually transmissible infections among women who have sex with women. Sex health. 2005; 2 (4): 209-17.
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