STIs: Safe Practices for Monogamous Couples - Urology

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Inquiry about common knowledge?


Hello, doctor.
If both partners are each other's first and are in a monogamous relationship, does that mean they won't contract sexually transmitted infections (STIs) regardless of whether they engage in oral, anal, or vaginal intercourse?

An An, 10~19 year old female. Ask Date: 2018/08/12

Dr. Du Shixi reply Urology


Hello: As long as both individuals are free of sexually transmitted infections, there is no risk of transmitting STIs.
Wishing you good health.
However, bacterial infections may still be possible.

Reply Date: 2018/08/12

More Info


When it comes to understanding sexually transmitted infections (STIs) and safe practices for monogamous couples, it's essential to recognize that while being in a monogamous relationship with a single partner reduces the risk of STIs, it does not eliminate it entirely. Here are some key points to consider:
1. Understanding STIs: STIs are infections that are primarily spread through sexual contact. They can be caused by bacteria, viruses, or parasites. Common STIs include chlamydia, gonorrhea, syphilis, human immunodeficiency virus (HIV), herpes, and human papillomavirus (HPV). Some STIs can be asymptomatic, meaning individuals may not show symptoms but can still transmit the infection to their partners.

2. Risk Factors: Even in a monogamous relationship, if either partner has had previous sexual encounters with others, there is a potential risk of carrying an STI. Additionally, certain STIs can be transmitted through oral and anal sex, not just vaginal intercourse. For example, herpes and HPV can be transmitted through skin-to-skin contact, which can occur during oral or anal sex.

3. Safe Practices: To minimize the risk of STIs, couples should consider the following practices:
- Regular Testing: Both partners should get tested for STIs before engaging in sexual activities. This is especially important if either partner has had previous sexual partners.

- Communication: Open and honest communication about sexual health, history, and testing results is crucial in a monogamous relationship.

- Use of Protection: While condoms are often associated with vaginal intercourse, they can also be used during oral and anal sex to reduce the risk of STI transmission. Dental dams can be used for oral sex to provide a barrier.

- Vaccination: Vaccines are available for certain STIs, such as HPV and hepatitis B. Couples should discuss vaccination options with their healthcare provider.

4. Understanding Asymptomatic Infections: Many STIs can be asymptomatic, meaning individuals may not experience any noticeable symptoms. This can lead to unintentional transmission. Regular screenings and being aware of any changes in health are essential for both partners.

5. Importance of Education: Educating oneself about STIs, their transmission, and prevention methods is vital. Resources such as healthcare providers, sexual health clinics, and reputable online sources can provide valuable information.

6. Consulting Healthcare Professionals: If there are any concerns about STIs or sexual health, consulting a healthcare professional is recommended. They can provide personalized advice, testing, and treatment options if necessary.

In conclusion, while being in a monogamous relationship with a single partner significantly reduces the risk of STIs, it does not eliminate it entirely. Engaging in safe practices, maintaining open communication, and getting regular health check-ups are essential steps in protecting both partners' sexual health.

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