Infertility and Unprotected Sex


"Dear Experts,

Let’s say a gay couple, or a straight couple where one or both partners are infertile want to practice unprotected sex. Both partners have been tested for STDs and are clean. Is it safe to have unprotected sex, or is it possible to get STDs even if neither partner has one?”

Dear Anon,

If both partners are negative for any STI, then as long as you remain mutually monogamous (neither person has sex with anyone else) you cannot get a sexually transmitted infection.

As a reminder, there are several STIs that are transmitted by other body fluids, such as blood or saliva (HIV and Hepatitis) so high risk behaviors, like IV drug use, would put both partners at risk.
Hope this helps.


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Ask the Expert


Can a girl get pregnant from anal?

You can only get pregnant if semen gets inside the vagina. Since the anus isn’t connected to reproductive organs, anal sex can’t directly cause pregnancy. But it’s still possible for semen to get into the vagina during anal sex. It can happen if the guy ejaculates into or near the anus, and the semen leaks from there down onto the vulva. Semen on hands or fingers could also put it closer to the vulva, also.

Wearing a condom during anal sex can reduce your risk. And don’t forget: Anal sex is also a high-risk behavior for spreading many STIs.

Hope this helps.




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"No condoms, no birth control: Could I be pregnant?"

Dear Experts,

One night about a month ago, my boyfriend and I were drunk and had sex. But he didn’t use a condom, and I’m not on any birth control. And then my period was almost two weeks late. Could I still be pregnant or am I in the clear? I really need answers!

If you had a normal menstrual period, it is unlikely that you are pregnant. A bigger concern is, were you exposed to a sexually transmitted infection (STI). If you are going to engage in sex, you and your partner need to be tested for STIs and you should consider talking with your health care provider about contraception options. Using condoms will reduce the risk of an unintended pregnancy and will protect against getting an STI. Most health departments offer free latex condoms and will even give instructions on the proper care and use of condoms. If you need to find a clinic near you, go here: http://www.factnotfictionms.com/msclinics/

Hope this helps.


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When someone tells you they’re sexually active and have never been tested.
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"Can you stop naturally lubricating after the Depo shot?"

Depo Provera generally does not affect vaginal lubrication but for some women, this might be a side effect. There are water soluble vaginal lubricants that can be purchased (over the counter, without a prescription) that will help with dryness, for example: Astro Glide or KY Jelly.

Vaginal dryness is NOT permanent and once you are off of a hormonal method of birth control (that includes birth control pills, patches, and vaginal rings, as well as Depo Provera), your normal vaginal mucus will return - but your ability to get pregnant will also return

Never use an oil-based product, such as Vaseline (petroleum jelly) because they can actually hurt vaginal tissue and cannot be used with condoms.  Additionally, you should avoid products that contain oils or fragrances because they actually can cause vaginal irritation and increase the chances of getting a vaginal infection, like a yeast infection. Douching is NOT effective for moisturizing and will also increase the risk of infection.


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Friday Fact!

Always replace a condom after ejaculation if you choose to continue to have sex.

Using a new condom prevents semen from leaking out of the condom and into the vagina. In order to remove the condom correctly, hold onto the base of the condom when pulling out to make sure that no semen leaks out.


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