If a person is sexually active with a number of partners, regular sexual health check-ups by a doctor, and on noticing unusual symptoms seeking prompt medical advice; HIV and other infectious agents can be either asymptomatic or involve nonspecific symptoms which on their own can be misdiagnosed. During each act of anal intercourse , the risk of the receptive partner acquiring HIV from HIV seropositive partners not using condoms is about 1 in The grant information states: A sex toy should regularly be checked for scratches or breaks that can be breeding ground for bacteria. The anal area has many erotic nerve endings in both men and women. The main risk which individuals are exposed to when performing anal sex is the transmission of HIV ; other possible infections include Hepatitis A , B and C ; intestinal parasite infections like Giardia ; and bacterial infections such as Escherichia coli. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Additionally, the microbes responsible for some diseases, including genital warts and syphilis , can be transmitted through skin-to-skin contact, even if the partners never engage in oral, vaginal, or anal sexual intercourse. Sexual activity using these devices is called protected sex.
Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal and urinary tract infections. Research has shown that structural integrity of polyurethane female condoms is not damaged during up to five uses if it is disinfected with water and household bleach. Condoms male or female are used to protect against STIs, and used with other forms of contraception to improve contraceptive effectiveness. During each act of anal intercourse , the risk of the receptive partner acquiring HIV from HIV seropositive partners not using condoms is about 1 in Women with copper intrauterine device may be subject to greater risk of infection from bacterial infectious such as gonorrhea or chlamydia , although this is controversial. Female condoms are inserted into the vagina prior to intercourse. Other precautions[ edit ] Acknowledging that it is usually impossible to have entirely risk-free sex with another person, proponents of safe sex recommend that some of the following methods be used to minimize the risks of STI transmission and unwanted pregnancy. President Bill Clinton 's surgeon general, Joycelyn Elders , tried to encourage the use of these practices among young people, but her position encountered opposition from a number of outlets, including the White House itself, and resulted in her being fired by President Clinton in December Some sex toys are made of porous materials, and pores retain viruses and bacteria, which makes it necessary to clean sex toys thoroughly, preferably with use of cleaners specifically for sex toys. The main risk which individuals are exposed to when performing anal sex is the transmission of HIV ; other possible infections include Hepatitis A , B and C ; intestinal parasite infections like Giardia ; and bacterial infections such as Escherichia coli. Some research has suggested that male circumcision can reduce the risk of HIV infection in some countries. Immunization before initiation of sexual activity increases effectiveness. The anal area has many erotic nerve endings in both men and women. Non-latex condoms are available for people who are allergic to latex made out of polyurethane or polyisoprene. Even more hygiene protection should be considered by pregnant women when using sex toys. Medical or dental procedures using contaminated instruments can also spread HIV, while some health-care workers have acquired HIV through occupational exposure to accidental injuries with needles. Glass is non-porous and medical grade glass sex toys more easily sterilized between uses. The most common vaccines are HPV vaccine , which protects against the most common types of human papillomavirus that cause cervical cancer , and the Hepatitis B vaccine. This may entail exposing some teenagers to increased risk of sexually transmitted infections, because about 60 percent of teenagers who pledge virginity until marriage do engage in pre-marital sex and are then one-third less likely to use contraceptives than their peers who have received more conventional sex education. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Condoms may be more likely to break during anal sex than during vaginal sex, increasing the risk. Anal sex is a higher risk activity than vaginal intercourse because the thin tissues of the anus and rectum can be easily damaged. The way in which a sex toy is cleaned varies on the type of material it is made of. Because of this, many couples heterosexual or homosexual can derive pleasure from some form of 'bottom stimulation'. Enemas should be not be used as they can increase the risk of HIV infection  and lymphogranuloma venereum proctitis. Oil-based lubricants damage latex and should not be used with condoms;  water-based and silicone-based lubricants are available instead.
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