In public health, considerable attention has been placed on establishing a hierarchy of risk associated with STI and HIV transmission (see table below). The hierarchy ranges from minimal risk (abstinence) to highest risk (anal intercourse with internal ejaculation without a condom). This hierarchy is useful for establishing what your risk profile so that you can make informed choices on how to have fun safely and responsibly. Lesbian women and WSW, as any other, could have various different types of sexual practices, including for some anal intercourse with a man, with ejaculation and without a condom, putting herself at no 30, the highest risk possible to contract HIV.
Taking this hierarchy into account, safer sex can be achieved by:
- Using condoms correctly and consistently when having sex and when giving a blow job to a man,
- Using condoms and a water-based lube correctly and consistently when sharing sex toys;
- Using dental dams or latex sheets correctly and consistently for oral sex and rimming. Alternatively, use a flavoured condom cut along the side or non-microwavable cling wrap;
- Using finger cots correctly and consistently for finger-fucking. Alternatively, use a condom over your finger;
- Using non-powdered latex gloves for fisting or finger-fucking;
- Avoiding an exchange in bodily fluids (e.g., vaginal fluids coming into contact with an open wound)