Water itself does not make latex condoms less effective. However, having sex in water is risky, even if a condom is used. First, it’s easier for the condom to slip off. It could even be more difficult to put the condom on if it’s wet. If the water is hot, like in hot tubs and showers, the heat could weaken the condom, causing it to break. Pools and hot tubs with chorine may also weaken the condom because of chemicals. Also, water actually strips the lubrication off the condom, increasing the chance of friction and tearing. Water can reduce the amount the natural lubrication in a vagina as well which leads to tearing that can open expose the blood stream. Whether it’s because of human error or a lack of lubrication, STI transmission and pregnancy are bigger risks when having sex under water.
Pregnancy is a risk if sperm gets in or around the vaginal opening. If you think there is a chance that sperm was released near there, you could consider taking emergency contraception also known as “plan B” or “the morning after pill.”
Emergency contraception (EC) is a hormonal emergency birth control method used to effectively prevent pregnancy. The hormones prevent ovulation – the process when the ovaries release an egg – and thicken cervical mucus. It will not harm or end a pregnancy; it will only work to prevent a pregnancy. EC can be taken up to 120 hours (5 days) after unprotected vaginal sex. Two pills are swallowed at the same time within those 120 hours. If EC is taken within the first 24 hours after unprotected sex, it is 89% effective. If taken on the fifth day after unprotected sex, it is 75% effective. The sooner EC is taken, the more effective it is in preventing pregnancy. EC does not prevent against any STIs. People aged 17 years and older can get EC over-the-counter at most pharmacies. For people under 17, it requires a prescription from a medical provider. People can walk in to Teen Clinic or our adult clinic whenever we are open to pick up EC. Men and women can get EC, but only women take the pills.
You’re being very responsible by using a condom! In the future, you can do a few things to reduce the chance of tearing a condom. Make sure the condom is used properly. Check the condom a few times during sexual activity to be sure it hasn’t ripped. Using extra water-based lubricant helps reduce the friction that causes breakage. Brands like ID GLIDE, and KY JELLY are available at Teen Clinic and any pharmacy.
The only difference is the presence of a water-based lubricant on the condom. Lubricated condoms are the most common type you’ll find. Out of the package they are slippery, even a bit slimy because of the lubricant. Non-lubricated condoms are dry and powdery; they feel like a latex glove. Water-based lubricant is very important when using a condom. It helps reduce friction that can tear a condom or tear the sensitive areas of the body, like the anus and vagina. In fact, Teen Clinic recommends using extra lubrication on the condom. Extra lubrication will increase comfort and reduce friction. Teen Clinic has free small packets of lubricant. You can also purchase lubricant at your local pharmacy or supermarket. Remember- use only water-based lubricant on latex condoms. Lubricant like Vaseline and Baby Oil can weaken a condom, so plan ahead!
Any kind of unprotected sexual activity can lead to STI transmission if someone is infected. STIs are transmitted through semen, vaginal fluids, blood, and skin-to-skin contact. Condoms prevent the transmission of most STIs, but some STIs can be transmitted through skin-to-skin even when using a condom. If you’ve had sex and don’t know your partner(s) STI status (whether or not they have one) it’s important to get tested. For free STI testing, make an appointment at Teen Clinic. For free HIV testing, call the Boulder County AIDS Project at 303.444.6121.
Because anal sex involves stimulation of the anus, there is a good chance of contact with waste products (poop). It’s a good idea for a partner receiving anal sex to take a trip to the toilet (and possibly a shower) before engaging in any sex. If the receiver has recently made a bowel movement and has a healthy digestive system (no diarrhea, constipation etc) only small amounts of waste products will remain in the anus & rectum. It is critical to thoroughly clean the penis afterwards, especially before engaging in vaginal intercourse or receiving oral sex. Remember – always use a condom and lots of water-based lube to ensure that the condom doesn’t tear. Anal sex is considered a high risk behavior for STI transmission.
All STIs infect the genital area. Most of them can also infect the mouth and throat if they are transmitted through unprotected oral sex. Chlamydia and gonorrhea can infect the throat, causing soreness. Syphilis sores can appear on the inside of the mouth. High risk strains of HPV have been linked to mouth and throat cancer. Herpes can cross transmit between the genitals and the mouth, so it’s possible to get Herpes Type II on the mouth or Type I on the genitalia. Hepatitis A is only transmitted through oral-fecal contact that can occur through anal stimulation by mouth.
Using a male condom or dental dam can help reduce the risk of STI transmission during oral sex if one partner is infected. It’s also important to talk with a partner before any sexual contact about STI testing, protection, and past sexual histories. We know this can be difficult sometimes, but we hope you’ll find it that taking away the risk of STIs makes for a positive sexual experience.
It can be hard to remember to take a pill every day! Here are some guidelines if you do forget:
Week 1 of the pack: Take one missed pill as soon as possible and the pill for today at the regular time. You may be taking two pills at the same time. Take Emergency Contraception (the Morning After Pill) if you have had unprotected sex in the past 5 days. Use a back up method of birth control for one week.
Weeks 2 or 3 of the pack: Take one missed pill as soon as possible and the pill for today at the regular time. You may be taking two pills at the same time. If you have missed 2-3 or more pills, take Emergency Contraception (the Morning After Pill) if you have had unprotected sex in the past 5 days. Use a back up method of birth control for one week. Keep taking one pill everyday and skip the last week of pills (when you would have your period) start a new pack of pills instead.
It’s always a great idea to use a back up method if you are sexually active. Not only do condoms reduce the risk of pregnancy, but they protect against the transmission of many STIs. If you find that taking a pill every day is challenging, it would be worth looking into a birth control methed that you don’t have to remember as frequently, like the patch, the ring, the shot, IUDs or Implanon.
