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There is a belief among some women and providers that women who have sex with women (WSW) are not at risk for STDs. Nevertheless, many lesbian women experience them. Female to female transmission is possible with some STDs. STDs are more common in lesbian and bi women with a history of heterosexual activity. It is estimated that 8% to 20% of lesbians have or have had same-sex partners exclusively. Sensitive providers inquire about a woman's sexual behavior to determine appropriate STD screenings.

Safer sex and STD prevention are important practices for anyone who is sexually active. Safer sex means learning and practicing behaviors that decrease the chance of contracting or transmitting a disease. Safer sex is negotiated and planned honestly between partners. Those who know and discuss their limitations and expectations are likely to have better, safer sexual experiences. Prevention is possible only if one understands STDs and how they are spread. An understanding of STDs and how they can be prevented leads to safer, healthier sex and general health awareness.

Lesbian Sexual Behavior

• Digital-vaginal (fingers in vagina)
• Oral-genital
• Kissing
• Vaginal-vaginal (frottage)
• Use of sex toys
• Digital-anal (fingers in anus)
• Vagina-to-anus with fingers