Lesbian Sexual Practices
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Lesbian sexual practices are
sexual activities Human sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality. People engage in a variety of sexual acts, ranging from activities done alone (e.g., masturbation) t ...
involving
women who have sex with women Women who have sex with women (WSW) are women who engage in sexual activities with other women, whether they identify themselves as lesbian, bisexual, or heterosexual, or dispense with sexual identification altogether. The term ''WSW'' is often ...
, regardless of their
sexual orientation Sexual orientation is an enduring pattern of romantic or sexual attraction (or a combination of these) to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. These attractions are generall ...
. A woman who has sex with another woman may identify as a
lesbian A lesbian is a Homosexuality, homosexual woman.Zimmerman, p. 453. The word is also used for women in relation to their sexual identity or sexual behavior, regardless of sexual orientation, or as an adjective to characterize or associate n ...
if she is sexually attracted to women, or
bisexual Bisexuality is a romantic or sexual attraction or behavior toward both males and females, or to more than one gender. It may also be defined to include romantic or sexual attraction to people regardless of their sex or gender identity, whi ...
if she is not exclusively sexually attracted to women, or dispense with sexual identification altogether. The term may also be applied to a
heterosexual Heterosexuality is romantic attraction, sexual attraction or sexual behavior between people of the opposite sex or gender. As a sexual orientation, heterosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to ...
or asexual woman who is unsure of or is exploring her sexuality. Romantic or sexual
interpersonal relationship The concept of interpersonal relationship involves social associations, connections, or affiliations between two or more people. Interpersonal relationships vary in their degree of intimacy or self-disclosure, but also in their duration, in t ...
s are often subject to
sexual desire Sexual desire is an emotion and motivational state characterized by an interest in sexual objects or activities, or by a drive to seek out sexual objects or to engage in sexual activities. It is an aspect of sexuality, which varies significantly ...
and
arousal Arousal is the physiological and psychological state of being awoken or of sense organs stimulated to a point of perception. It involves activation of the ascending reticular activating system (ARAS) in the brain, which mediates wakefulness, th ...
, which then leads to sexual activity for sexual release. A physical expression of intimacy between women depends on the context of the relationship along with social, cultural and other influences. In some countries lesbian sexual practices are criminalized alongside
gay sexual practices Gay sexual practices are sexual activities involving men who have sex with men (MSM), regardless of their sexual orientation or sexual identity. These practices can include anal sex, non-penetrative sex, and oral sex. Evidence shows that sex be ...
.


Behaviors


General

Commonly, women engage in displays of affection, such as kissing on the cheek or hugging. A kiss on the lips, a prolonged kiss or hug, or other forms of touching, may or may not be regarded as
sexual Sex is the biological distinction of an organism between male and female. Sex or SEX may also refer to: Biology and behaviour *Animal sexual behaviour **Copulation (zoology) **Human sexual activity **Non-penetrative sex, or sexual outercourse ** ...
.
Sex educator Sex education, also known as sexual education, sexuality education or sex ed, is the instruction of issues relating to human sexuality, including emotional relations and responsibilities, human sexual anatomy, sexual activity, sexual reproduct ...
and
feminist Feminism is a range of socio-political movements and ideologies that aim to define and establish the political, economic, personal, and social equality of the sexes. Feminism incorporates the position that society prioritizes the male po ...
Shere Hite Shere Hite (; November 2, 1942 – September 9, 2020) was an American-born German sex educator and feminist. Her sexological work focused primarily on female sexuality. Hite built upon biological studies of sex by Masters and Johnson and by Alfred ...
stated that one of her female research subjects had written, "Sex with a woman includes: touching, kissing, smiling, looking serious, embracing, talking, digital intercourse, caressing, looking, cunnilingus, undressing, remembering later, making sounds, sometimes gently biting, sometimes crying, and breathing and sighing together." Disrobing before a partner, removing the clothing of a partner or performing acts of
physical intimacy Physical intimacy is sensual proximity or touching. It is an act or reaction, such as an expression of feelings (including close friendship, platonic love, romantic love or sexual attraction), between people. Examples of physical intimacy i ...
, such as the touching of a partner's
erogenous zone An erogenous zone (from Greek , ''érōs'' "love"; and English ''-genous'' "producing", from Greek , ''-genḗs'' "born") is an area of the human body that has heightened sensitivity, the stimulation of which may generate a sexual response, su ...
s by the use of hands, tongue or rest of the mouth, may be regarded as indicators of the partner's desire for sexual activity and an
erotic stimulus Sexual arousal (also known as sexual excitement) describes the Physiology, physiological and psychological responses in preparation for sexual intercourse or when exposed to Sexual stimulation, sexual stimuli. A number of physiological respons ...
or turn-on (sexual arousal), which may generate erotic sensations in both partners. Allowing such acts of physical intimacy, especially the stimulation of a partner's breasts and nipples, is an indication of reciprocal interest in sexual activity. A woman's mouth, lips and tongue may be sensitive erogenous zones; they are commonly used by partners during the preliminary stages and throughout a sexual activity, whether for kissing, sucking, licking or specifically for
oral sex Oral sex, sometimes referred to as oral intercourse, is sexual activity involving the stimulation of the genitalia of a person by another person using the mouth (including the lips, tongue, or teeth) and the throat. Cunnilingus is oral sex per ...
. The stimulation of a partner's breasts, including oral or manual stimulation of the nipples, is a form of
foreplay Foreplay is a set of emotionally and physically intimate acts between one or more people meant to create sexual arousal and desire for sexual activity. Although foreplay is typically understood as physical sexual activity, nonphysical activitie ...
. Breast and nipple stimulation of women is a common aspect of sexual activity.Levin, Roy J. " The breast/nipple/areola complex and human sexuality". ''Sexual & Relationship Therapy''. Vol.21, Issue 2 (May 2006). p.237–249 The stimulation of a woman's nipples promotes the production and release of
oxytocin Oxytocin (Oxt or OT) is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. It plays a role in social bonding, reproduction, childbirth, and the period after childbirth. Oxytocin ...
and
prolactin Prolactin (PRL), also known as lactotropin, is a protein best known for its role in enabling mammals to produce milk. It is influential in over 300 separate processes in various vertebrates, including humans. Prolactin is secreted from the pit ...
. During the stimulation of the nipples, large amounts of oxytocin are released, which would normally prepare the breast for breastfeeding. Besides creating maternal feelings in a woman, it also decreases her
anxiety Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...
and increases bonding and trust. An
orgasm Orgasm (from Greek , ; "excitement, swelling") or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region charac ...
includes involuntary actions, including muscular
spasm A spasm is a sudden involuntary contraction of a muscle, a group of muscles, or a hollow organ such as the bladder. A spasmodic muscle contraction may be caused by many medical conditions, including dystonia. Most commonly, it is a muscle c ...
s in multiple areas of the body, a general
euphoric Euphoria ( ) is the experience (or affect) of pleasure or excitement and intense feelings of well-being and happiness. Certain natural rewards and social activities, such as aerobic exercise, laughter, listening to or making music and da ...
sensation and, frequently, body movements and vocalizations. The period after orgasm, known as a refractory period, is often a relaxing experience, attributed to the release of the
neurohormone A neurohormone is any hormone produced and released by neuroendocrine cells (also called neurosecretory cells) into the blood. By definition of being hormones, they are secreted into the circulation for systemic effect, but they can also have a role ...
s oxytocin and prolactin. Although it is generally reported that women do not experience a refractory period and can thus experience an additional orgasm (or multiple orgasms) soon after the first one, some sources state that women are capable of experiencing a refractory period because they may experience a moment after orgasm in which further
sexual stimulation Sexual stimulation is any stimulation, stimulus (including bodily contact) that leads to, enhances and maintains sexual arousal, and may lead to orgasm. Although sexual arousal may arise without physical stimulation, achieving orgasm usually requ ...
does not produce excitement.


Oral sex, manual stimulation and tribadism

Oral stimulation of the
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the ope ...
or other parts of
vulva The vulva (plural: vulvas or vulvae; derived from Latin for wrapper or covering) consists of the external sex organ, female sex organs. The vulva includes the mons pubis (or mons veneris), labia majora, labia minora, clitoris, bulb of vestibu ...
or the
vagina In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hymen ...
is commonly practiced between women and, like oral stimulation of the nipples, can include the use of teeth in addition to use of the lips or tongue. Oral sex that involves the stimulation of the woman's clitoris or other parts of the vulva or the vagina is called
cunnilingus Cunnilingus is an oral sex act performed by a person on the vulva or vagina of another person. The clitoris is the most sexually sensitive part of the human female genitalia, and its stimulation may result in a woman becoming sexually aroused ...
. The oral stimulation of the
anus The anus (Latin, 'ring' or 'circle') is an opening at the opposite end of an animal's digestive tract from the mouth. Its function is to control the expulsion of feces, the residual semi-solid waste that remains after food digestion, which, d ...
, called
anilingus Anilingus (from the Latin ''anus'' + ''-lingus'', from ''lingere'', "to lick", variantly spelled "analingus") is the oral and anal sex act in which a person stimulates the anus of another by using the mouth, including lips, tongue, or teeth. I ...
, is less often practiced. Fingering (manual stimulation) involves the use of the fingers to massage a woman's clitoris or other parts of the vulva, the vagina, or anus. Oral or manual stimulation of the vulva, and in particular the clitoris, is the most common way for a woman to reach and achieve an orgasm. Fingering may be self-fingering, one-sided, mutual, penetrative or non-penetrative. Massaging inside of the vagina may stimulate a very sensitive area, sometimes termed ''the
G-spot The G-spot, also called the Gräfenberg spot (for German gynecologist Ernst Gräfenberg), is characterized as an erogenous area of the vagina that, when stimulated, may lead to strong sexual arousal, powerful orgasms and potential female ejac ...
area.'' For some women, stimulating the G-spot area creates a more intense orgasm than direct clitoral stimulation. For deeper vaginal, anal or oral penetration, a dildo,
strap-on dildo A strap-on dildo (also strap-on) is a dildo designed to be worn, usually with a harness, during sexual activity. Harnesses and dildos are made in a wide variety of styles, with variations in how the harness fits the wearer, how the dildo attach ...
or other
sex toy A sex toy is an object or device that is primarily used to facilitate human sexual pleasure, such as a dildo, artificial vagina or vibrator. Many popular sex toys are designed to resemble human genitals, and may be vibrating or non-vibrating ...
s may be used.
Tribadism Tribadism ( ) or tribbing, commonly known by its scissoring position, is a lesbian sexual practice in which a woman rubs her vulva against her partner's body for sexual stimulation, especially for stimulation of the clitoris. This may involve vulv ...
is a common non-penetrative sexual act between women. It is often known by its "scissoring" position, and is also referred to as frottage or in popular slang as dry humping. It involves a woman rubbing her vulva against her partner's vulva, thigh, stomach, buttocks, arm, or another body part. This may be achieved in a number of
sex position A sex position is a position of the body that people use for sexual intercourse or other sexual activities. Sexual acts are generally described by the positions the participants adopt in order to perform those acts. Though sexual intercourse ge ...
s, including a
missionary A missionary is a member of a Religious denomination, religious group which is sent into an area in order to promote its faith or provide services to people, such as education, literacy, social justice, health care, and economic development.Tho ...
, a
woman on top Woman on top is any sex position in which the woman is on top of her sexual partner during sexual activity. The position most commonly associated with the woman on top is often called the cowgirl or riding position, which derives its name from ...
,
doggy style Doggy style is a sex position in which a person bends over, crouches on all fours (usually on hands and knees), or lies on their abdomen, for sexual intercourse, other forms of sexual penetration or other sexual activity. Doggy style is a ...
, scissoring or other position. It may be accompanied by fingering or penetration with a
dildo A dildo is a sex toy, often explicitly phallic in appearance, intended for sexual penetration or other sexual activity during masturbation or with sex partners. Dildos can be made from a number of materials and shaped like an erect human penis ...
.


Dominance, submission and BDSM

On occasion, for variety, or on a more regular or routine basis, a woman may assume a passive role during sexual activity and leave it to her partner to provide their sexual satisfaction, which can also be an aspect of
dominance and submission Dominance and submission (also called D/s) is a set of behaviors, customs, and rituals involving the submission of one person to another in an erotic episode or lifestyle. It is a subset of BDSM. This form of sexual contact and pleasure has been ...
. For example, a person in a doggy style position may be passive and open to a variety of sex acts, generally at the choice of the active partner, such as fingering from behind, massage or stimulation of erogenous zones, including the genitals, nipples, or buttocks, and receiving a playful spank to the buttocks.Rogiere, Jean, "The Little Book of Sex". Ulysses Press. 2001. , 96 pages. The active partner can also introduce a sex toy, such as a dildo or vibrator, into the vagina or anus. To ensure passivity and to enhance the feeling of or actual
female submission Female submission or femsub is an activity or relationship in which a woman consents to submit to the direction of a sexual partner or allows her body to be used sexually by or for the sexual pleasure of her partner. The expression is often ass ...
, a partner may also take part in bondage (such as wearing handcuffs) or in other
BDSM BDSM is a variety of often erotic practices or roleplaying involving bondage, discipline, dominance and submission, sadomasochism, and other related interpersonal dynamics. Given the wide range of practices, some of which may be engaged ...
activities. During sexual bondage, the restrained partner is generally open to a variety of sex acts and cannot interfere in the ensuing sexual activity. She is dependent for her sexual satisfaction on the actions of her partner, who can choose the type and pace of the sexual activity and can introduce sex toys. For example, a pecker gag can be used to
gag A gag is usually an item or device designed to prevent speech, often as a restraint device to stop the subject from calling for help and keep its wearer silent. This is usually done by blocking the mouth, partially or completely, or attemptin ...
the restrained partner as well as to require her to suck during sexual activity in a similar manner to an adult pacifier. The active partner has the role of treating the restrained partner as a
sex object Sexual objectification is the act of treating a person solely as an Object (philosophy), object of sexual desire. Objectification more broadly means treating a person as a commodity or an object without regard to their personality or dignity. Ob ...
to be used for her own sexual satisfaction. The active partner may herself derive sexual satisfaction from providing her sex partner with sexual satisfaction and bringing her to orgasm.


Research and views

In 1953,
Alfred Kinsey Alfred Charles Kinsey (; June 23, 1894 – August 25, 1956) was an American sexologist, biologist, and professor of entomology and zoology who, in 1947, founded the Institute for Sex Research at Indiana University, now known as the Kinsey Instit ...
's ''
Sexual Behavior in the Human Female The Kinsey Reports are two scholarly books on human sexual behavior, ''Sexual Behavior in the Human Male'' (1948) and ''Sexual Behavior in the Human Female'' (1953), written by Alfred Kinsey, Wardell Pomeroy, Clyde Martin, and (for ''Sexual Behav ...
'' documented that, over the previous five years of sexual activity, 78% of women had orgasms in 60% to 100% of sexual encounters with other women, compared with 55% for heterosexual sex. Kinsey attributed this difference to female partners knowing more about women's sexuality and how to optimize women's sexual satisfaction than male partners do. Similarly, studies by several scholars, including
Masters and Johnson The Masters and Johnson research team, composed of William H. Masters and Virginia E. Johnson, pioneered research into the nature of human sexual response and the diagnosis and treatment of sexual disorders and dysfunctions from 1957 until the 1 ...
, concluded that lesbian sexual behaviors more often have qualities associated with sexual satisfaction than their heterosexual counterparts, or that female partners are more likely to emphasize the emotional aspects of lovemaking.Iasenza, S
''The Big Lie: Lesbian Bed Death''
Fridae Fridae (in Chinese 匯樂) is a diversified media and services company that caters to the gay and lesbian community of Asia. Its strategy covers the Internet, Broadcasting, Publishing and Events. The name "Fridae" is inspired by "Man Friday" fro ...
newsletter (November 9, 2001). Retrieved on June 14, 2009.
Masters and Johnson's 1979 study on lesbian sexual practices concluded that lesbian sexual encounters include more full-body sexual contact, rather than genital-focused contact, less preoccupation or anxiety about achieving orgasm, more sexual assertiveness and communication about sexual needs, longer lasting sexual encounters and greater satisfaction with the overall quality of one's sexual life. Studies by
Pepper Schwartz Pepper Schwartz (born May 11, 1945) is an American sexologist and sociologist teaching at the University of Washington in Seattle, Washington (state), Washington, United States. She is the author or co-author of numerous books, magazines, and web ...
and Philip Blumstein (1983) and Diane Holmberg and Karen L. Blair (2009) contradict research indicating that women in same-sex relationships are more sexually satisfied than their heterosexual counterparts. Schwartz concluded that lesbian couples in committed relationships have less sex than any other type of couple, and that they generally experience less sexual intimacy the longer the relationship lasts, though this study has been subject to debate (see
Lesbian bed death Lesbian bed death is the concept that lesbian couples in committed relationships have less sex than any other type of couple the longer the relationship lasts, and generally experience less sexual intimacy as a consequence. It may also be defined ...
). Holmberg and Blair's study, on the other hand, published in ''
The Journal of Sex Research The ''Journal of Sex Research'' is a peer-reviewed academic journal covering the study of human sexuality and the field of sexology in general. It is published by Routledge on behalf of the Society for the Scientific Study of Sexuality. In 1963, ...
'', found that women in same-sex relationships enjoyed identical sexual desire, sexual communication, sexual satisfaction, and satisfaction with orgasm as their heterosexual counterparts. Additional research by Blair & Pukall (2014) reported similar findings, such that women in same-sex relationships reported similar levels of overall sexual satisfaction and lower levels of sexual frequency. However, this recent study also reported that women in same-sex relationships spent significantly longer amounts of time on individual sexual encounters - often spending upwards of two hours on an individual encounter. Consequently, what lesbians may lack in frequency, they may make up for with longer durations. With regard to the ease or difficulty of achieving orgasm, Hite's research (while subject to methodological limitations) showed that most women need clitoral (exterior) stimulation for orgasm, which can be "easy and strong, given the right stimulation" and that the need for clitoral stimulation in addition to knowing one's own body is the reason that most women reach orgasm more easily by masturbation. Replicating Kinsey's findings, studies by scholars such as Peplau, Fingerhut and Beals (2004) and Diamond (2006) indicate that lesbians have orgasms more often and more easily in sexual interactions than heterosexual women do. Preferences for specific sexual practices among female same-sex relationships have also been studied. Masters and Johnson concluded that vaginal penetration with dildos is rare and lesbians tend to do more overall genital stimulation than direct clitoral stimulation, which is also often the case for heterosexual relationships. Concerning oral sex, the common belief that all women who have sex with women engage in cunnilingus contrasts research on the subject. Some lesbian or bisexual women dislike oral sex because they do not like the experience or due to psychological or social factors, such as finding it unclean. Other lesbian or bisexual women believe it is a necessity or largely defines lesbian sexual activity. Lesbian couples are more likely to consider a woman's dislike of cunnilingus as a problem than heterosexual couples are, and it is common for them to seek therapy to overcome inhibitions regarding it. Some lesbians practice
anal sex Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure.Sepages 270–271for anal sex information, anpage 118for information about the clitoris. ...
. In 1987, a non-scientific study (Munson) was conducted of more than 100 members of a lesbian social organization in Colorado. When asked what techniques they used in their last 10 sexual encounters, 100% reported kissing, sucking on breasts, and manual stimulation of the clitoris; more than 90% reported French kissing, oral sex, and fingers inserted into the vagina; and 80% reported tribadism. Lesbians in their 30s were twice as likely as other age groups to engage in anal stimulation (with a finger or dildo). A 2014 study of partnered lesbian women in Canada and the U.S. found that 7% engaged in anal stimulation or penetration at least once a week; about 10% did so monthly and 70% did not at all. In 2003, Julia V Bailey and her research team published data based on a sample from the
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and North ...
of 803 lesbian and bisexual women attending two London lesbian sexual health clinics and 415 women who have sex with women (WSW) from a community sample; the study reported that the most commonly cited sexual practices between women "were oral sex, digital vaginal penetration, mutual masturbation, and tribadism (frottage with genital-to-genital contact or rubbing of the genitals against another part of the partner's body), each of which occurred in 85% of
omen who have sex with women An omen (also called ''portent'') is a phenomenon that is believed to foretell the future, often signifying the advent of change. It was commonly believed in ancient times, and still believed by some today, that omens bring divine messages fr ...
. Like older studies, the data also showed that vaginal penetration with dildos, or with other sex toys, among women who have sex with women is rare. A 2012 online survey of 3,116 women who have sex with women, published in ''
The BMJ ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origi ...
'', found the majority of women reporting a history of genital rubbing (99.8%), vaginal fingering (99.2%), genital scissoring (90.8%), cunnilingus (98.8%) and vibrator use (74.1%).


Health risks

Like most sexual activity, lesbian sexual activities can carry risks of
sexually transmitted infections Sexually transmitted infections (STIs), also referred to as sexually transmitted diseases (STDs) and the older term venereal diseases, are infections that are spread by sexual activity, especially vaginal intercourse, anal sex, and oral se ...
(STIs/STDs), such as
genital herpes Genital herpes is an infection by the herpes simplex virus (HSV) of the genitals. Most people either have no or mild symptoms and thus do not know they are infected. When symptoms do occur, they typically include small blisters that break ope ...
or other
pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ ...
ic infections. When lesbian sexual activity is of a non-penetrative nature, the risk of exchange of
bodily fluid Body fluids, bodily fluids, or biofluids, sometimes body liquids, are liquids within the human body. In lean healthy adult men, the total body water is about 60% (60–67%) of the total body weight; it is usually slightly lower in women (52-55%). ...
s is generally lower and therefore the incidence of transmission of sexually transmitted infections is also relatively low, especially when contrasted by penetrative sexual activities between male-female or male-male couples. The use of the same sex toys by more than one person increases the risk of transmitting such infections. Though the risk for
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
transmission from lesbian sexual activity is significantly lower than it is for HIV transmission from male-female and male-male sexual activity, it is present. HIV can be spread through bodily fluids, such as blood (including
menstrual The menstrual cycle is a series of natural changes in hormone production and the structures of the uterus and ovaries of the female reproductive system that make pregnancy possible. The ovarian cycle controls the production and release of eggs a ...
blood),
vaginal fluid Vaginal discharge is a mixture of liquid, cells, and bacteria that lubricate and protect the vagina. This mixture is constantly produced by the cells of the vagina and cervix, and it exits the body through the vaginal opening. The composition, amo ...
and
breast milk Breast milk (sometimes spelled as breastmilk) or mother's milk is milk produced by mammary glands located in the breast of a human female. Breast milk is the primary source of nutrition for newborns, containing fat, protein, carbohydrates ( lacto ...
, or by oral sex if the person has cuts or sores in her mouth or poor oral hygiene.
Bacterial vaginosis Bacterial vaginosis (BV) is a disease of the vagina caused by excessive growth of bacteria. Common symptoms include increased vaginal discharge that often smells like fish. The discharge is usually white or gray in color. Burning with urination ...
, which doubles the ''risk'' of obtaining
sexually transmitted infections Sexually transmitted infections (STIs), also referred to as sexually transmitted diseases (STDs) and the older term venereal diseases, are infections that are spread by sexual activity, especially vaginal intercourse, anal sex, and oral se ...
like
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...
occurs more often in lesbian couples. The
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
(CDC) did not recognize female-to-female transmission as a possible method of HIV infection until 1995. The CDC reported there is little data available regarding the risk of spreading sexually transmitted infections between women. However, the CDC states that pathogens such as metronidazole-resistant
trichomoniasis Trichomoniasis (trich) is an infectious disease caused by the parasite ''Trichomonas vaginalis''. About 70% of affected people do not have symptoms when infected. When symptoms occur, they typically begin 5 to 28 days after exposure. Symptoms ca ...
, genotype-concordant HIV,
human papillomavirus Human papillomavirus infection (HPV infection) is caused by a DNA virus from the ''Papillomaviridae'' family. Many HPV infections cause no symptoms and 90% resolve spontaneously within two years. In some cases, an HPV infection persists and res ...
(HPV, which has been linked to nearly all cases of
cervical cancer Cervical cancer is a cancer arising from the cervix. It is due to the abnormal growth of cells that have the ability to invade or spread to other parts of the body. Early on, typically no symptoms are seen. Later symptoms may include abnormal ...
) and
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, an ...
can be spread through sexual contact between women. While the rates of these pathologies are unknown, one study showed 30% of lesbians and bisexual women had medical histories with sexually transmitted infections. This does not mean that sexually active lesbians are exposed to higher health risks than the general population. Health Canada noted "the prevalence of all types of HPV (cancer and non-cancer-causing) in different groups of Canadian women ranges from 20%–33%" and an American university study found 60% of sexually active females were infected with HPV at some time within a three-year period. The ''
American Family Physician ''American Family Physician'' (''AFP'') is the editorially independent, peer-reviewed and evidence-based medical journal published by the American Academy of Family Physicians. Published continuously since 1950, each issue delivers concise, easy-t ...
'' suggests that lesbian and bisexual women "cover sex toys that penetrate more than one person's vagina or anus with a new condom for each person" and to "consider using different toys for each person", to use a protection barrier (for example, a latex sheet,
dental dam A dental dam or rubber dam is a thin, square sheet, usually latex or nitrile, used in dentistry to isolate the operative site (one or more teeth) from the rest of the mouth. Sometimes termed "Kofferdam" (from German), it was designed in the Uni ...
, cut-open condom or plastic wrap) during oral sex and to "use latex or vinyl gloves and lubricant for any manual sex that might cause bleeding unprotected contact with a sexual partner's menstrual blood and with any visible genital lesions". However, there "is no good evidence" that using a dental dam reduces STI transmission risks between women who have sex with women; studies show that using a dental dam as a protection barrier is rarely practiced, and that, among women who have sex with women, this may be because the individuals have "limited knowledge about the possibilities of STI transmission or
eel Eels are ray-finned fish belonging to the order Anguilliformes (), which consists of eight suborders, 19 families, 111 genera, and about 800 species. Eels undergo considerable development from the early larval stage to the eventual adult stage ...
less vulnerable to STIs uch as HIV.


See also

*
Bisexuality Bisexuality is a romantic or sexual attraction or behavior toward both males and females, or to more than one gender. It may also be defined to include romantic or sexual attraction to people regardless of their sex or gender identity, whic ...
*
Women who have sex with women Women who have sex with women (WSW) are women who engage in sexual activities with other women, whether they identify themselves as lesbian, bisexual, or heterosexual, or dispense with sexual identification altogether. The term ''WSW'' is often ...
*
Gay sexual practices Gay sexual practices are sexual activities involving men who have sex with men (MSM), regardless of their sexual orientation or sexual identity. These practices can include anal sex, non-penetrative sex, and oral sex. Evidence shows that sex be ...
*
Homosexuality Homosexuality is romantic attraction, sexual attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to peop ...


References


External links

* * {{LGBT
Sexual practices Sex is the biological distinction of an organism between male and female. Sex or SEX may also refer to: Biology and behaviour *Animal sexual behaviour **Copulation (zoology) **Human sexual activity ** Non-penetrative sex, or sexual outercourse ...
Sexual acts