Rate the Risk

LEVEL OF RISK
TYPE OF ACTIVITY
WAYS TO DECREASE YOUR RISK
Very high
Unprotected anal intercourse
  • Use a male condom
  • Use lots of lube
  Unprotected vaginal intercourse
  • Use a male or female condom
  • Use lube
  Body fluid or blood play
(e.g. tasting or feeling fluids such as ejaculate, vaginal fluids, menstrual blood, urine, or blood for sexual pleasure)
  • Know your partner well
  • Avoid if you have cuts on your hands or gums

High
Unprotected fellatio
(oral stimulation of a male’s genitals)
  • Use a (flavored) male condom
  • Do not floss your teeth beforehand (may   cause tears in gums)
  • Avoid ejaculation in the mouth
  Unprotected analingus
(oral stimulation of a partner’s anus)
  • Use a (flavored) oral dam
  • Do not floss your teeth beforehand (may cause tears in gums)

Moderate
Sharing sex toys without a condom or barrier on them (especially for toys that cannot be sterilized)
  • Use a condom on the toy
  • Use toys that can be sterilized

 

Unprotected cunnilingus
(oral stimulation of a woman’s genitals)
  • Use a (flavored) oral dam
  • Do not floss your teeth beforehand (may cause tears in gums)
  Unprotected manual sex (e.g. inserting fingers into partner’s vagina or anus; giving your partner a handjob)
  • Use a latex glove
  • Avoid if you have cuts on your hands
  Kissing (open-mouth)
  • Know your partner well
  • Avoid if you or your partner have cuts or sores in or around the mouth

Low
Protected oral sex These activities are only low-risk if protection (condoms, oral dams) are used properly and consistently and do not break or tear.
 

Protected anal intercourse

 
  Protected vaginal intercourse  
  Unprotected manual sex with handwashing before and after  
  Manual sex with gloves  
  Kissing (open-mouth, no visible wounds or sores ) Please note that HSV may still be transmitted, even if there are no visible sores/blisters
  Dry sex (rubbing genitals together while wearing underwear)  

Practically None
Kissing
(closed-mouth, no visible wounds or sores)
Please note that HSV may still be transmitted, even if there are no visible sores/blisters
 

Massage (non-genital, no fluid sharing)

 
  Sensation play (experimenting with things that create different sensations, such as hot, cold, wet, soft, pulsing, ticklish, etc.)  
  Hugging  
  Role-play, cyber sex, phone sex  
  Mutual masturbation (each partner masturbating themselves without touching each other)