How to doing Safe SeX

.: Safe SeX

Always avoid sex with anyone who has genital sores, a rash, discharge or other disease symptoms. The only time unprotected sex is safe is if you and your partner have sex only with each other, and if it's been at least six months since you each tested negative for STDs. Otherwise you should:

• Use latex condoms every time you have sex. (If you use a lubricant, make sure it's water-based.) Use condoms for the entire sex act. Condoms are not 100% effective at preventing disease or pregnancy. However, they are extremely effective if used properly. Learn how to use condoms correctly.
• Avoid sharing towels or underclothing.
• Wash before and after intercourse.
• Get a vaccination for hepatitis B.
• Get tested for HIV.
• If you have a problem with drug or alcohol abuse, get help. People who are drunk or on drugs often fail to have safe sex.
• Consider that not having sex is the only sure way to prevent STDs.

It was once thought that using condoms with nonoxynol-9 helped to prevent STDs by killing the organisms that can cause disease. New research shows that it also irritates a women’s vagina and cervix, actually increasing the risk of an STD infection. Current recommendations are to avoid using condoms with nonoxynol-9.

How Can I Prevent Spreading a Sexually Transmitted Disease?

• Stop having sex until you see a doctor and are treated.
• Follow your doctor's instructions for treatment.
• Use condoms whenever you have sex, especially with new partners.
• Don't resume having sex unless your doctor says it's OK.
• Return to your doctor to get rechecked.
• Be sure your sex partner or partners also are treated.

Reviewed by Tracy C. Shuman, MD on August 01, 2005

Anatomy of the Penis, Mechanics of Intercourse

This page presents information that most parents are not aware of at the time they make the circumcision decision. Doctors usually do not provide this information.If you are under 18, we recommend that you share and discuss this information with your parents.

For a further look at this anatomy, including photographs, visit Circumstitions (Hugh Young). Hugh's site also includes an excellent animation to illustrate retraction.

Fig. 1. Intact adult Penis

This illustration represents an average normal adult human penis. The head of the penis (glans) has a covering, called the foreskin (prepuce). This covering folds in on itself, forming a double layer.

The foreskin is not a `flap' of skin on the end of the penis, and it is not `useless' or `redundant' skin.

There is some natural variation in t

he length of the foreskin, which often covers a bit more or less of the glans than illustrated.

In an average circumcised adult man, the area of skin that is missing because of penile reduction surgery would, when erect and unfolded, measure approximately three by five inches, or a little smaller than a postcard. That is

about half the total skin of the penis.

Structures of the penis

• The outer foreskin layer is a continuation of the skin of the shaft of the penis.
• The inner foreskin layer is not just "skin," but mucocutaneous tissue of a unique type found nowhere else on the body.
• The ridged band is the interface (join) between the outer and inner foreskin layers. When the penis is not erect, it tightens to narrow the foreskin opening. During erection, the ridged band forms ridges that go all the way around, about halfway down the shaft.
• The reddish or purplish glans or glans penis (head of the penis) is smooth, shiny, m oist and extremely sensitive.
• The frenulum, or frenum, is a connecting membrane on the underside of the penis, similar to that beneath the tongue.

Fig. 2. Intact penis (hidden structures shown).

The foreskin has twelve known functions.

They are:

1. to cover and bond with the synechia so as to permit the development of the mucosal surface of the glans and inner foreskin.
2. to protect the infant's glans from feces and ammonia in diapers.
3. to protect the glans penis from friction and abrasion throughout life.
4. to keep the glans moisturized and soft with emollient oils.
5. to lubricate the glans.
6. to coat the glans with a waxy protective substance.
7. to provide sufficient skin to cover an erection by unfolding.
8. to provide an aid to masturbation and foreplay.
9. to serve as an aid to penetration.
10. to reduce friction and chafing during intercourse.
11. to serve as erogenous tissue because of its rich supply of erogenous receptors.
12. to contact and stimulate the G-spot of the female partner.

The above list was compiled from various sources by George Hill.

Fig. 3: Erection process: Intact penis

When fully retracted, the foreskin is designed to cover essentially the entire penile shaft,

yet is loose enough to "glide". The ridged bands are situated about

halfway down the shaft, when the foreskin is retracted fully.

Note: In some cases, a man

may have difficulty retracting

the foreskin. This is not an indication

for circumcision, because there are good alternative treatments available

that preserve the structure and function of the foreskin. Scientific references for information on this topic can

be found in CIRP's Circumcision Reference Library.

See also the excellent animation at

Circumstitions.com (offsite link).

Penile stimulation

The most important components of the physical erogenous stimulation of the penis during foreplay and intercourse are the sensations from the foreskin,

frenulum/frenar band, and glans. These structures each have their own feeling, and each contributes in its own way to the man's total experience of lovemaking. It must be emphasized that emotional excitement is an extremely important component of sexual enjoyment, and intensifies the man's perception of any physical sensations from his penis.

• The foreskin has an inner and outer layer. The outer foreskin layer contains nerve endings which respond to gentle touching during the early stages of sexual arousal. This helps to trigger an erection. The nerves of the inner and outer foreskin contribute to the experience of penile stimulation, up to and including orgasm. These receptors are stimulated by stretching, or when the foreskin rolls over the surface of the glans during intercourse or masturbation. (see `the gliding mechanism,' below).
• The foreskin contains sensory receptors called Meissner corpuscles. We believe that these nerves, similar to nerve endings in the fingertips, are there to provide pleasure, as well as fine sensory perception. This seems to help a man to enjoy sex longer without ejaculating prematurely, because he can more easily tell when he is approaching the threshold of orgasm.
• Stimulation of the frenulum an d ridged band results in intense pleasurable feelings during arousal. The ridged band consists of a number of "ridges", described by Dr. John Taylor in his recent article. Sensations from these structures during intercourse or masturbation are thought to be the primary trigger of orgasm in the intact male. Dr. George Denniston writes:

  The ridged bands, which are like horseshoes only in that they curve forward underneath toward the point where the frenulum attaches, can be found in several pictures in John's paper. There are some 20 concentric ridged bands which rub over the corona. Each ridge has Meissner's corpus cles, which respond to pressure, and they produce the sexual pleasure which no individual has a right to take away from another individual.

• We believe that stimulation of the glans is most significant in the later stages of sexual intercourse, when penetration is deepest and emotions are running at their highest. Sensations from the glans contribute to the quality of the sensual experience. They are also apparently capable of triggering orgasm on their own, as would be the case in a circumcised man.

Fig. 4. Circumcised adult Penis

Following circumcision, the foreskin of the penis has been cut away. The surface of the glans has developed a thick, dry layer of keratin (toughened skin), which makes it less sensitive to unwanted stimulation, but also less sensitive to the more subtle qualities of lovemaking.

Fig. 5. The circumcised penis: Erect state

All circumcised men have an annular scar on the shaft of the penis. The location of the scar varies, from near the head to far down the shaft. For some men, so much skin has been removed that erection becomes difficult and even painful. This was one of the most common complaints reported by circumcised men in a recent poll.

• The gliding mechanism

  

  During intercourse the loose skin of the intact penis slides up and down the shaft of the

  penis, stimulating the glans and the sensitive erogenous receptors of the foreskin itself. On the outstroke the glans is partially or completely engulfed by the foreskin. This is known as the `gliding mechanism.'

  The gliding mechanism is Nature's intended mechanism of intercourse. As such, it contributes greatly to sexual pleasure. Also, since more of the loose

  skin of the penis remains inside the vagina, the woman's natural lubrication is not drawn out to evaporate to a great extent, which makes sex easier without using artificial lubricants.

  The prepuce is a highly innervated and vascularized genital structure. It is entirely lined with the peripenic muscle sheet. Specialized ecoptic sebaceous glans on the inner preputial surface produce natural emollients and lubricants necessary for normal sexual function. The primary orgasmic triggers are found in the preputial orifice and frenulum. When unfolded, the prepuce is large enough to cover the length and circumference of the erect penis and acts as a natural sheath through which the shaft glides during coitus. Only the presence and functions of the prepuce allow for physiologically normal coitus to occur as designed by nature.

  (Fleiss, Paul M; Frederick Hodges. "Nontherapeutic Circumcision Should not be Performed," American Medical News, vol. 38, no. 26 (July 17, 19 95): p. 16.)

  Effects of penile reduction surgery (circumcision) on sexual intercourse

  Although still pleasurable for the man, intercourse without the participation of the prepuce lacks the gliding mechanism. The only source of stimulation is the glans rubbing against the wall of the vagina. The sensations from the specialised receptors of the frenar band, frenulum and inner foreskin layer are missing.

  "With intravaginal containment of the normal penis, the male's mobile sheath is placed within the woman's vaginal sheath. It is impossible to imagine a better mechanical arrangement for non-abrasive stimulation of the male and female genitalia than this slick 'sheath within a sheath.' Circumcision destroys this one sheath within a sheath . . . I would hazard a guess, that dyspareunia [painful intercourse] is more common in the women whose husband is circumcised . . . one would be foolish to discount the circumcised male's immobile penile skin sheath as an ancillary item contributing to vaginal, abrasive discomfort . . . The male with a penis already moderately obtunded by circumcision may be less apt to use a condom, which he feels may further decrease his genital sensitivity . . . because most American males lack a facile prepuce, the period of foreplay and dalliance may be abbreviated in the rush to the intra-vaginal method of penile stimulation. Both these factors conceivably could be of significance in increasing the rate of venereal disease, including AIDS . . . "

  (Say No to Circumcision! 40 Compelling Reasons Why You Should Respect His Birthright and Leave Your Son Whole (2nd edition), by Thomas A. Ritter, MD, Hourglass Book Publishing 1996) If the surgery was performed on an infant, by adulthood a relatively thick keratin layer will have formed on the normally skinless mucosal surface of the glans, which further reduces the stimulation. If the circumcision was performed as an adult, the keratin layer will form, and the sensitivity of the glans will gradually be reduced over time.

References and further reading: http://www.cirp.org/pages/anat/