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Cervical cancer is the third most prevalent cancer in women, and since the introduction of the Papanicolaou test Pap test or Pap smearthe incidence of cervical cancer and mortality rates worldwide have declined substantially. However significant disparities have been identified between the cervical screening rates of heterosexual and lesbian women. This study explores the attitudes and practices that lesbians have towards cervical cancer screening and aims to identify why such disparities occur.
Lesbian sexual practices are sexual activities involving women who have sex with women, irrespective of their sexual orientation. A woman who has sex with another woman may identify as a lesbian if she is exclusively sexually attracted to women, or bisexual if she is not exclusively sexually attracted to women, or dispense with sexual identification altogether. The term may also be applied to a heterosexual or asexual woman who is unsure of or is exploring her sexuality.
Not many people talk about whether women who have sex with women need to practice safe sex. Taking pregnancy off the table tends to get rid of any urgency around the discussion. However, bisexuals and lesbians are at risk for sexually transmitted diseases. Furthermore, lesbian STDs may go undiagnosed for long periods of time -- increasing the potential to cause long-term health problems.
Journal of the Gay and Lesbian Medical Association. Objective: The assumption that self-identified lesbians are at low risk for sexually transmitted diseases STDs and other gynecological infections may be premised upon infrequent screening, ignorance of lesbian sexual practices, and the discomfort that lesbians may feel concerning the disclosure of their sexual identity and behavior. We hypothesize that transmission between women may occur, and actual risk may depend upon the sexual behaviors as well as the number and gender of partners.
Compared to heterosexual youth, gay, lesbian, bisexual, and questioning GLBQ adolescents engage disproportionately in a variety of health risk behaviors and are at risk for numerous negative health outcomes. Adolescents reporting same-sex sexual attraction, romantic relationships, and sexual experience are also at increased risk, regardless of self-identified sexual orientation. While adolescents feel it is important to discuss sexuality with primary care providers, they are unlikely to initiate discussion about sexuality or to openly disclose GLBQ sexual orientation to their providers.
Lesbian sexual practices are many and sundry. As with most interpersonal behaviour any physical expression of intimacy depends on the context of the relationship along with social, cultural and other influences. Sex educator and feminist Shere Hite 's research while subject to methodological limitations showed "sex as we define it is a cultural institution, not a biological one," that most women need clitoral or exterior stimulation for orgasm which can be "easy and strong, given the right stimulation" and most women reach orgasm more easily by masturbation.
Sexually transmitted diseases STDs can be spread between female sex partners, probably through the exchange of cervicovaginal fluid and direct mucosal contact. Additionally, lesbians have a high prevalence of bacterial vaginosis, which may represent an STD in this population. However, few data on sexual practices or perceived STD risk among lesbians are available to guide development of interventions aimed at reducing the risk.
But how often do we hear the nitty-gritty of how we can actually better understand our deepest desires and most embarrassing questions? Bustle has enlisted Vanessa Marin, a sex therapist based in San Francisco, to help us out with the details. No gender, sexual orientation, or question is off-limits, and all askers remain anonymous. I saw your article about the best positions for female orgasmand I was hoping you could write a similar version for lesbians.