Sex Talk: How can I have casual sex safely?

Dr Tlaleng Mofokeng answers your sex questions

Q. I am a young woman who is into casual sex at the moment. What can I do about avoiding pregnancy, sexually transmitted diseases and HIV, apart from the usual methods which are reliant on men being proactive about using them?

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A. The progestogen-only injectable form of contraception remains widely used in South Africa despite revised World Health Organisation guidelines on safety concerns regarding possible increased risk of HIV infection. Efforts are being made to phase out this questionable practice and assist women to better understand their risks and be able to make more informed decisions regarding their health.

The following hormonal contraceptive methods are considered safer: combined oral contraceptive pills, combined contraceptive patches/rings and progestogen-only pills - along with barrier methods such as condoms, which offer the best protection when used correctly every time you have sex.

It is difficult to quantify an individual's risk of contracting HIV. It is very important to understand your own risk based on the type of sex play you engage in and what safe-sex methods you use.

The female condom is effective in reducing the risk of both pregnancy and HIV. Its larger circumference provides increased protection from sexually transmitted infections, including HIV. It can be used with lubricants and is made of thin material which does not impede intimacy - the outer ring can have a stimulating effect on the clitoris and contribute to orgasm.

Despite their many advantages, there is not enough of a drive to spread knowledge of and access to female condoms. We need increased vigour in public health campaigns to distribute female condoms and disseminate information on their use and benefits.

• Dr Tlaleng Mofokeng (MBChB), sexual and reproductive health practice, DISA Clinic, 011-886-2286, visit safersex.co.za.

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