City Health Dept: “We do not know if COVID-19 can be spread through sex”

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From City of Philadelphia Board of Health, Department of Public Health:

We know that social distancing is the best way to prevent getting COVID-19 or infecting someone else, but we don’t know if it can be passed through sex with the virus. This raises a tricky question: is it okay to have sex during COVID-19?

The short answer is that it’s complicated. We do not know if COVID-19 can be spread through sex. However, we do know that similar viruses are not transmitted through sex. COVID-19 is spread through direct contact with saliva or mucus. If you are having sex, the main risk probably comes from being close to someone (within 6 feet) and having direct contact with your sex partner, for example kissing and touching each other’s faces.

However, there are still a lot of things about this new virus that we don’t know. At this time, body fluids known to carry virus include saliva, other respiratory droplets (from sneezing or coughing), and feces, and semen. The virus has not been found in vaginal fluid.

Sex and COVID-19

There are still ways to maintain pleasure and intimacy. Here are some ideas on how you can reduce your risk of giving or getting COVID-19:

• Masturbation will not spread COVID-19; this is your safest option. It’s still important to practice hand hygiene by washing your hands with soap and water for 20 seconds before and after (sing Happy Birthday twice). It’s also important to wash any sex toys with soap and water.
• The next safest option for a sex partner is someone who lives with you. Avoid having sex with anyone outside your household.
• At this time, it is still important to stay home and practice social distancing. If you do have sex with other people outside your household, limit the number of your sex partners.
• If you usually meet your sex partners online or make a living by having sex, consider taking a break from in-person dates. Get creative! Video dates, sexting or chat rooms may be safe and sexy options for you.
  • If you are a sex worker and continue to have dates, we recommend:
    • Screening your clients for symptoms.
    • If your date presents with symptoms, you are taking a risk continuing the date.
    • Cleaning/disinfecting your workspace thoroughly and after each date.
    • Shower thoroughly after each client and change clothes.
    • Resources for specific populations including people engaged in sex work.
  • Washing up before and after sex is more important than ever. Wash hands often with soap and water for at least 20 seconds.

Strategies for safer sex

• Skip sex if you or your partner is not feeling well.
  • If you or a partner think that you may have or have been diagnosed with COVID-19, avoid sex and close contact.
  • If you are not feeling well, you may be getting sick. Symptoms of COVID-19 include fever, cough, and shortness breath.
  • If you or your partner are over the age of 50 or have a medical condition that puts you at higher risk for and more severe infection (including heart disease, lung disease, diabetes or a weakened immune system such as cancer or unsuppressed HIV) from COVID-19, you may want to avoid sex if you do not live together.
• Condoms and dental dams can reduce contact with saliva, feces, and semen.
• Rimming (mouth on anus) might spread COVID-19. Virus in feces may enter your mouth.
• Don’t forget about a sexual wellness plan to prevent HIV, sexually transmitted infections (STIs), and unplanned pregnancy.
  • HIV: Condoms, pre-exposure prophylaxis (PrEP), and having an undetectable viral load all help prevent HIV. For more information, or to order an at home test kit, visit Philly, Keep On Loving.
  • Other STIs: Condoms help prevent other STIs. If you are concerned that you have an STI or you are having symptoms of an STI, call your health care provider.
  • Pregnancy: Make sure you have an effective form of birth control for the coming weeks, if you’re not planning to become pregnant.

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