Mutual monogamy

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Mutual monogamy is a form of monogamy that exists when two partners agree to be sexually active with only one another. Being in a long-term mutually monogamous relationship reduces the risk of acquiring a sexually transmitted infection (STI). [1] It is one of the most reliable ways to avoid STIs. [2] [3] [4] Those who choose mutual monogamy can be tested before the sexual relationship to be certain they are not infected. This strategy for the prevention of acquiring a sexually transmitted infection requires that each partner remain faithful and does not engage in sexual activity with another partner. [5]

Mutual monogamy differs from serial monogamy which is a current monogamous relationship that has not been established in the past and may not continue into the future. Serial monogamy may not result in the reduced risk of contracting a sexually transmitted infection because the past sexual exposures to infection are brought into the new relationship, even though it may be exclusive of other sexual partners. The risk of acquiring a sexually transmitted infection while in a serial monogamous relationship is the same as the risk of those who have concurrent partners. [6] Those with a greater ability to communicate about their commitment are likely to sustain the relationship. [7] When individuals are mutually monogamous, and are free from STIs/HIV when they enter the relationship, the risk for being infected with STI/HIV acquisition from sexual intercourse is very low. [8] A mutually monogamous relationship lowers the risk of HIV, cervicitis, and other sexually transmitted infections. [9]

A mutual monogamous sexual relationship often includes a pledge to stay with the partner and includes the desire for the relationship to last, a psychological attachment and the lack of being able to find another partner. If these conditions remain a priority for both, the "couple is likely committed and mutually monogamous." [8]

Being in a long-term mutually monogamous relationship with a partner who has been tested and has negative STI test lowers the chance of acquiring gonorrhea. [10] It is also effective for lowering the risk of syphilis, chlamydia and pubic lice. [11] [12] [13] [14]

The lack of a more precise definition of mutual monogamy in the literature confounds the ability to statistically assess its effectiveness. [15]

Related Research Articles

Chlamydia Sexually transmitted infection caused by the bacterium Chlamydia trachomatis.

Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. Most people who are infected have no symptoms. When symptoms do appear they may occur only several weeks after infection; the incubation period between exposure and being able to infect others is thought to be on the order of two to six weeks. Symptoms in women may include vaginal discharge or burning with urination. Symptoms in men may include discharge from the penis, burning with urination, or pain and swelling of one or both testicles. The infection can spread to the upper genital tract in women, causing pelvic inflammatory disease, which may result in future infertility or ectopic pregnancy. Repeated infections of the eyes that go without treatment can result in trachoma, a common cause of blindness in the developing world.

Pelvic inflammatory disease Infection of uterus, fallopian tubes, ovaries or the inner surface of pelvis

Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Often, there may be no symptoms. Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer.

Safe sex Ways to reduce the risk of acquiring STDs

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Syphilis Sexually transmitted infection

Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum subspecies pallidum. The signs and symptoms of syphilis vary depending in which of the four stages it presents. The primary stage classically presents with a single chancre though there may be multiple sores. In secondary syphilis, a diffuse rash occurs, which frequently involves the palms of the hands and soles of the feet. There may also be sores in the mouth or vagina. In latent syphilis, which can last for years, there are few or no symptoms. In tertiary syphilis, there are gummas, neurological problems, or heart symptoms. Syphilis has been known as "the great imitator" as it may cause symptoms similar to many other diseases.

Urethritis is the inflammation of the urethra. The most common symptoms include painful or difficult urination and urethral discharge. It is a commonly treatable condition usually caused by infection with bacteria. This bacterial infection is often sexually transmitted, but not in every instance; it can be idiopathic, for example. Some incidence of urethritis can appear asymptomatic as well.

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Cervicitis is inflammation of the uterine cervix. Cervicitis in women has many features in common with urethritis in men and many cases are caused by sexually transmitted infections. Non-infectious causes of cervicitis can include intrauterine devices, contraceptive diaphragms, and allergic reactions to spermicides or latex condoms. Cervicitis affects over half of all women during their adult life.

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Sexual health clinics specialize in the prevention and treatment of sexually transmitted infections.

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Condom effectiveness

Condom effectiveness is how effective condoms are at preventing STDs and pregnancy. Correctly using male condoms and other barriers like female condoms and dental dams, every time, can reduce the risk of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) and viral hepatitis. They can also provide protection against other diseases that may be transmitted through sex like Zika and Ebola. Using male or female condoms correctly, every time, can also help prevent pregnancy.

Gonorrhea Sexually transmitted infection

Gonorrhea, colloquially known as the clap, is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae. Infection may involve the genitals, mouth, or rectum. Infected men may experience pain or burning with urination, discharge from the penis, or testicular pain. Infected women may experience burning with urination, vaginal discharge, vaginal bleeding between periods, or pelvic pain. Complications in women include pelvic inflammatory disease and in men include inflammation of the epididymis. Many of those infected, however, have no symptoms. If untreated, gonorrhea can spread to joints or heart valves.

Sexually transmitted infection Infection transmitted through human sexual behavior

Sexually transmitted infections (STIs), also referred to as sexually transmitted diseases (STDs) and the older term venereal disease, are infections that are commonly spread by sexual activity, especially vaginal intercourse, anal sex and oral sex. STIs often do not initially cause symptoms, which results in a greater risk of passing the infection on to others. Symptoms and signs of STIs may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. STIs can be transmitted to an infant before or during childbirth, which may result in poor outcomes for the infant. Some STIs can cause infertility.

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Partner services is a public health term which refers to the health intervention given to a client's intimate partners when a client goes to a health care provider requesting health care.

Partner notification is the practice of notifying the sexual partners of a person, known as the "index case", who has been newly diagnosed with a sexually transmitted infection that they may have been exposed to the infection. It is a kind of contact tracing and is considered a partner service.

Gay sexual practices Sexual practices between men

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Suraksha Clinic


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Penile discharge Medical condition

Penile discharge is fluid that comes from the urethra at the end of the penis that is not urine or semen.

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Human sexual promiscuity is the practice of having many different sexual partners. In the case of men, this behavior of sexual nondiscrimination and hypersexuality is referred to as satyriasis, while in the case of women, this behavior is conventionally known as nymphomania. Both conditions are regarded as possibly compulsive and pathological qualities, closely related to hyper-sexuality. The results of, or costs associated with, these behaviors are the effects of human sexual promiscuity.

References

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  2. "Final Evidence Review: Gonorrhea: Screening - US Preventive Services Task Force". www.uspreventiveservicestaskforce.org.
  3. "Evidence Synthesis Number 114, Behavioral Sexual Risk Reduction Counseling in Primary Care to Prevent Sexually Transmitted Infections: An Updated Systematic Evidence Review for the U.S. Preventive Services Task Force". U.S. Preventive Services Task Force. September 2014. Retrieved 13 December 2017.
  4. "Pelvic Inflammatory Disease - CDC Fact Sheet". www.cdc.gov. 2017-10-04. Retrieved 2018-01-06.
  5. "Many Men Choose Monogamy To Prevent Sexually Transmitted Diseases". Guttmacher. 22 September 2005.
  6. Norman, Robert A. (25 June 2010). Preventive Dermatology. Springer Science & Business Media. ISBN   9781849960212 via Google Books.
  7. Warren, Jocelyn T.; Harvey, S. Marie; Agnew, Christopher R. (13 December 2017). "One love: explicit monogamy agreements among heterosexual young adult couples at increased risk of sexually transmitted infections". Journal of Sex Research. 49 (2–3): 282–289. CiteSeerX   10.1.1.1015.1725 . doi:10.1080/00224499.2010.541952. PMID   21191869. S2CID   2543497.
  8. 1 2 Towner, Senna L.; Dolcini, M. Margaret; Harper, Gary W. (1 May 2015). "Romantic Relationship Dynamics of Urban African American Adolescents: Patterns of Monogamy, Commitment, and Trust". Youth & Society. 47 (3): 343–373. doi:10.1177/0044118X12462591. PMC   4681523 . PMID   26691404.
  9. "Cervicitis". New York City Health Department.
  10. "Gonorrhea". Health and Human Services. 17 August 2016.PD-icon.svgThis article incorporates text from this source, which is in the public domain.
  11. http://www.health.pa.gov/My%20Health/Diseases%20and%20Conditions/Q-T/14242L/Pages/557969.aspx#.WjEVQ0qnE2w
  12. "Syphilis". Health and Human Services. 17 August 2016.PD-icon.svgThis article incorporates text from this source, which is in the public domain.
  13. "Chlamydia". Health and Human Services. 17 August 2016.PD-icon.svgThis article incorporates text from this source, which is in the public domain.
  14. "Crabs - IDPH". www.dph.illinois.gov. Illinois Department of Health.
  15. Calsyn, Donald A.; Campbell, Aimee N.; Tross, Susan; Hatch-Maillette, Mary A. (1 September 2011). "Is monogamy or committed relationship status a marker for low sexual risk among men in substance abuse treatment? Clinical and methodological considerations". The American Journal of Drug and Alcohol Abuse. 37 (5): 294–300. doi:10.3109/00952990.2011.596874. PMC   3238678 . PMID   21854271.