What are the risks associated with intimacy in the time of coronavirus? Three experts weigh in
It’s nearly impossible to practice “social distancing” with the partners with whom we share homes – and beds. But what are the risks associated with intimacy in the time of coronavirus? Three experts weigh in.
Is Covid-19 s_xually transmissible?
Dr Jessica Justman: We’re not seeing patterns that indicate s_xual transmission. It’s primarily spread through respiratory droplets. And touching contaminated surfaces is thought to be the secondary mode of transmission.
Dr Carlos Rodríguez-Díaz: There is no evidence that the Covid-19 can be transmitted via either v_g!nal or an_l intercourse. However, kissing is a very common practice during s_xual intercourse, and the virus can be transmitted via saliva. Therefore, the virus can be transmitted by kissing. There is also evidence of oral-fecal transmission of the Covid-19 and that implies that an_alingus may represent a risk for infection.
So is it OK to have s_x?
Justman: If you or your partner is a Covid-19 case, the advice is to steer clear of each other as much as possible. In fact, the New York City department of health has guidelines on this. If you’re a possible or confirmed case you should isolate yourself, ideally in a private residence until seven days after the illness began. You need to have had no fever for 72 hours, without using ibuprofen [see footnote] or anything that would mask your fever, and your respiratory symptoms should be improving.
Dr Julia Marcus: But for people who don’t have symptoms and don’t have any recent likely exposure and have been staying close to home, I think that, if it’s within your own household, it’s a different story. If you live with a regular s_xual partner and you don’t have any symptoms or likely exposure, s_x might actually be a really great way to have fun, stay connected and relieve anxiety during this potentially stressful time.
What about new partners?
Marcus: The recommendation right now is that we try to stay home as much as we can and really only interact with people for things that are essential, like groceries. And even when we do that, try to keep some physical distance of about 6ft from other people. That would definitely make s_x a challenge.
Rodríguez-Díaz: s_xual intercourse may decrease during the next few weeks, but other forms of expressing eroticism, such as s_xting, video-calls, reading er_tica and m_st#rbation will continue to be options.
How can someone keep s_x toys clean?
Rodríguez-Díaz: Just use soap and water.
We don’t know how long this pandemic will last. What do you say to someone who’s single now and doesn’t want to wait months before they can be intimate with someone?
Rodríguez-Díaz: If you’re concerned about practising social distancing for too long, make sure that you and the people you know practice social distancing now. The sooner we do it, the sooner we’ll see a decline in new infections, and the sooner we will be able to change our practice of socializing. Rather than focusing on the future, we need to focus on the present.
Use these couple of weeks to channel your energy, explore yourself, maybe think about what it is that you’re looking for. And you can do that by yourself. It can be a great opportunity to explore other ways of engaging with new s_xual partners that you can meet online by s_xting or using video calls.
Dr Jessica Justman is a professor and attending physician in the Division of Infectious Diseases at the Columbia University Irving Medical Center
Dr Carlos E Rodríguez-Díaz is a professor at George Washington University’s Milken Institute School of Public Health
Dr Julia Marcus is an infectious disease epidemiologist and professor in the Department of Population Medicine at Harvard Medical School
• This footnote was appended on 19 March 2020. In relation to coronavirus and ibuprofen, the NHS currently advises: “There is currently no strong evidence that ibuprofen can make coronavirus (Covid-19) worse. But until we have more information, take paracetamol to treat the symptoms of coronavirus, unless your doctor has told you paracetamol is not suitable for you. If you are already taking ibuprofen or another non-steroidal anti-inflammatory (NSAID) on the advice of a doctor, do not stop taking it without checking first.”
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