It is a general misconception that women who have sex with women (WSW) are safe from sexually transmitted infections (STIs). However, studies have shown that WSW, including those with both male and female sexual partners, were more likely to report STD clinic attendance, HIV testing and STD diagnosis compared to heterosexual women.
WSW still face a slew of misconceptions, biases and homophobic attitudes which often translate into inadequate healthcare and a lack of understanding around WSW’s sexual health. Due to this, it is even more important for WSW to be aware of the sexual health risks they may face.
What risks do WSW face?
WSW is a diverse group that encompasses a broad array of sexual identities, sexual behaviours, practices and risk behaviours. Here are three major health risks to know about:
HIV
Although the rate of HIV transmission is lower among WSW, the risk is not zero. WSW, especially those that continue to have sex with men as well, can contract HIV. Transmission of HIV can also occur during activities such as oral sex, intimidate touching and by sharing sex toys.
Cervical Cancer
85-90% of cervical cancer develops from long-term HPV infections. HPV is a very common and highly infectious virus that can be transmitted through sexual contact with or without penetration. WSW are on average less likely to regularly visit a gynaecologist compared to heterosexual women. This is likely due to the association of gynaecologists with reproductive, contraceptive and pregnancy care. Therefore, less frequent gynaecologist visits can translate into less frequent HPV and cervical cancer screenings, making a regular testing regime for STIs including HPV infection even more important.
Pelvic Inflammatory Disease
Pelvic inflammatory disease is often caused by other STIs such as chlamydia and gonorrhoea, both common among WSW. STIs are not just spread through penetrative sex but also through the sharing of sex toys, oral sex and any other contact with another’s bodily fluids. The long-lasting damaging effects of STIs and pelvic inflammatory disease mean it is important to be tested regularly for STIs.
Speak to us in confidence
Speak to Better2Know today to arrange an STI test or screening at a clinic near you and gain some piece of mind. You can use the phone number above or our live webchat to speak in confidence to one of our and highly trained sexual health advisors.
Sources
[1] CID: STIs among WSW
[1] ILGA: Lesbian health: Myths and realities
[1] AVERT: HIV and women who have sex with women




