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Mental Health. Sexual health. M igrant health. Mental Health and workforce.

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Disclaimer: The recommendations provided here are the opinions of the authors and are not intended to provide a standard of care, or practice. This document does not reflect a systematic review of the evidence but will be revised to include relevant future systematic review findings of the National COVID Clinical Evidence Taskforce and other relevant information.

This ASHM document is deed for clinicians and other healthcare workers to support the health and wellbeing of their patients who are having casual sex during the COVID pandemic.

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Despite social distancing remaining in place, some individuals continue to engage in casual sex. As social distancing restrictions ease it is likely that an increase in casual sex will occur. In line with its approach to other areas of health, ASHM believes it is crucial during the COVID pandemic to support clinicians and other healthcare workers to promote harm reduction strategies. Women seeking casual sex Kirby is also crucial to engage communities in health seeking behaviours, in ways that recognise the needs and experience of those communities.

Casual sex plays a very important social function for many individuals and communities. For example, for some men who have sex with men MSMsexual networks may be their only connection to other MSM; for sex workers, social distancing restrictions may directly impact upon their connections to peer networks and source of income. Transmission can also occur as a result of contact with surfaces, or objects where infectious droplets from coughing, sneezing, speaking or breathing have landed 7.

People can protect themselves and others from the virus by practicing good hand hygiene, refraining from touching their face, covering their nose and mouth when coughing and sneezing with a tissue or a flexed elbow, practising physical distancing which includes not having sex with casual partners, or with regular partners if their partner has COVID, or has COVID symptoms, staying at home if they are unwell, by following jurisdictional guidelines on limitations on private and public gatherings, accessing COVID testing if they have symptoms of COVID and isolating themselves if they are required to do so.

SARS-CoV-2 has been detected in saliva 8faeces 9, 10and in semen in some 11but not all 12, 13studies. Currently there is no evidence that transmission of SARS-CoV-2 occurs via the faecal-oral route or via exposure to semen, or vaginal secretions. There are no data currently available on whether different types of sexual practices have different levels of risk for transmission of SARS-CoV When discussing sex and sexual health with an individual, it is important to be non-judgemental and take a thorough sexual history.

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The Australian STI Management Guidelines for use in Primary Care recommend using normalising language and using a hook to engage individuals in a conversation about their sexual health. Guidance on how to take a sexual history can be found here.

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During the COVID pandemic, clinicians should continue to take sexual histories from patients and should be aware that patients may be reluctant to disclose that they have been having casual sex while social distancing restrictions are in place and may be afraid of being prosecuted or discriminated. Telehealth and other remote consultations may offer both barriers and benefits to taking a sexual history from patients.

However, it may also be more difficult to establish the patient rapport required for sensitive topics such as sexual health via a telehealth consultation. In addition, clinicians should recognise that individuals may experience stigma in both healthcare settings and in the broader community as a result of having casual sex during the pandemic.

It is also important to be aware of the additional stigma attached to key populations such as gay, bisexual and other MSM, people living with HIV, hepatitis B, and hepatitis C, sex workers and people who inject drugs. Clinicians should educate all patients about how SARS-CoV-2 is transmitted and that the close contact that occurs during sex is a key risk factor for infection with this virus.

There are a of measures that clinicians can recommend to patients who are having casual sex that may help reduce their risk of COVID transmission 1, 3, 6. Patients who prefer to use condoms for HIV prevention should be encouraged to use condoms consistently if they are having casual sex with HIV and STI acquisition risk during the pandemic. PEP should be offered to patients Women seeking casual sex Kirby have had a possible exposure to HIV and who present within 72 hours of that exposure.

Clinicians in Australia are reporting that they are diagnosing recently acquired HIV infection in patients who had stopped PrEP during the early stages of the pandemic when social distancing requirements commenced. Clinicians should encourage people to use safe injecting practices, including during times when they are having casual sex.

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It is important during the COVID pandemic for healthcare workers to continue to encourage all sexually active individuals, and particularly those who identify as key populations, to engage in regular HIV and STI screening as per regular screening guidelines 15, If an individual is identified as requiring STI screening during a Telehealth consultation they will need to attend the practice, or clinic for appropriate clinical follow-up and STI testing.

Toggle ASHM. Background on casual sex and harm minimisation guidance This ASHM document is deed for clinicians and other healthcare workers to support the health and wellbeing of their patients who are having casual sex during the COVID pandemic. Opportunities for engagement around sexual health about SARS-CoV-2 transmission during the COVID pandemic When discussing sex and sexual health with an individual, it is important to be non-judgemental and take a thorough sexual history. Harm reduction for the prevention of SARS-COV-2 transmission during casual sex Clinicians should educate all patients about how SARS-CoV-2 is transmitted and that the close contact that occurs during sex is a key risk factor for infection with this virus.

Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV an observational cohort study. Lancet Infect Dis. J Med Virol. Nat Med 26, — Published May 1. Study of SARS-CoV-2 in semen and urine samples of a volunteer with positive naso-pharyngeal swab [published online ahead of print, Apr 23]. J Endocrinol Invest. Biol Reprod. Home Products. .

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Harm minimisation approaches to casual sex during the COVID pandemic