Safe Sex and Substance Use

5-minute read. Take breaks as needed or .

Quick Summary

Substance use can significantly affect sexual health, behavior, and decision-making. This guide aims to provide essential harm minimisation strategies for individuals who use substances, ensuring they understand the impact on sex drive, consent, and overall sexual health.

Different substances can have varying effects on sexual drive and performance. Here’s how some of them impact sexual health:

Stimulants (e.g., Cocaine, Amphetamines, MDMA): these can increase sex drive and delay ejaculation but may also lead to risky sexual behavior due to heightened arousal and reduced judgment.
Depressants (e.g., Alcohol, Benzodiazepines): while small amounts can lower inhibitions, higher doses often reduce sexual performance and libido and can make it difficult to consent to sexual activity.
Opioids (e.g., Heroin, Morphine): typically decrease libido and can cause difficulties in achieving orgasm.
Cannabis: effects can vary; some users report increased sexual pleasure, while others may experience a decrease in libido.
Hallucinogens (e.g., LSD, Psilocybin): can alter perception and mood, potentially leading to enhanced tactile sensations but also unpredictable sexual behavior.

Informed consent: the ability to give informed consent can be significantly impaired under the influence of substances. Consent must be active, ongoing, enthusiastic, and not given under pressure or while incapacitated by drugs or alcohol.
Communication: clear communication with sexual partners about boundaries and intentions is crucial, especially when substances are involved.

Always use condoms: regardless of the substance used, condoms are essential to prevent sexually transmitted infections (STIs) and unwanted pregnancies.
Dental dams for oral sex: protect against STIs when performing oral sex.

Regular STI testing: regular screenings for STIs and HIV are crucial, especially if you have multiple partners.
Discuss health status: share your STI status with partners before engaging in sexual activity.

Carry protection: always have condoms or other protective barriers with you.
Avoid mixing substances: mixing substances can further impair your ability to make safe decisions.

Pre-define your boundaries: decide what you are comfortable with before using substances.
Communicate boundaries: make sure your partners are aware of your boundaries and respect them.

Moderate use: reducing the amount of substance use can help maintain clearer judgment.
Avoid using alone: use substances in the company of trusted friends who can help maintain a safe environment.

Seek Support: If you struggle with substance use, seek support from services like counseling or support groups.
Educational Resources: Familiarize yourself with resources on safe sex and substance use.

Substance use can lead to physical and emotional vulnerability. Ensure you have a plan for aftercare post-encounter, which might include hydration, rest, and emotional check-ins.

Sexual Health Victoria: Offers resources on sexual health and safer sex practices.
The Alcohol and Drug Foundation: Provides information on how substances affect health, including sexual health.
headspace: Supports young people with sexual health and substance use issues.
National Sexual Assault, Domestic Family Violence Counselling Service: For confidential information, counselling, and support service.

Remember, combining sex and substances requires careful consideration to minimize health risks and ensure that all parties feel safe and respected in their choices.