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Can the coronavirus be passed on through sex?

There’s currently no evidence that the coronavirus can be passed on through sexual contact but it certainly is spread through close physical contact (e.g. being within two metres of someone puts you at increased risk). The virus can be passed on through direct contact with saliva or mucus, so this would include kissing. The COVID-19 virus has also been found in the faeces of people who are infected so rimming may also be a risk for infection.

It is safe to have sex?

Unfortunately washing your hands and not kissing someone during sex isn’t enough to stop the virus. Even if someone doesn’t have symptoms, they may still have the virus. It’s estimated perhaps as many as 1 in 3 people with COVID-19 have no symptoms – but can still pass the virus on to others. That could be you or a potential partner.

If you still want to have sex with someone else, then the safest partner is someone you live with. Having close contact – including sex – with only one person or a small circle of people helps to reduce the risk of the virus spreading. It’s strongly advised that you don’t hook up with strangers or multiple partners for sex.

Reducing body contact and having less sex really will make a big impact on reducing the onward transmission of the coronavirus.

What other ways can I have sex?

You are your safest sexual partner right now. There is no risk of passing on coronavirus through masturbation and there’s plenty of evidence that shows masturbation can relieve stress and anxiety. If you use sex toys, make sure you wash them and your hands with soap for at least 20 seconds before and after.

Technology also now means there are different ways to connect with partners, e.g. phone sex or video dates using WhatsApp or other platforms. Just make sure you aren’t pressured into anything that makes you feel uncomfortable.

Should I be using hook-up apps?

Hook-up apps are playing a great role in signposting people to support services such as mental health advice and mean people can stay connected. If you do choose to hook up with someone, then it’s really important to reduce any potential harm of spreading the coronavirus.

Avoid kissing, wash your hands and use condoms to reduce contact with saliva during oral sex. But the best advice is to avoid hook-ups altogether. Even if you meet someone you like on an app, it would be far better to enjoy each other online via video chat or messaging or even good old-fashioned phone sex! Just be careful of the images you share – be aware that images might identify you and a chat session might be viewed by others or recorded.

Should I still be taking PrEP?

We're advising that during the lockdown you don’t hook up or travel to meet someone. Therefore, many people will choose to stop taking PrEP, unless there is a specific need – for example if you live with a partner with a detectable HIV viral load.

For cis gay men (i.e. anyone who was assigned male sex at birth and still identifies as a man), it's safe to stop taking PrEP as long as you stop after two full days after you last had sex. For everyone else, including cis women, trans men and women and non-binary people, it’s advised you wait until seven full days before stopping.

When you’re ready to re-start PrEP, cis gay and bisexual men can re-start with a double dose taken two to 24 hours before sex. For everyone else, you need re-start with a daily dose for seven days before having sex again.

What if I need to get tested for an STI?

Sexual health services are reducing their face-to-face appointments and will only be able to see emergency or urgent cases. This is to reduce the risk of infection and to free up capacity so staff can work elsewhere in the NHS. It may not be possible to get tested in a clinic, but you can still request a home sampling kit to test at home if that service is available near you. Check out your local sexual health clinic website for more information.

If you need treatment, rest assured you will still be able to access this. For any urgent or emergency support, contact your local clinic.

We're living in extraordinary times and we all need to take extraordinary measures. Remember that this is not forever and, by playing your part, you're helping to reduce the strain on the NHS and to protect yourself and others.

We'll continue to follow developments and adjust our guidance accordingly. If you have any questions please contact THT Direct on 0808 802 1221.