Sex and Coronavirus Disease (COVID-19)

UPDATED October 28, 2021

The best way to protect yourself from COVID is to get vaccinated. Making sure your partner is vaccinated is important too: that gives you both the most protection. To find a vaccine near you, go to www.vaccines.gov or your state or local health department’s websites. 

We know a lot more about COVID than we used to.  But because it’s so new, there’s still a lot we don’t know.  While that’s frustrating, we will do the best we can to tell you what the science currently says. The new Delta strain of COVID spreads very quickly, which means people who have not yet gotten vaccinated are at greater risk. Additionally, some people who have been vaccinated can get reinfected with the new strain. 

We know now that people who are vaccinated can still get infected, but that doesn’t mean vaccines don’t work.  Vaccines are very effective at keeping you from getting seriously ill. Very few people who have already gotten vaccinated and get reinfected have to go to the  hospital. The vast majority of COVID patients in hospitals were never vaccinated.According to C.D.C. data, unvaccinated people are 4.5 times more likely to contract the coronavirus, and 11 times more likely to die from their infection than those who are vaccinated.

Many people who get reinfected have no symptoms, and when they do, the symptoms can be relatively minor. We still don’t know what kind of long-term effects a reinfection may have. 

Unvaccinated and vaccinated people can both transmit COVID to others. It’s expected that people who have symptoms are more likely to transmit COVID than people who do not. 

Booster shots are now recommended for many. While the vaccines themselves are very effective, booster shots will increase their effectiveness even more. Here are the CDC’s recommendations. 

For individuals who received a Pfizer-BioNTech or Moderna COVID-19 vaccine, the following groups should receive a  booster shot at 6 months or more after their initial series:

Individuals in the following categories may get a booster based on their individual benefits and risks: 

For individuals who got the Johnson & Johnson COVID-19 vaccine, booster shots are also recommended for those who are 18 and older and who were vaccinated two or more months ago.

Check your state or local health department website  to see if your state recommends boosters for people in other  categories  (for example, communities of color).

The CDC also recommends that some  people who are severely immunocompromised- including having advanced or untreated HIV infection – get a third dose.  For more information, click here.

It’s important to know that new information is coming in frequently, so we suggest going to the CDC’s website for the latest recommendations.

Since vaccinated people can get reinfected and transmit COVID, it’s still important to wear masks, especially indoors. Here are some considerations to help you make a decision regarding your sexual partners:

  • If you and your partner are both fully vaccinated, both of you have some protection from getting seriously ill or needing to be hospitalized.  However, you can still give each other COVID. 
  • If one of you is vaccinated and the other is at high risk for complications from COVID (including HIV+ individuals who have advanced HIV disease or detectable viral loads, people over 50, and others who are immunocompromised) it’s a good idea to wear masks.
  • If neither of you are fully vaccinated, it’s even more important to wear masks. 
  • The more sexual partners you have, the greater the risk of getting COVID – or transmitting it. 
  • If you’re not feeling well, it’s a good idea to not have sex until you’re feeling better. If your symptoms resemble those of COVID (fever, cough, fatigue, new loss of taste or smell, or others), make sure you get tested. 

You should still get tested periodically, particularly if you have symptoms. If you’ve been around someone who’s infected, get tested three to five days after you might have been exposed. 

Keep checking the CDC’s website for updates.

We’ve faced a lot of challenges as a community. We can overcome this one as well.

What do we now know about COVID-19?

  • Vaccines are available in many places, and more and more people are getting vaccinated every day! The field is changing very rapidly, so it’s important to stay up to date by going to the CDC’s website
  • Vaccines don’t provide instant protection, and it takes two weeks after you’ve gotten vaccinated (two weeks after your second shot if it’s made by Pfizer or Moderna, or after your one shot if it’s made by Johnson and Johnson) to be immune. 
  • You can still get infected within the two weeks after you get the vaccine. 
  • Vaccines aren’t 100% effective at preventing you from getting infected, although they’ll keep you from getting seriously ill and from having to go to the hospital. 
  • CDC now recommends COVID-19 vaccination for everyone 12 years of age and older to help protect against COVID-19.
  • CDC guidelines state that fully vaccinated people can now resume activities without wearing a mask or physically distancing, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance. They can also resume domestic travel. You don’t need routine testing; however, if you experience COVID-19 symptoms you should get tested. For additional guidance on what’s allowed and what’s not, go to the CDC’s website.
  • Treatments for COVID-19 have improved, although it can still be life-threatening for people of any age.
  • The number of cases is increasing in many parts of the country, although fortunately the number of deaths is decreasing.
  • Wearing a mask in public prevents the spread of COVID-19. If you’re not vaccinated, wear a mask while in public for your safety and the safety of others. Two masks are better than one. For more information about how to wear masks, go to https://www.cdc.gov/coronavirus/2019-ncov/your-health/effective-masks.html

Can you have sex?

Yes! Here is some useful information and some tips for how to enjoy safer sex and reduce the risk of spreading COVID-19:

You can get COVID-19 from a person who has it, and especially by being physically close to that person.

  • The virus most commonly spreads through droplets or particles produced when a person with COVID-19 coughs, sneezes, talks, or sings (even if they do not have any symptoms).
  • Getting vaccinated, avoiding kissing, and avoiding being close to each other without masks, are three of the most effective ways to prevent transmission.

We still have a lot to learn about COVID-19 and sex. 

  • We do not know if COVID-19 can be spread through oral, vaginal or anal sex, although we do know that it’s transmitted by being close to another person – particularly if you’re not wearing masks. Condoms, saran wrap and finger cots can help reduce risk from oral contact with genital areas as well as oral-anal or vaginal sex.

Have an honest conversation with your sex partners, housemates, and any other close contacts about any significant exposures they may have had.

  • People can be asymptomatic.
    • It is possible to have coronavirus and not show signs of infection. Continue to practice social distancing in public.
    • Most COVID-19 transmission occurs from individuals who are not symptomatic
  • Tell your partners if you get diagnosed with COVID-19.
    •  If you tested positive for COVID-19, tell your sex partners and housemates directly or by going to TellYourContacts.org.
  • Ask questions!
    • Have they been vaccinated – and has it been more than two weeks since they were?
    • Have they had a booster shot?
    • Have they been diagnosed with COVID-19? People who have recovered from COVID-19 for at least 10 days from the day their symptoms started are likely no longer infectious.
    • Have they been exposed to someone with COVID-19 in the last two days?
    • Have they been tested?
    • Are they at high risk for complications from COVID-19?
    • Have they had any COVID-19 symptoms since their vaccine?
  • Use apps, videos, and texting to keep meeting guys – without meeting in person. You can even have an old-fashioned phone call.  Use this time to flirt or get to know someone better and meet in person later, particularly if stay-at-home or shelter-in-place orders are in effect where you live.
  • Have sex only with people close to you. You are your safest sex partner. Masturbation will not spread COVID-19, especially if you wash your hands (and any shared sex toys) with soap and water for at least 20 seconds before and after sex.
  • The next safest partner is someone you live with. Having close contact — including sex — with only a small circle of people helps prevent spreading COVID-19. The fewer people you’re physically close to, the better. 
  • If you do have sex with others outside your household, have as few partners as possible and pick partners you trust. 
  • If you decide to have sex outside of your circle of contacts or a hook up:
    • Closely monitor yourself for symptoms.
    • Consider getting tested for COVID-19 on a more frequent basis (monthly or within five to seven days before a hookup). Go online or call your health department or medical provider for information on where you can get tested.
    • Take extra precautions interacting with people who are or may be at risk for severe COVID-19 illness such as people over 65 years of age or those with serious medical conditions. Medical conditions include lung disease, moderate to severe asthma, heart disease, diabetes, obesity, kidney disease, liver disease, cancer or a weakened immune system (for example, having unsuppressed HIV or a low CD4 count).
    • Wear a mask and wash your hands to minimize risk to others.
  • If you do have sex with others, have as few partners as possible. You and your partner can create an exclusive ‘bubble’ where you agree to only have sex with each other for the time being and stay in communication about your COVID-19 exposure.
  • Avoid group sex including sex parties, since that increases the risk for everyone there, including you.
    • It’s very hard to determine if everyone has been vaccinated in a group setting. 
    • The more contacts we have with others, the longer the pandemic will last. This means we all need to have as few social and sexual contacts as possible.
  • If you usually meet your sex partners online or make a living by having sex, consider taking a break from in-person dates. Video dates, sexting, subscription-based fan platforms, “Zoom parties” or chat rooms may be options for you.
  • Limit all contacts – not just sexual – and maintain social distance.
    • Until there is clear guidance in your area about returning to normal daily activities, continue to keep social distance from anyone outside of your household
  • Have sex only with consenting partners. To learn more about consent, visit on.nyc.gov/consent.
  • Get tested regularly for STIs, and if you’re HIV-negative or don’t know, make sure you get tested for HIV as well. Go to gettested.cdc.gov for a directory of free test sites near you. In some states, you may be able to get a free test sent to your home by going to TakeMeHome.org.
  • Kissing can easily spread  COVID-19. Avoid kissing anyone who is not part of your small circle of close contacts; ideally, only kiss those in your household.
  • Rimming (mouth-to-anus contact) might spread COVID-19. Virus in feces may enter your mouth and could lead to infection.
  • Wear a face covering or mask. Maybe it’s your thing, maybe it’s not. But during COVID-19, wearing a face covering that covers your nose and mouth is a good way to add a layer of protection during sex. Heavy breathing and panting can spread the virus further, and if you or your partner have COVID-19 and don’t know it, a mask can help stop that spread. For more information on how to wear masks correctly, go to https://www.cdc.gov/coronavirus/2019-ncov/your-health/effective-masks.html. If both of you are vaccinated, it’s ok to take off the masks; if you’ve been vaccinated and your partner may be at risk for complications from COVID, it’s best to keep wearing them. If neither of you have been vaccinated, both of you should wear masks.
  • Make it a little kinky. Be creative with sexual positions and physical barriers, like glory holes, that allow sexual contact while preventing close face-to-face contact.
  • Masturbate together. Staying six feet apart and wearing face coverings reduce the risk.
  • Condoms and dental dams can reduce contact with saliva, semen or feces during oral or anal sex. Click here to find out how to get free condoms.
  • Washing up before and after sex is more important than ever.
    • Wash hands with soap and water for at least 20 seconds.
    • Wash sex toys with soap and warm water.
    • Disinfect keyboards and touch screens that you share with others.
  • If you feel unwell, or even start to feel unwell, avoid kissing, sex or any close contact with others. You can find a list of symptoms on the CDC’s website.
  • If you have been exposed to someone with COVID-19, avoid close contact with anyone outside your household and follow guidance about how to prevent exposing others. People exposed to COVID-19 should get tested for the virus using a swab or saliva test.
  • If you or your partner have a medical condition that can lead to severe COVID-19 illness, you may also want to take extra precautions or skip sex.

If you’ve been exposed to COVID-19, and are not vaccinated, go into quarantine.

If you have been vaccinated, you only need to go into quarantine if you have symptoms. That will help prevent spread of disease that can occur before you know whether or not you’ve been infected. Stay home, monitor your health, and follow directions from your state or local health department. [Read more from CDC.govTalk with your partners and other close contacts about your plan to start or stop quarantining.

It’s probably best if you continue your normal PrEP routine through the coronavirus crisis. If you take PrEP daily, continuing this regimen will make it easier to jump back into your sex life as shelter-in-place orders lift. Taking daily PrEP is effective and safe. 

If you’re celibate during a shelter-in-place order, talk with your PrEP provider for guidance.

If you already take PrEP 2-1-1 (and have received counseling on how to do this accurately and safely), simply continue taking PrEP how you normally would.

If you do choose to discontinue PrEP, there are ways to do it safely. First, contact your PrEP healthcare provider and let them know you’d like to stop taking PrEP. Follow their guidance on how to stop PrEP–they will advise you on how many days to continue taking PrEP after your last sexual encounter.

If you stop taking PrEP, you’ll need to contact your healthcare provider and get an HIV test before you start taking PrEP again.

Switching to PrEP 2-1-1 

If you are interested in switching to taking PrEP on a 2-1-1 basis, discuss this option with your PrEP provider and make sure you understand how 2-1-1 works.  PrEP 2-1-1 is only effective for people having anal sex. It is not effective for people having receptive vaginal or front hole sex. Also, at this time, while there is evidence that Truvada is effective when taking it 2-1-1,  there is not enough evidence to support 2-1-1 dosing with Descovy. [Learn more about PrEP 2-1-1.]

Have your medication delivered 

If you’d prefer not to leave the house, many pharmacies like Walgreens and CVS are waiving delivery fees. Mail-order pharmacies can also ship your medication right to your home. Consult with your primary care doctor to see if your HIV medications can be delivered.

Look online for a free COVID test near you. If you can’t find one, call your primary care doctor or your local health department. There are different kinds of COVID-19 tests:

  • A viral test tells if you have a current infection
  • An antibody test indicates if you have had a previous infection
  • For more information about testing, click here

If you have symptoms, or you’ve been around someone who has COVID, get tested. 

Get tested regularly for STIs and HIV as well. Go to gettested.cdc.gov to find out the nearest place to get a test. In some states, you may be able to get a free test sent to your home by going to TakeMeHome.org.

  • Make quality time for yourself (and your partner). Many of us are spending extended amounts of time with housemates, so make time for yourself to do things you love like reading, taking a walk, or just watching your favorite TV show. If you’re partnered, it’s important to check-in with each other, and spend quality time together, even if it’s virtual.
  • If you’re in an abusive relationship and under shelter-in-place orders, these resources may be helpful for you. For support and counseling, you can live chat with the National Domestic Violence Hotline or call 1-800-799-7233
  • HIV: Condoms, taking pre-exposure prophylaxis (PrEP) and having an undetectable viral load all help prevent HIV. For more information, click here.  
  • Other STIs: Using condoms helps to prevent other STIs. For more information on STIs, click here.
  • Pregnancy: Reproductive health services — as well as fertility services, prenatal care and cancer screenings – may be covered by your insurance company. Providers may be able to help you without an in-person visit. Planned Parenthood also provides many services: For more information, click here.
  • Get tested regularly for STIs, including HIV. To find a test site near you, go to gettested.cdc.gov.