Signed,
Getting smarter

There is no A-B-C method of how to ask a partner if s/he has a sexually transmitted infection or STI (note: STI is more commonly used now than STD). Pointers coming in a minute, but first keep this in mind: one of the most common symptoms of an STI is no symptom, so your partner-to-be may not even be aware of infections they carry. For this reason, in addition to asking, you both may want to consider getting tested if you haven't done so recently or if you've had any exposures. Communicating about STIs before you're in bed together is also a good idea because when you're aroused, and perhaps not thinking as clearly as normal, your partner could be inclined to assure you they had no infections, just to 'get the show on the road.' 

Now on to some tips for your conversation. First, you can consider when and how comfortable you are about bringing up the STI discussion. It may be that it's something that's not discussed the first few times you have sex — you both just automatically choose to use condoms, as you described in the case with the woman who had herpes. Or it may be that you're a more verbal person, and need to talk about STIs early on in a relationship.

Whenever you talk:

• Use language you're comfortable with. 
• Be as direct as possible, knowing that it may be a little awkward (Can you find the courage to embrace and move through the awkwardness? Give it a try!).
• Be yourself.
• Stress that you care for your own and your partner's health, and you believe that these conversations are an important part of any relationship.
• Ask for details — has your partner ever been tested? How does s/he feel about testing?
• Pick a time and place where you won't be interrupted or disturbed, and when you're not sexually engaged.
• Have some suggestions ready for how you can learn more about your sexuality and sexual choices together as a couple. Ideas include going to a bookstore to read up on sexual health books and reviewing pamphlets from a health center. Or, you can make an appointment together to see a health care provider to discuss your safer sex options (students at Columbia can visit Open Communicator or call x4-2284 for an appointment).

Many couples say that they use condoms regardless of their partner's history, and that's how they avoid the awkwardness of this discussion. However, if you're interested in developing a relationship with increased intimacy over time, it's a good idea to discuss STIs at some point. It doesn't have to be a trust issue, or a discussion of past relationships and promiscuity or prudence, but more a look at the future and caring for yourselves enough to protect each other. Best of luck,

Alice

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