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What is bareback sex and what do I need to know about it?
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If you ride a horse bareback, you’re going at it without a saddle.
Likewise, if you ride a man or a woman bareback, you’re going at it without a condom.
So, bareback sex is sexual penetration without the use of a condom. It’s a slang term which comes from the equestrian meaning of bareback – riding a horse without a saddle, as mentioned above.
Bareback sex has been considered more risky because condoms protect against STIs and HIV transmission.
If you are able to get pregnant, you’re more likely to end up with child, too.
But a lot of people prefer bareback sex, particularly in monogamous relationships or through use of regular STI screening, serosorting and protective measures such as PrEP drugs.
One risk comes from people not knowing their HIV status, or from not having regular STI screening.
But many enjoy sex without condoms regularly and find it is possible to protect themselves.
Lots of people prefer bareback, saying it feels better, is more enjoyable and preferable to sex with condoms.
While, as with all sex, it is important to be aware of the risks involved, lots of people find it preferable, even in serodiscordant pairings.
Lots of couples, whether both HIV-negative, serodiscordant or HIV-positive, have regular bareback sex. Those not in monogamous relationships also practice bareback, by sero-sorting their partners.
Anal sex does carry a higher risk of transmission of STIs than other types of sexual contact because the lining of the anus is thin and can easily be damaged, which makes it more vulnerable to infection.
Obviously, using condoms helps protect against STIs when you have anal sex, but if you decide to try bareback, it is worth being aware of the risks involved.
HIV-positive people on medication with undetectable viral loads can practice bareback sex as it is virtually impossible to transmit HIV. In some ways it can be safer for a negative guy to do bareback with an HIV-positive guy with an undetectable viral load.
But it is worth bearing in mind that while sero-sorting and PrEP can protect against HIV-transmission, by practicing bareback, it is possible to put yourself at risk of STIs like hepatitis, chlamydia, warts and gonorrhoea.
If both people are HIV-negative, and regularly test for STIs and HIV, it is possible to enjoy bareback sex with few risks.
But it is worth bearing in mind that even if someone thinks they are HIV-negative it may not be the case, depending on what has happened since their last test. This is worth keeping in mind if deciding to have bareback sex.
The best thing to do is talk openly about sex and screening, and ensure you trust what the person you are hooking up with says.
According to FS, the magazine of sexual health charity GMFA, almost two in three men who have sex with men are doing it bareback.
The investigation also found that 32% of men did not know if their sexual partner was HIV-negative before having sex.
65% of respondents said that they did not use condoms the last time they had anal sex – with just 8% saying they or their partner were on HIV-prevention drug PrEP.
11% of men who took part said they have bareback sex and did not worry about the risk, while 27% of respondents admitted to having a “risky sex life”.
14% of the 523 men surveyed said they had had bareback sex with someone who is HIV-positive with an undetectable viral load.
If you feel you may have put yourself at risk of HIV or STI transmission, there are things you can do to protect yourself.
PEP (POST-exposure prophylaxis): If you’ve been barebacking, you could consider using PEP.
Available at sexual halth clinics and A&E in the UK, the month-long course of drugs has proven highly effective in stopping HIV transmission.
Celebs you didn’t know have an LGBT sibling
If you think you need PEP, go to your local A&E or walk-in sexual health clinic within 72 hours of the sexual encounter. Any longer, and it will no longer be effective.
PrEP (PRE-exposure prophylaxis): The pill Truvada (one of the pills in PEP, actually), is a highly effective treatment in the prevention of getting HIV .
For those of you in the UK, it’s not yet available on the NHS, apart from in Scotland. But it a trial is rolling out in England after launching a few weeks ago, and will soon be available in Wales (sorry Northern Ireland). In the US, you’ll have to check with your health provider.
Amelia Hansford
-
November 19, 2022
Grindr stock soars by 300 per cent
-
November 19, 2022
Amelia Hansford
-
November 19, 2022
Amelia Hansford
-
November 19, 2022
© 2022 PinkNews ⦁ All Rights Reserved
Join Our Community
Subscribe to MyPinkNews
Join Our Community
Subscribe to MyPinkNews
Explainer
What is bareback sex and what do I need to know about it?
Join Our Community
Subscribe to MyPinkNews
Join Our Community
Subscribe to MyPinkNews
More stories to check out before you go
© 2022 PinkNews ⦁ All Rights Reserved
If you ride a horse bareback, you’re going at it without a saddle.
Likewise, if you ride a man or a woman bareback, you’re going at it without a condom.
So, bareback sex is sexual penetration without the use of a condom. It’s a slang term which comes from the equestrian meaning of bareback – riding a horse without a saddle, as mentioned above.
Bareback sex has been considered more risky because condoms protect against STIs and HIV transmission.
If you are able to get pregnant, you’re more likely to end up with child, too.
But a lot of people prefer bareback sex, particularly in monogamous relationships or through use of regular STI screening, serosorting and protective measures such as PrEP drugs.
One risk comes from people not knowing their HIV status, or from not having regular STI screening.
But many enjoy sex without condoms regularly and find it is possible to protect themselves.
Lots of people prefer bareback, saying it feels better, is more enjoyable and preferable to sex with condoms.
While, as with all sex, it is important to be aware of the risks involved, lots of people find it preferable, even in serodiscordant pairings.
Lots of couples, whether both HIV-negative, serodiscordant or HIV-positive, have regular bareback sex. Those not in monogamous relationships also practice bareback, by sero-sorting their partners.
Anal sex does carry a higher risk of transmission of STIs than other types of sexual contact because the lining of the anus is thin and can easily be damaged, which makes it more vulnerable to infection.
Obviously, using condoms helps protect against STIs when you have anal sex, but if you decide to try bareback, it is worth being aware of the risks involved.
HIV-positive people on medication with undetectable viral loads can practice bareback sex as it is virtually impossible to transmit HIV. In some ways it can be safer for a negative guy to do bareback with an HIV-positive guy with an undetectable viral load.
But it is worth bearing in mind that while sero-sorting and PrEP can protect against HIV-transmission, by practicing bareback, it is possible to put yourself at risk of STIs like hepatitis, chlamydia, warts and gonorrhoea.
If both people are HIV-negative, and regularly test for STIs and HIV, it is possible to enjoy bareback sex with few risks.
But it is worth bearing in mind that even if someone thinks they are HIV-negative it may not be the case, depending on what has happened since their last test. This is worth keeping in mind if deciding to have bareback sex.
The best thing to do is talk openly about sex and screening, and ensure you trust what the person you are hooking up with says.
According to FS, the magazine of sexual health charity GMFA, almost two in three men who have sex with men are doing it bareback.
The investigation also found that 32% of men did not know if their sexual partner was HIV-negative before having sex.
65% of respondents said that they did not use condoms the last time they had anal sex – with just 8% saying they or their partner were on HIV-prevention drug PrEP.
11% of men who took part said they have bareback sex and did not worry about the risk, while 27% of respondents admitted to having a “risky sex life”.
14% of the 523 men surveyed said they had had bareback sex with someone who is HIV-positive with an undetectable viral load.
If you feel you may have put yourself at risk of HIV or STI transmission, there are things you can do to protect yourself.
PEP (POST-exposure prophylaxis): If you’ve been barebacking, you could consider using PEP.
Available at sexual halth clinics and A&E in the UK, the month-long course of drugs has proven highly effective in stopping HIV transmission.
Celebs you didn’t know have an LGBT sibling
If you think you need PEP, go to your local A&E or walk-in sexual health clinic within 72 hours of the sexual encounter. Any longer, and it will no longer be effective.
PrEP (PRE-exposure prophylaxis): The pill Truvada (one of the pills in PEP, actually), is a highly effective treatment in the prevention of getting HIV .
For those of you in the UK, it’s not yet available on the NHS, apart from in Scotland. But it a trial is rolling out in England after launching a few weeks ago, and will soon be available in Wales (sorry Northern Ireland). In the US, you’ll have to check with your health provider.
Amelia Hansford
-
November 19, 2022
Grindr stock soars by 300 per cent
-
November 19, 2022
Amelia Hansford
-
November 19, 2022
Amelia Hansford
-
November 19, 2022
© 2022 PinkNews ⦁ All Rights Reserved
The Best Sex Positions for People With Bad Backs
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2022 Dotdash Media, Inc. — All rights reserved
Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert.
Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more .
Medically reviewed by
Laura Campedelli, PT, DPT
Learn about our
Medical Expert Board
Can opioid pain relievers affect erections?
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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2022 Dotdash Media, Inc. — All rights reserved
Verywell Health is part of the Dotdash Meredith publishing family.
Laura Campedelli, PT, DPT, is a physical therapist currently working in New York at Morgan Stanley Children’s Hospital, an affiliate of New York Presbyterian.
Sex with a bad back is no laughing matter. Research suggests that no less than 37% of adults with low back pain experience some level of difficulty during sex. Moreover, up to 7% report that low back pain has significantly limited their sex lives. 1
If you're wondering how to have sex with a bad back , you'll first need to understand the various causes of back pain and how posture directly and indirectly influences pain. This is especially true with respect to people with disc problems , including herniated discs and slipped discs.
Back pain caused by disc problems is typically increased whenever you bend forward (referred to as spinal flexion ). Bending the spine in the opposite direction (spinal extension) can help alleviate this pain. Most of us refer to this as "arching the back."
It stands to reason, therefore, that sexual positions that either minimize flexion or increase extension can help reduce pain during sex. When formulating a plan, start by determining how much you can arch or flex your spine without pain. This can tell you one of several things:
Whatever your spinal condition, staying relaxed is the key to avoiding pain. Stress and anxiety almost invariably cause muscle tightening and contractions that enhance, rather than minimize, pain.
There are a number of positions and tricks that can effectively minimize back pain during sex. If you tend to use the same position with your partner, some of these may be a little awkward at first. By discussing them beforehand, you can feel more at ease during sex and reduce the risk of injury.
The recommended positions are especially valuable in older couples in whom low back pain can be progressive. This is especially true for postmenopausal women, who have a greater likelihood of low back pain compared with men of the same age. 2
When you are in the missionary position as the bottom (receptive) partner, you can support your lower back by placing a rolled towel under it. This will likely keep a slight arch in your ack.
Maintaining a slight arch is preferable to keeping your back flat. A flat back forces the pelvis slightly forward, causing more flexion than you might expect.
The missionary position may be less comfortable for the top (insertive) partner since it forces you to flex and extend the spine. One way to stabilize the back is to have the receptive partner on top while you lie flat on your back.
However, you need to be careful that your partner doesn't bounce too vigorously. This can force your pelvis into the mattress, causing spinal flexion. One way to avoid this is by placing a solid board under your buttocks and lower back. This can help keep your back straight while the underlying mattress acts as a shock absorber.
If you are the receptive partner, you can often avoid pain by sitting on your partner's lap. This will give you some control over your back's position. Another possibility is to kneel as you support your weight on your elbows. In this position, there is room for you to adjust your back as your partner enters you from behind.
Sitting in a chair can also benefit the top partner. It stabilizes the back and minimizes flexion even if the insertive partner is moving vigorously.
Kneeling can be more problematic for the top partner, especially if the mattress is soft. With that said, back pain can be avoided if the partner on all fours does all the movement, pushing back and forth into the insertive partner.
Lying on your stomach will automatically put your back in an arch. You can control the amount of arch from this position in several ways. To add more arch, start by placing a pillow under your chest. If that does not provide enough spinal extension, prop yourself up on your elbows. To decrease the amount of arch in your back, place the pillow under your stomach.
If you are the top (insertive) partner and your partner is facedown on the mattress, you can minimize back movement by placing a pillow under your partner's pelvis. This better exposes the vagina or anus and doesn't force you to flex your back as much as you thrust forward.
Yes. Erectile dysfunction is one of the most common side effects of taking opioids such as Vicodin (hydrocodone), OxyContin (oxycodone), and codeine. 3
Yes. Research shows women who take opioids for chronic pain often experience a decreased libido. In addition, opioid medications can also alter hormone levels and interfere with menstrual cycles. 4
Possibly. A study of more than 80,000 men found that those who regularly took non-steroidal anti-inflammatory drugs (NSAIDs) were 38% more likely to experience erectile dysfunction. 5 However, investigators noted that it was unclear whether the medication causes ED.
Erectile problems could also be related to a health condition that people take NSAIDs for.
Ajo R, Segura A, Inda MD, et al. Erectile dysfunction in patients with chronic pain treated with opioids . Med Clin (Barc) . 2017;149(2):49-54. English, Spanish. doi:10.1016/j.medcli.2016.12.038
Gleason JM, Slezak JM, Jung H, et al. Regular nonsteroidal anti-inflammatory drug use and erectile dysfunction . J Urol . 2011;185(4):1388-93. doi:10.1016/j.juro.2010.11.092
By Anne Asher, CPT
Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert.
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