Navigating Sexual Health Conversations with Multiple Partners

Having safer sex with just one partner is one thing, but what about navigating sexual risk when there are multiple partners in play? Though there are certainly a few more moving bits and pieces to manage, with clear communication and the mutual goal of having informed consensual sex that is as safe as possible, it’s totally doable. It should be noted that transparency among everyone involved, including about STI status, is the difference between practicing non-monogamy versus cheating. This conversation is one that should happen regardless of how casual or serious the relationship is. 

There is no such thing as risk-free sex; all sex comes with at least a small risk of pregnancy and/or STIs. Communication and safer sex practices are the best way to mitigate risk, even if it can’t be completely eliminated. Here are some specific tips to help you navigate your sexual health and safety with multiple partners. 

1) Understand the full scope of risk

• Here are some questions you should know the answers to after discussing safer sex practices with your partners

  • How many people total are involved (all your partners plus all of their partners)? 

  • Has everyone been tested recently (see tip #2)? 

  • What is the protocol following an STI diagnosis of one of your partners or one of your partners’ partners? 

  • What types of protection are being used? 

    1. Who, if anyone, is fluid bonded (having unprotected sex)?

  • Is everyone involved fully aware that not all STIs are immediately detectable, nor do they all involve visible and obvious symptoms?  

2) Get tested often

• If you’re sleeping with other people, and especially if those people are also sleeping with multiple people, it’s a good idea to get routine STI tests. For most, it’s sufficient to get tested every 3-6 months, but if you’re worried about that being too much or too little, consider consulting a trusted medical professional who you can comfortably talk to about your sex life.

• It is really important to remember that it takes some STIs up to three months to be detectable with testing so even if all sexual partners test negative, there is still a nonzero risk of STI transmission.  

3) Be upfront about your boundaries without shaming

• Weighing the risk to reward ratio for sex is a personal decision so it’s possible you might not see exactly eye to eye with your partners. It’s important to assert what your boundaries are, while still being respectful of the risk they’ve chosen to take on especially since STIs are shrouded in so much stigma as it is. At the end of the day, you are at liberty to decline to have sex with someone if their sex practices seem too risky for your comfort, which is why it’s so important to have these conversations early in order to establish those boundaries on both sides. It’s possible to do so by explaining yourself and what you want without disparaging the choices someone else has made.

It can feel scary or intimidating to have these conversations and that’s okay! It might even help ease some anxiety to express that upfront. And if someone does take issue with you trying to have this kind of conversation, they’re not someone you want to be involved with anyway.

What Do You Look for in a Therapist?

Finding a therapist is no easy feat. From insurance to personality compatibility to coordinating schedules, searching for the right mental health professional can be understandably overwhelming. This article is meant to guide you through the process, covering how to find the right fit, how to tell if they’re the right fit, and how to measure quality of care.

Where to begin your search

• Word of mouth is a great way to find therapists in your area, especially if the recommendation comes from someone who knows you and your needs well. If you do want to pursue a recommendation from a friend, make sure you check that it’s not a conflict of interest to see the same therapist. 

• If you are insured, a good place to start is your insurance company’s directory of in-network professionals. 

• If you are uninsured or you’re looking for alternative search engine options, here are some alternative places to look for a therapist.

  • Open Path Collective

    1. “Open Path Psychotherapy Collective is a nonprofit nationwide network of mental health professionals dedicated to providing in-office and online mental health care—at a steeply reduced rate—to clients in need.” 

  • Inclusive Therapists

    1. “Seeking therapy can be a vulnerable process. We understand. We aim to make it simpler and safer for people in marginalized communities. Find a culturally responsive, 2SLGBTQ+ affirming therapist that celebrates your full identity” 

  • APA Psychologist Locator

    1. APA is the leading scientific and professional organization representing psychology in the United States, with more than 133,000 researchers, educators, clinicians, consultants, and students as its members.

  • TherapyDen

    1. “We are an online community of mental health professionals seeking to make the experience of finding a therapist easy.” 

  • Therapy For Black Girls

    1. “So often the stigma surrounding mental health issues and therapy prevents Black women from taking the step of seeing a therapist. This space was developed to present mental health topics in a way that feels more accessible and relevant.”

Considerations for your search parameters

• Finding the name of a therapist is one thing, but it’s an entire other thing to find a therapist who works for you and your needs.  

• When you’re considering what might make a therapist a good fit for you, think first of whether or not you have any identity preferences such as gender or race that would allow a therapist to relate to certain experiences. 

• Before meeting with a therapist, try to do initial phone screenings of several options to ask about their specialties, whether they have experience with your specific issues, what structure their sessions usually follow, and any other information that you might need. 

• Logistical factors you may need to take into consideration are location, cost, mutual schedule availability, and the therapist’s availability outside of sessions, such as for emergencies. 

How to tell if they’re the right fit

• You feel comfortable being vulnerable around them (at least relative to others)

•  They have strong, clearly communicated boundaries about their policies and personal life

• You are able to share concerns about the therapeutic relationship and they respond with openness and a desire to problem solve 

• They respect your values and identity 

• They guide you to your goals and coach you to be able to make your own decisions 

• They challenge you in constructive ways. For example, they might ask you to reconsider a self-deprecating statement and work to get to the root of the thought in order to unpack it

Signs that they’re not a good fit

• They judge you or shame you 

• They have no experience with your issue(s)

• They overshare about themselves

• They tell you what to do rather than guiding you to make your own decisions

• You regularly feel worse after your session

It will take some time to find a therapist who works for you and when you’re in need of help, that can be discouraging. Perhaps try asking a trusted friend or family member to aid you in your search and/or ask them to sit with you for moral support while you do it. Once you do find a good therapist, it will be worth it. Simply wanting to seek help is a huge first step so show yourself gratitude for taking the time to read this. If you are seeking therapy for concerns related to sexuality or your relationships, consider reaching out to Embrace Sexual Wellness to see if our team might be a good fit for you. 

3 Reasons to Seek Sex Therapy

Sex therapy is a therapeutic niche that addresses a wide range of sexuality-related concerns. Sexuality is a central part of being human so it makes sense that there is a need for professionals to guide us through issues pertaining to such a personal and important subject. Even the most knowledgable people about sexuality and relationships can benefit from having a neutral third party to work through internalized biases and judgments, relationship issues, sexual and gender identity, and more. Here are some reasons why you may seek a sex therapist:

You’re processing sexual trauma

Did you know that every 68 seconds, an American is sexually assaulted? Sexual assault is probably the first thing that comes to mind when you think of sexual trauma and while sexual trauma does include assault, it encapsulates more than that. It also includes issues such as chronic objectification and sexual shaming, sexual harassment like being catcalled, and both physical and emotional incest. These are complex, damaging traumas that left untreated can lead to depression and anxiety, among other issues. Sex therapists can help you work through your sexual trauma and any associated issues.

You’re unsatisfied with the state of your sex life and/or relationship as a whole

Sex therapy is a great resource for both individuals and people in a relationship working through sex and relationship issues. Humans are imperfect and therefore so are our relationships. Sometimes relationship and/or sex life tension start feeling insurmountable, which is where a sex therapist comes in. They can help individuals identify their wants and needs and work through sexual dissatisfaction. For people in relationships seeking treatment together, a therapist can mediate a discussion where all partners can have a say and be heard, facilitating a hopefully effective and kind dialogue.

You have difficulty achieving orgasm or arousal

There is nothing wrong with struggling to achieve orgasm or arousal. That being said, if it bothers you, you might consider seeking out a sex therapist after identifying or ruling out any physical causes. A therapist can help you pinpoint the source of the difficulty and work through it with you. Even if you are unable to “fix” the issue, a good therapist can hopefully help you find ways to have a healthy, fulfilling sex life.

These are just a few examples of what sex therapy can be helpful for. If you’re unsure if sex therapy is right for you or where to start, reach out to ESW team to see if we may be a fit for you.