Table 3.

Preventive and barrier techniques

Involvement	Barrier methods	Characteristics	Drawbacks	Directions
Oral sex on vulva and anus	Plastic wraps	Inexpensive and easy to locate Covers large area Lubricated if required More pressure sensitive	Chances of torn by finger nails Slip up during the sexual course Aggressive sexual act may torn the plastic wrap	Cover the vulva area with the plastic wrap. Either cut a piece of the wrap and hold it in place or wrap the pelvic area Add lubricants for more sensitivity and sexual pleasures After the act discard the wrap safely
	Dental dams/latex square barriers	Provides a strong latex barrier Lubricated and flavored can be used	Covers a small area and fluids may seep past the dam May not be used with oilbased lubricants because they will break down the latex Less sensation of warmth and feeling Not easily available	Hold the latex square over the vulva area Sensitivity can be increased by lubricant on the side facing the vulva Single use for one act
	Cut condoms	Non lubricated condom, flavor lubricated condom or flavored non lubricated condom	Provides a small area of protection and care to ensure that fluids don't seep past the condom into the mouth or the anus/vulva area Use water-based lubricant Prevents effectively if placed properly	Unroll the condom and cut off the very tip and the very end of the condom and cut lengthwise to make a rectangle Hold the latex square over the vulva area Water-based lubricant (not Vaseline or oils) can be used for increasing sensitivity During rimming place the condom over the anus Single time use per sexual act
Oral sex on penis	Condoms	Non lubricated condom, flavor lubricated condom or flavored non lubricated condom Safe and best method Easily available	Protects what it covers Avoid slipping of condom Placed properly over the lips or between the lips to prevent sharp cut by teeth	Condom to be uploaded properly Single use Avoid aggressive sucking to prevent slippage Different flavors as per partners choice