A comprehensive, affirming guide to intimacy, pleasure and safety written for LGBTQ+ people.
Everyone deserves clear, affirming sexual health information. Much mainstream advice overlooks LGBTQ+ people — this guide focuses on safety and pleasure for all bodies and identities. NHS sexual health services are open and confidential for everyone.
Barrier protection for every kind of sex
- Condoms protect against STIs and pregnancy during penetrative sex — including when sharing toys (use a fresh one each time).
- Dental dams (or a condom cut open) can be used for oral-vaginal or oral-anal contact.
- Use gloves and plenty of lubricant for manual play to protect delicate skin.
PrEP, PEP and testing
PrEP (pre-exposure prophylaxis) is medication that significantly reduces the risk of getting HIV and is available free through NHS sexual health clinics. PEP can be taken after possible exposure and should be started as soon as possible.
Regular, free STI and HIV testing is recommended — many clinics offer self-sampling kits by post.
Affirming care for trans and non-binary people
Bodies change with hormones and surgery, and lubrication needs, sensitivity and aftercare can change too. Gender-affirming products such as packers, dilators and harnesses can support comfort and euphoria.
After lower surgery, follow your surgical team's guidance on dilation and healing. If you have questions about your sexual health, gender clinics and GUM clinics can provide non-judgemental support.
Consent and wellbeing
Consent, communication and emotional safety matter for everyone. If you ever experience discrimination in a healthcare setting, you have the right to respectful care — organisations like the NHS and LGBT+ charities can help you find affirming services.
Where to get help
This article is for general information and is not a substitute for professional medical advice. Sexual health services in the UK are free and confidential on the NHS — including STI testing, contraception, and advice.
If you have symptoms, pain, bleeding, or any concerns, contact your GP or a local sexual health (GUM) clinic. You can find services and trusted information at nhs.uk.
Medical disclaimer
This content is provided for general information and education only and aligns with publicly available NHS guidance. It is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your GP, pharmacist or a sexual health clinic with any questions about a medical condition. In the UK, sexual health services are free and confidential — find them at nhs.uk.