Q|Belize - Website for the LGBT Community in Belize
Health 101
This page is soley dedicated to bringing across information regarding safer sex where LGBT individuals are concerned, and since LGBT individuals include bisexuals, methods of safer heterosexual sex will be included.
Below this section, information is given about STDs, their prevention, and treatment. A section is also devoted to giving information as to where to get tested in Belize.
On the opposite side of the page, information regarding safer sexual intercourse and safer oral sex is given, as well as guidelines for safer sex, and methods of bringing up the topic with your partner.
About STDs
The term 'sexually transmitted disease' (STD) is relatively new and has replaced the term 'venereal disease' as there is more awareness of a greater number of infectious diseases transmitted through sexual contact. There are more than 20 STDs including:
- AIDS
- Chlamydia
- Gonorrhea
- Herpes
- Syphilis
- other organisms and syndromes
- Chlamydia
- your partner is infected
- you are promiscuous
- you have a sexual relationship with someone who is promiscuous
Symptoms are likely to take the form of:
-
discharge from the vagina, penis or anus
-
itching or soreness around the genitals or anus
-
a lump or rash on the genitals, anus or mouth.
If you suspect you may have a sexually transmitted disease, you should see your doctor or clinic straight away. You can find the telephone number of your nearest clinic by looking up 'special clinic', 'venereal disease' or 'VD' in the telephone directory, or by phoning your local hospital. You will be tested as quickly as possible, and if the test is positive, you will be advised to contact your recent sexual partners, as they too may need treatment. Avoid sex until you are clear of the disease.
The organisms which cause these diseases (except for crabs and scabies) usually enter the body through mucous membranes, such as the warm, moist surfaces of the:
- vagina
- urethra
- anus
- mouth
STDs can be caught through intimate contact with someone who is infected, especially during:
- oral sex
- anal sex
- vaginal sex
Some infections are also transmitted non sexually.
Here is a list and description of some of the more common STDs:
AIDS & HIV
HIV
HIV (human immunodeficiency virus) is the virus that causes AIDS. This virus may be passed from one person to another when infected blood, semen, or vaginal secretions come in contact with an uninfected person’s broken skin or mucous membranes (found in/near the mouth, eyes, nose, genitals, rectum). In addition, infected pregnant women can pass HIV to their baby during pregnancy or delivery, as well as through breast-feeding. People with HIV have what is called HIV infection. Some of these people will develop AIDS as a result of their HIV infection.
AIDS
AIDS stands for Acquired Immune Deficiency Syndrome which is a disease is caused by the human immune deficiency virus, known as HIV. Once it is inside the body, this virus invades the white blood cells, which normally fight off disease, then it multiplies and destroys them. It also breeds inside the brain. Between 1 in 10 and 1 in 3 of those infected with HIV are likely to develop AIDS. Three to four years normally elapse between infection with HIV and any subsequent development of the symptoms associated with AIDS. As yet there is no cure for AIDS which usually progresses through various infections and stages of increasing debility to the eventual death of the sufferer.
As AIDS develops the body's natural defenses become depleted, and the AIDS patient is increasingly likely to contract diseases that a healthy body would normally ward off.
The virus is present in body fluids:
-
semen
-
blood
-
saliva
Sometimes AIDS patients are attacked by several infections at once such as:
- candida
- herpes
- pneumonia
- rare forms of cancer
- TB
- the brain may succumb to increasingly severe dementia
-
The most common way of contracting the disease is through anal intercourse with an infected partner
-
The second most common way of contracting the disease is through infected blood:
- hemophiliacs injected with the clotting agent collected from infected blood
- drug addicts using infected needles
To become HIV positive you do not have to be gay or promiscuous, a drug addict or a hemophiliac. Heterosexuals are also at risk. Even a in a steady relationship heterosexuals stand the risk of contracting the disease if their partner has been infected in a previous relationship.
How to avoid AIDS
-
Always use a condom
-
Avoid anal sex
-
Do not share needles, toothbrushes, razors, or any instrument that might transfer blood from cuts or abrasions
Herpes (Oral & Genital)
The Herpes Simplex Virus (HSV) most often shows up as small blisters or sores on either the face, mouth (cold sores or fever blisters) or genitals.
There are two types of the Herpes Simplex Virus (HSV):
- Type 1 (HSV-1) and
- Type 2 (HSV-2)
HSV-1 or mouth herpes are commonly in the form of cold sores on and around the mouth. HSV-2 or genital herpes is a much more intense strand, commonly found on the genitals. However, BOTH types can be found on the mouth or genital areas.
Transmission:
- HSV can be passed on when one person has the virus present on the skin or mucosa and another person makes direct skin-to-skin contact with the live virus.
- The virus is likely to be present on the skin from the first sign of prodrome (tingling or itching where the outbreak usually occurs), until the sores have completely healed and new skin is present.
- There are likely to be certain periods of time (possibly only a few days out of the year) when the active virus might be on the skin, even though there are no obvious signs or symptoms.
- Always using latex condoms may possibly reduce the risk of transmitting the virus at these times.
- Herpes is very frequently transmitted by infected persons who do not know they are infected.
- Once diagnosed, a person generally is able to take the simple precautions necessary to protect partners - avoiding contact during prodrome or an outbreak and practising safer sex when no symptoms are present.
Treatment
THERE IS NO CURE FOR HERPES! There are medication that help control the virus.
Genital Warts
Genital warts are unpleasant but painless and can be treated quite easily. An association has been identified between genital warts and cervical cancer, so it is important to get rid of them as soon as possible, and to have regular cervical smears.
-
small lumps that appear on the penis, vulva, or anus which are mildly contagious
Treatment
Some treatments involve:
-
painting the warts with a preparation called podophyllin
-
freezing the warts off with liquid nitrogen
Gonorrhea
Gonorrhea is caused by the bacterium gonococcus, which cannot survive outside the body and is transmitted only by sexual intercourse, and never (as is sometimes imagined) on toilet seats or towels.
Symptoms:
In men:
-
the urethra along which urine passes from the bladder is infected
-
pain on urinating
-
thick discharge from the penis within a week after infection
In gay men:
-
the rectum may be infected
-
irritation and discharge from the anus
In women:
-
the cervix, urethra and rectum may be infected as with men
-
discharge
-
pain on urinating
-
if infection spreads to the uterus there is a 10% chance that the fallopian tubes may be blocked causing sterility
Often there are no symptoms in either men or women.
Treatment
The treatment for gonorrhea is usually a single dose of antibiotics such as penicillin, with a checkup afterwards to make sure the infection has cleared.
If gonorrhea is not diagnosed and treated serious complications can develop.:
-
Men may suffer epididymitis (pain and swelling in the testicles)
-
women may suffer peritonitis (inflammation of the membranes of the abdomen).
Both sexes:
- may develop gonococcal septicemia (an infection of the bloodstream with skin rashes and arthritis)
- may be made sterile in serious cases
Pregnant women with gonorrhea may pass it on to their babies who can be born with gonococcal opthalmia (an acute inflammation of the eyes).
Syphilis
Although Syphilis is quite rare today there are still cases. It affects women less than men and its main victims are gay men.
Symptoms
Symptoms appear between 10 days and 12 weeks after infection.
-
In the primary stage of the disease a small hard sore or chancre appears on the penis, vagina or rectum. It is painless and usually disappears very quickly.
- In the secondary stage, a few weeks later, the patient is feverish, with swollen glands and itching skin.
-
Until the advent of antibiotic tertiary syphilis used to be quite common, with patients eventually suffering from dementia and dying a slow, agonizing death.
Treatment
The disease is curable with antibiotics, but if for some reason it should not be treated, serious complications will develop many years later.
Chlamydia
Chlamydia is one of the most common STDs and is caused by a bacterial parasite called chlamydia trachomatis.
Symptoms
In Men:
-
whitish yellow discharge from the penis
-
frequent burning urination
-
redness at the tip of the penis
In Women:
-
discharge
-
frequent need to urinate
-
mild discomfort often mistaken for vaginitis or menstrual cramps
Babies born to infected mothers may suffer from:
-
eye infections
-
pneumonia
Many women experience no symptoms until they develop complications such as pelvic inflammatory disease, a serious condition which can result in infertility.
Treatment
The disease is diagnosed by a swab test, and treatment is with antibiotics.
Candida/Thrush & Yeast Infections
Candida/Thrush is a fungal infection that develops in certain conditions in the vagina. It is sometimes linked to taking the Pill, and if it recurs frequently, a different method of contraception may be advisable.
Symptoms:
A man may carry thrush, though he usually manifests no symptoms.
In Women
Thrush causes:
-
vaginal soreness and itching
-
a thick white discharge
Treatment
-
anti-fungal cream to be used by both partners
-
vaginal peccaries
-
natural yogurt in the vagina can be effective
Avoid:
-
hot baths
-
nylon underwear
-
tight jeans
-
wearing tights
Trichomoniasis
Trichomoniasis is one of the most common and least serious of all sexually transmitted diseases and may be passed on by bad hygiene practice in the use of towels as well as by sexual contact. It can exist in a symptom free form and some people act as passive carriers for the disease.
Symptoms:
-
discharge
-
pain in urinating
Treatment
-
Several drugs are available for treatment and their success rate is high
-
Always use a condom
These are infections of the urinary tract that may not be linked to any particular disease but will cause uncomfort.
Symptoms
Nonspecific urethritis or NSU can be identified by:
-
lumps
-
soreness or itching around the genitals, anus or mouth
-
a discharge from the vagina or penis
Treatment
The treatment is usually a two-week course of antibiotics after contact with an infected person. During treatment, patients are asked to give up alcohol as this can bring about a recurrence of the symptoms. Complications can occur similar to those for gonorrhea, but fortunately early diagnosis and treatment can prevent these. It is possible for a man to be periodically reinfected with NSU without changing his sex partner, and no explanation has so far been put forward for this. However, both partners will need treatment each time NSU manifests itself.
Thanks to the US STD Public Information Resource for the above information.
Where To Get Tested
Here is a list of clinics and medical laboratories where you can get either free, low-cost, or full-cost (private) STD testing.
Note that all district hospitals provide low-cost STD testing by way of their medical laboratories. Some government clinics in the towns and larger villages may also provide testing services. There are also smaller private medical laboratories throughout the country that provide STD testing.
Free Testing
VCT (Voluntary Counsel & Testing) Centers
Belize City (North Side):
Address:
Cleopatra White Polyclinic Grounds, Princess Margaret Dr, Belize City
Phone: 501-223-0541
Days: Monday Afternoon - Friday Afternoon
Belize City (South Side):
Address:
Port Loyola Health Center, Faber's Rd, Belize City
Phone: 501-227-5354
Days: Monday - Friday
Belize City (South Side):
Address:
Belize Medical Southside Clinic, Cor Regent St & Rectory Ln, Belize City
Phone: 501-227-0644
Days: Mondays & Thursdays 9am - 2pm
Belmopan:
Address:
Western Regional Hospital, Belmopan, CY
Phone: 501-822-2263
Days: Monday - Friday
Corozal Town:
Address:
Corozal Hospital, Corozal Town, CZ
Phone: 501-422-2076
Days: Monday - Friday
Dangriga:
Address:
Southern Regional Hospital, Dangriga, SC
Phone: 501-522-2078 / 522-2184
Days: Monday - Friday
Orange Walk Town:
Address:
Northern Regional Hospital, Orange Walk Town, OW
Phone: 501-322-2072
Days: Monday - Friday
Punta Gorda:
Address:
Punta Gorda Hospital, Punta Gorda, TO
Phone: 501-722-2026
Days: Monday - Friday
San Ignacio:
Address:
San Ignacio Hospital, San Ignacio, CY
Phone: 501-824-3129
Days: Monday - Thursday
San Pedro:
Address:
San Pedro Clinic, San Pedro, Ambergris Caye
Phone: 501-226-2536
Days: Call to make appointment
Belize Family Life Association, BFLA
Addresses:
2621 Mercy Lane, Belize City
Church St, San Ignacio, CY
Phone:
Belize City: 501-203-1018 / 203-4399
San Ignacio: 501-824-2648
Low Cost
Central Medical Laboratory
Address:
Princess Margaret Dr, Belize City
Phone: 501-224-5212
Private
Belize Medical Associates
Address:
5791 St Thomas St, Belize City
Phone: 501-223-0302 / 223-0303
Website: www.belizemedical.com
Integral Health Care
Address:
Cor Gibnut & Curassow Sts, Belize City
Phone: 501-227-6722
Website: www.universalhospitals.com
The Pathology Laboratory
Addresses:
Blake Building, Cor Eyre & Hutson Sts, Belize City
Inside UHS, Cor Blue Marlin Dr & Chancellor Ave, West Landivar, Belize City
4 La Democracia St, Orange Walk Town, OW
1 West St, San Ignacio, CY
Phones:
Main: 501-203-4931 / 223-4163
West Landivar: 501-223-7870 Ext 105
Orange Walk: 501-302-2475
San Ignacio: 501-804-0336
Website: www.universalhospitals.com
Universal Health Services' Medical Arts Complex
Address:
Cor Blue Marlin Dr & Chancellor Ave, West Landivar, Belize City
Phone: 501-223-7870 / 223-7873
Website: www.universalhospitals.com
Safe Sex : Penetration
This section will discuss how to make sexual intercourse (vaginal/anal penetration) safer. You'll find information about condoms, condom use, & condom effectiveness. Further down below the page discusses oral sex and how to make that safer. Also, we have guidlines for safer sex and easy ways of bringing up the discussion with your partner.
About The Condom
How Condoms Work
Effectiveness
*Typical use refers to failure rates when use is not consistent or always correct.
**Perfect use refers to failure rates for those whose use is consistent and always correct.
Using the spermicide nonoxynol-9 many times a day, by people at risk for HIV, or for anal sex, may irritate tissue and increase the risk of HIV and other sexually transmitted infections.
They also protect both partners during vaginal and anal sex from sexually transmitted infection. Latex condoms offer very good protection against HIV.
And condoms reduce the risk of other sexually transmitted infections, including gonorrhea, syphilis, chlamydia, chancroid, trichomoniasis, HPV, herpes, and pelvic inflammatory disease (PID). Condoms can also protect against vaginitis caused by trichomoniasis or changes in the pH balance of the vagina that can be triggered by semen.
Hormonal, intrauterine, and surgical methods of birth control offer greater protection against pregnancy than condoms, but no protection against sexually transmitted infections. Many people use latex condoms along with another method for the best protection against both pregnancy and sexually transmitted infections.
The Female Condom
The female condom collects semen before, during, and after ejaculation, keeping sperm from entering the vagina and protecting against pregnancy. Of 100 women who use female condoms, 21 will become pregnant during the first year of typical use. Five will become pregnant with perfect use.
The female condom also reduces the risk of many sexually transmitted infections, including HIV.
How to Use Condoms
Lubricate the inside and outside of the condom. (Many condoms are pre-lubricated.) Lubrication helps prevent rips and tears, and it increases sensitivity. Use water-based lubricants, such as K-Y jelly or AstroGlide, or silicone-based lubricants, such as Eros, with latex condoms. Oil-based lubricants like petroleum jelly, cold cream, butter, or mineral and vegetable oils damage latex.
Safe with all condoms
Aloe-9
Aqualube
Astro Glide
Cornhuskers lotion
deLube
ForPlay
glycerin
Gynol II
H-R lubricating jelly
K-Y lubricating jelly
I-D Cream
I-D Glide
I-D Juicy Lube
I-D Millennium
I-D Pleasure
PrePair
Probe
silicone lubricant
water and saliva
Wet
Unsafe with latex condoms
Aldara cream
baby oils
Bag Balm
clindamycin 2% vaginal cream
cold cream
edible oils
head and body lotions
massage oils
mineral oil
petroleum jelly
rubbing alcohol
shortening
suntan oil and lotions
certain vaginal yeast infection medicine
vegetable or cooking oils
whipped cream
Putting On a Condom
For pleasure, ease, and effectiveness, both partners should know how to put on and use a condom. To learn without feeling pressured or embarrassed, practice on your penis or a penis-shaped object like a ketchup bottle, banana, cucumber, or squash.
Put the condom on before the penis touches the vulva. Men leak fluids from their penises before and after ejaculation. Pre-ejaculate ("pre-cum") can carry enough sperm to cause pregnancy. It can also carry enough germs to pass sexually transmitted infections.
Use a condom only once. Use a fresh one for each erection ("hard-on"). Have a good supply on hand.
Condoms usually come rolled into a ring shape. They are individually sealed in aluminum foil or plastic. Be careful, don't tear the condom while unwrapping it. If it is torn, brittle, stiff, or sticky, throw it away and use another.
- Put a drop or two of lubricant inside the condom.
- Pull back the foreskin, unless circumcised, before rolling on the condom.
- Place the rolled condom over the tip of the hard penis.
- Leave a half-inch space at the tip to collect semen.
- Pinch the air out of the tip with one hand while placing it on the penis.
- Unroll the condom over the penis with the other hand.
- Roll it all the way down to the base of the penis.
- Smooth out any air bubbles. (Friction against air bubbles can cause condom breaks.)
- Lubricate the outside of the condom.
Taking Off a Condom
- Pull out before the penis softens.
- Don't spill the semen, hold the condom against the base of the penis while you pull out.
- Throw the condom away.
- Wash the penis with soap and water before embracing again.
If a Condom Breaks ...
... during intercourse, pull out quickly and replace it. Men should be able to tell if a condom breaks during intercourse. To learn what it feels like, men can break condoms on purpose while masturbating.
... and semen leaks out, wash the semen away with soap and water.
... and semen leaks into the vagina during a woman's fertile period, ask a reproductive health clinician for information about starting emergency contraception within 120 hours.
Advantages
- let men help prevent pregnancy and sexually transmitted infections
- are inexpensive and easy to get
- are lightweight and disposable
- do not require a prescription
- can help relieve premature ejaculation
- may help a man stay erect longer
- can be put on as part of sex play
- can be used with other methods
Sex Play, Pleasure, and the Condom.
Many women and men say they have better sex when they use condoms. They are able to focus on their sexual pleasure without distractions about unintended pregnancy and sexually transmitted infection. Some couples put the condom on as part of their foreplay. Many men stay hard longer when they use condoms.
Disadvantages
Side Effects
Safe Sex: Oral Sex
Oral sex is defined as the act of sexual intimacy from mouth to penis (fellatio), mouth to vagina (cunnilingus) or mouth to anus. Or in slang terms: a blowjob, going down, giving head or rimming. You can't get pregnant from oral sex, but you can get an STD. So this section will provide ways of reducing the risk of contracting STDS.
Barrier Methods for Protection During Oral Sex
Oral Sex on the Vulva (outside of vagina) and Anus
If you are giving oral sex from mouth to vulva (outside of vagina) or from mouth to anus, you can protect yourself with methods such as the following:
- Plastic Wrap (such as Saran or Cling Wrap)
Pros
- Inexpensive and easy to find in any grocery or drug store)
- Covers a larger area
- Can be used with oil- or water-based lubricants
- Allows heat to be felt through the wrap
Cons - Can rip -- use caution with fingernails
Directions on Use: Cover the vulva area with the plastic wrap. You can either cut a piece of the wrap and hold it in place or wrap the pelvic area. To increase sensitivity, you can place lubricant on the side facing the vulva. Once you are done, throw the plastic wrap away. If you are rimming, follow the directions above but place the wrap over the anal area.
- Dental Dams, Licks and Other Latex Square Barriers
Pros - Provides a stronger latex barrier
- Some, such as "Glide Dams," come in flavors such as grape and vanilla
Cons - May not be easy to find, although some teen-friendly clinics (such as Planned Parenthood) and dental supply stores carry them
- Some feel there is less sensation of warmth and feeling
- Covers a small area and fluids may seep past the dam (use caution)
- Only protects what it covers
- Some require that you hold the latex in place for protection
- May not be used with oil-based lubricants because they will break down the latex
Directions on Use: Hold the latex square over the vulva area. Some will stay in place (like Glide Dams), while others must be held in place for protection. You can also try using a garter belt to hold it and free up your hands. To increase sensitivity, you can place lubricant on the side facing the vulva. Be sure to only use water-based lubricant (not Vaseline or oils). Dental dams can only be used once, so after you are done, throw away the dam. If you are rimming, follow the directions above but place the dam over the anal area.
- Cutting a Condom into a Rectangle
Pros - Easy to get. Look for a non-lubricated condom, flavored lubricated condom or flavored non-lubricated condom
Cons - Provides a small area of protection and requires care to ensure that fluids don't seep past the condom into the mouth or the anus/vulva area
- You must use both hands to hold the cut condom in place
- Can only use water-based lubricant (not Vaseline or oils)
- Only protects what it covers
Directions on Use: Unroll the condom and cut off the very tip and the very end of the condom. Then cut lengthwise to make a rectangle. Hold the latex square over the vulva area. To increase sensitivity, you can place lubricant on the side facing the vulva. Be sure to only use water-based lubricant (not Vaseline or oils). Once you are done, throw away the condom. If you are rimming, follow the directions above but place the condom over the anal area.
Oral Sex on a Penis
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Barrier methods for giving oral sex on the penis (fellatio) include:
Pros
Cons
Directions on Use: If available, place some water-based lubricant (not Vaseline or oils) in the tip of the condom. Put the condom on the penis (see step-by-step instructions). After you are done, throw away the condom.
Pros
Cons
Directions on Use: If available, place some water-based lubricant (not Vaseline or oils) in the tip of the condom. Put the condom on the penis (see step-by-step instructions). After you are done, throw away the condom.
Pros
Cons
Guidelines for Safe Sex
- Have each other's consent.
- Never use pressure to get consent.
- Be honest with each other.
- Treat each other as equals.
- Be attentive to each other's pleasure.
- Protect each other against physical and emotional harm.
- Guard against unintended pregnancy and sexually transmitted infection.
- Be clear with each other about what you want to do and don't want to do.
- Respect each other's limits.
- Accept responsibility for your actions.
Sample Script For Safer Sex
If Your Partner Says: What's that?
You Can Say: A condom, baby.
If Your Partner Says: What for?
You Can Say: To use when we're making love.
If Your Partner Says: I don't like using them.
You Can Say: Why not?
If Your Partner Says: It doesn't feel as good with a rubber.
You Can Say: I'll feel more relaxed. If I'm more relaxed, I can make it feel better for you.
If Your Partner Says: But we've never used a condom before.
You Can Say: I don't want to take any more risks.
If Your Partner Says: Rubbers are gross.
You Can Say: Being pregnant when I don't want to be is worse. So is getting AIDS.
If Your Partner Says: Don't you trust me?
You Can Say: Trust isn't the point. People carry sexually transmitted infections without knowing it.
If Your Partner Says: I'll pull out in time.
You Can Say: Women can get pregnant from pre-cum. It can also carry sexually transmitted infections.
If Your Partner Says: I thought you said using condoms made you feel cheap.
You Can Say: I decided to face facts. I like having sex, and I want to stay healthy and happy.
If Your Partner Says: Rubbers aren't romantic.
You Can Say: Making love and protecting each other's health sounds romantic enough to me.
If Your Partner Says: Let's face it. Making love with a rubber on is like taking a shower with a raincoat on.
You Can Say: Well, doing it without a rubber is playing Russian roulette.
If Your Partner Says: It just isn't as sensitive.
You Can Say: With a condom you might last even longer, and that'll make up for it.
If Your Partner Says: I don't stay hard when I put on a condom.
You Can Say: I can do something about that.
If Your Partner Says: Putting it on interrupts everything.
You Can Say: Not if I help put it on.
If Your Partner Says: I'll try, but it might not work.
You Can Say: Practice makes perfect.
If Your Partner Says: But I love you.
You Can Say: Then you'll help me protect myself.
If Your Partner Says: I guess you don't really love me.
You Can Say: I'm not going to "prove my love" by risking my life.
If Your Partner Says: I'm not using a rubber, no matter what.
You Can Say: Well, then I guess we're not having sex.
If You Are a Virgin and Have Decided to Have Sex and Want to Use a Condom and Your Partner Says: Just this once without it. Just the first time.You Can Say: It only takes once to get pregnant. It only takes once to get a sexually transmitted infection. It only takes once to get AIDS.
If your partner absolutely refuses to wear a latex condom, you can use a female condom. Some men have said that the sensation is not so reduced with a female condom.
Don't be afraid of being rejected. Besides, the partner who doesn't care about protecting your health and well-being is not worth your sexual involvement.
Thanks to Planned Parenthood for the above information.


