Sexual Health STIs What It Means When a Couple Is Fluid Bonded By Elizabeth Boskey, PhD Elizabeth Boskey, PhD Facebook LinkedIn Twitter Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Learn about our editorial process Updated on January 26, 2023 Medically reviewed by Anju Goel, MD, MPH Medically reviewed by Anju Goel, MD, MPH LinkedIn Anju Goel, MD, is board-certified in internal medicine. She has over 10 years of experience in the California public health system addressing communicable disease, health policy, and disaster preparedness. Learn about our Medical Expert Board Print Fluid bonding refers to couples exchanging body fluids by having barrier-free sex. A common term in ethical non-monogamy, it is a pre-planned, consensual decision to stop using condoms, dental dams, or other barrier protection. For some couples, fluid bonding has a spiritual meaning. It is said to enhance intimacy, make you chemically bonded to your partner, and strengthen your attachment. Research supporting these purported benefits of fluid bonding is lacking. However, plenty of evidence shows that having condom-free sex increases your risk of contracting a sexually transmitted infection (STI). STI testing is recommended prior to fluid bonding. This article discusses fluid bonding, its potential risks, and things to consider before taking that step. It also explains how couples can have a healthy discussion about fluid bonding. Raphye Alexius / Getty Images Who Practices Fluid Bonding? Many couples do not practice safe sex. However, such actions are generally only called fluid bonding if they are an active choice of the people in the relationship. The decision to become fluid bonded usually occurs after a period of time during which the couple has been practicing safer sex. Some monogamous couples believe that fluid bonding is a way to enhance intimacy. However, there is nothing inherently more intimate about having unprotected sex in comparison to safer sex. Many couples have great intimacy for decades without exchanging fluids. Fluid bonding does not only happen between heterosexual couples. Men who have sex with men and women who have sex with women also engage in fluid-bonded relationships. Furthermore, some people who engage in polyamory (having more than one intimate relationship at a time) and other forms of consensual non-monogamy consider themselves to be fluid bonded with one or more partners. With polyamory, partners may still engage in protected sex outside of those relationships. This reduces—but does not eliminate—the risk of bringing an infection into the fluid-bonded relationship. Before Fluid Bonding The decision to fluid bond should be well thought out. This requires honest and open communication in advance. It is not a decision that should be rushed or made hastily in the heat of the moment. Items to discuss with your partner in advance of fluid bonding include: Reasons you want to fluid bondSexual health history and risk of STIsRecent STI testing and frequency of future testingThe potential for pregnancy, use of birth control, and expectations if pregnancy does occurLevel of exclusivity in your relationshipSetting boundaries around using protection with other partners, if not exclusiveDegree of trust and transparency between partners Fluid bonding needs to be consensual and planned in advance. If you are not ready to have barrier-free sex with your partner, be clear and direct about it. Likewise, if your partner is not ready, don't try to change their mind. Fluid Bonding and STI Risk The primary risk associated with fluid bonding is an increased risk of STIs. That is particularly true if you or your partner's prior STI testing is not comprehensive. Not all healthcare providers test for all STIs, but not everyone realizes that, so testing can give you a false sense of security. In addition, many couples don't realize how many STIs have no symptoms. They may incorrectly believe that it's safe to stop using barriers even without testing if neither partner has any obvious symptoms. Most couples wait to explore the possibility of fluid bonding until they have been tested for STIs. How To Get Tested For STIs STI Testing Prior to Fluid Bonding STIs can be bacterial, viral, or parasitic infections. Unfortunately, there is no single test that can detect all STIs. In addition, most healthcare providers do not routinely test for all STIs. This means that you will need to be specific about the tests you want. Be open with your healthcare provider about your reason for STI testing and be honest about your sexual health history. You may need to specifically ask for the full array of STI tests including chlamydia, gonorrhea, syphilis, HIV, herpes, and hepatitis. STI testing can be done by your primary care provider, gynecologist, or urologist. You can also get tested at Planned Parenthood or a STI clinic. Online STI test kits are also an option some people prefer due to privacy concerns. What You Should Know About STI Testing Before Fluid Bonding Fluid Bonding and Pregnancy Risk Couples who practice barrier-free sex are also at a greater risk of unplanned pregnancy. If you are not ready for pregnancy, it is important to use other forms of birth control. Hormonal Birth Control Most types of non-barrier contraception involve hormones that work on the female reproductive system to prevent pregnancy. These include oral birth control, vaginal rings, patches, implants, and injections. Intrauterine devices (IUDs) may also contain slow-release hormones, such as Mirena. Hormonal Birth Control Options Hormone-Free Contraception Some people are unable to use hormonal contraception due to side effects or medical risks. Hormone-free options include diaphragms, cervical caps, the contraceptive sponge, and spermicide. Hormone-free IUDs, like the Copper T, are also an option. 9 Non-Hormonal Birth Control Options The Pull-Out Method Some couples opt to use coitus interruptus, better known as the withdrawal method or pulling out. When done correctly, this method is 96% effective. That means four out of every 100 couples relying on the withdrawal method will become pregnant in a year. Is the Pull-Out Method an Effective Form of Birth Control? Natural Family Planning Natural family planning is another technique some couples use to prevent pregnancy. This involves tracking your menstrual cycle and watching for signs of ovulation. To prevent pregnancy, the couple either avoids intercourse during the fertile window or uses a back-up method at that time. However, research shows natural family planning has a typical failure rate of 24%. How to Choose Your Natural Family Planning (NFP) Method Myths About Fluid Bonding Some people think unprotected sex means partners are more committed to the relationship, but that's a belief many sex educators want to change. Practicing safer sex shouldn't be seen as a sign that someone doesn't trust their partner. Instead, it should be seen as a sign of respect for their body and a symbol of their desire to protect the person (or people) they love from harm. It is certainly possible to make an informed decision to become fluid bonded with a partner. That's true even with a partner who is positive for an STI. However, fluid bonding is not a choice that should be made lightly. Fluid bonding should never be a way of proving your love or your trust. Why would you even start to discuss the possibility of having unprotected sex with someone if either love or trust was a question? A Word From Verywell People may engage in fluid bonding for good reasons or for bad reasons. That's why it's so important for people to be aware of, and able to discuss, the risks. If you are considering becoming fluid bonded with a partner, it's important to discuss your sexual histories openly and honestly. It's also important to discuss your commitments around sexual exclusivity and or practicing safe sex. Be realistic about what you can and can't do in your relationship. Then you can make a good decision about whether becoming fluid bonded makes sense, or whether you'll both be happier and feel more secure if you decide to continue practicing safer sex. 3 Sources 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. World Health Organization. Sexually transmitted infections (STIs). Jones RK, Lindberg LD, Higgins JA. Pull and pray or extra protection? Contraceptive strategies involving withdrawal among US adult women. Contraception. 2014;90(4):416–21. doi:10.1016/j.contraception.2014.04.016 Sung S, Abramovitz A. Natural Family Planning. 2022. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Additional Reading Aholou TM, McCree DH, Oraka E, et al. Sexual Risk and Protective Behaviors Among Reproductive-Aged Women in the United States. J Womens Health (Larchmt). 2017 Nov;26(11):1150-1160. doi:10.1089/jwh.2016.6224 Corbett AM, Dickson-Gómez J, Hilario H, Weeks MR. A little thing called love: condom use in high-risk primary heterosexual relationships. Perspect Sex Reprod Health. 2009 Dec;41(4):218-24. doi:10.1363/4121809. Fumaz CR, Muñoz-Moreno JA, Ferrer MJ, Ornelas A, Coll J, Clotet B. Attachment styles, condomless sex, and drugs in HIV-positive gay and bisexual men. J Sex Marital Ther. 2020;46(1):35-42. doi:10.1080/0092623X.2019.1626308 Neilson EC, Gilmore AK, Stappenbeck CA, et al. Psychological effects of abuse, partner pressure, and alcohol: the roles of in-the-moment condom negotiation efficacy and condom-decision abdication on women's intentions to engage in condomless sex. J Interpers Violence. 2021;36(17-18):NP9416-NP9439. doi:10.1177/0886260519857160 Scott ME, Wildsmith E, Welti K, et al. Risky adolescent sexual behaviors and reproductive health in young adulthood. Perspect Sex Reprod Health. 2011 Jun;43(2):110-8. doi:10.1363/4311011 By Elizabeth Boskey, PhD Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit