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===Non-penetrative sex=== [[Image:PeterJohannNepomukGeigerEroticWatercolor04.jpg|thumb|right|[[Watercolor]] of [[Handjob|manual stimulation]] of the penis, [[Johann Nepomuk Geiger]], 1840]] {{Main|Non-penetrative sex}} A range of sex acts called "non-penetrative sex" or "outercourse" can significantly reduce STI risks. Non-penetrative sex includes practices such as kissing, mutual masturbation, manual sex, rubbing or stroking.<ref name="LaRosa">{{cite book | vauthors = LaRosa J, Bader H, Garfield S |title=New Dimensions In Women's Health |publisher=[[Jones & Bartlett Learning]] |year=2009 |page=91 |access-date=31 August 2013 |isbn=978-0763765927 |url=https://books.google.com/books?id=2X03PXd4JSoC&pg=PA91 |quote=Outercourse is the sharing of sexual intimacy with behaviors such as private part kissing, petting, and mutual masturbation. The advantages of outercourse include no risk of pregnancy without penile-vaginal penetration and the behaviors permit emotional bonding and closeness.}}</ref><ref name="White">{{Cite book | vauthors = White L, Duncan G, Baumle W |title=Medical Surgical Nursing: An Integrated Approach |edition=3rd |publisher=[[Cengage Learning]] |year=2011 |access-date=1 September 2013 |page=1161 |isbn=978-1133707141 |url=https://books.google.com/books?id=LWEJAAAAQBAJ&pg=PA1161|quote=Some people consider outercourse to mean sex play without vaginal intercourse, while others consider this to mean sex play with no penetration at all (vaginal, oral, or anal).}}</ref> According to the Health Department of Western Australia, this sexual practice may prevent pregnancy and most STIs. However, non-penetrative sex may not protect against infections that can be transmitted via skin-to-skin contact, such as [[herpes]] and [[HPV|human papilloma virus]].<ref>{{cite web|title=STDs (Sexually Transmitted Diseases) |url=http://www.mckinley.illinois.edu/handouts/sexually_transmitted_infections.html|access-date=23 January 2014|archive-date=2 February 2014|archive-url=https://web.archive.org/web/20140202144530/http://www.mckinley.illinois.edu/handouts/sexually_transmitted_infections.html|url-status=dead}}</ref> Mutual masturbation and manual sex carry some STI risk, especially if there is skin contact or shared bodily fluids with sexual partners, although the risks are significantly lower than other sexual activities.<ref name=plannedparenthood/>
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