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I’ve often written, as I’ve discussed before, that our understanding of sexual health relies largely on scientific advances that emerged, from about 1900, at the turn of the 20th century. We’ve already had our first clear-cut medical definition of an “unnatural” sexual activity that’s harmful to health, but we don’t have a good way to think about it today.
There are two things you can do that give you a lot of information about your health. For example, if you’re still not sure if you should be getting tested for HPV, and you haven’t yet figured out which HPV vaccine is right for you, you can ask your doctor about it today. Likewise, if you’re under the age of 30 or the age of majority if you have your parents’ permission, you can take a pregnancy-screening test and the results can provide a pretty good sense of whether you’re actually fertile; if you’re over the age of 24, or the age of majority for that particular state or territory, there’s a good chance you’re not. However, as a practical matter, it’s not much easier to say than, “Oh, yeah, I’m over-30. I’m probably going to get pregnant within a year, so that’s probably going to be a problem.”
However, if you’re under 18 or under majority, you can try to figure out some way to get screened for other conditions. For example, you could take a paternity test to figure out if you’re the father of a child, although it’s more likely you’re the biological father. You could get a blood test to see if you’ve got HIV infection, which is usually diagnosed in men who have sex with men, although it’s more common in gay men. Or maybe you could go to the health clinic and get vaccinated for an HPV infection that’s already present in a lot of people and could be detected through a Pap smear. For some conditions, such as asthma, the CDC has published a list of recommended vaccines for use alongside the HPV vaccine. The CDC lists one vaccine that’s available, Gardasil, for 6–12-year-old girls and boys and another for 9–13-year-old girls and boys, Gardasil 9×2, for 9–13-year-old girls. There are several other HPV vaccines, including two vaccines for 10–14-year-old girls and four for 8–9-year-old boys, including two
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