Introduction This is a case study of pre-sexual encounter counseling. The patient is 14 years old female who presented to the clinic for pre-sexual encounter counseling. From information obtained from the patient, it is will be the first encounter. The patient is not very active in extra-curricular activities and she does not believe to have broken her hymen in any manner possible. The patient is well conversant with her monthly periods and can point out the safe days confidently. She is curious and would have to try out the sex. She does not think of risks in having sex with her boyfriend. They have not gone for any test together and she is not sure of the HIV status of the boyfriend. The counseling Being the very first time that the female will engage in sex, she was advised to be aware that the first-time experience is likely to be a bit challenging. The main challenge pointed out was the breaking of the hymen. She was made aware that when the hymen breaks she will experience some sharp pain and there was going to be some slight bleeding. It was made clear to her that the first encounter may be painful and probably irritating to the vaginal walls depending on how her body may respond to the whole experience. She was made aware that a female body when aroused in preparation for sex mucus is secreted into the vaginal walls to minimize friction upon penetration. Concerning that, she was advised to talk with her partner over the issue of ensuring that she is properly aroused to minimize instances of painful penetration. Upon being properly aroused she could feel the mucus secretion to her vagina. Extra care was taken to advise her on what to do in case her body organ could not secret mucus. She was advised to use artificial lubricants which are water-based as opposed to oil-based ones. Care was taken to explain to her the risks of using other substances, which were likely to be available readily, such as yogurt, soaps, or hand lotions as these are likely to have some bad effects on her. Shading light on this issue Komisaruk (2009) et al, argued that “the vagina may become irritant by application of vinegar, yogurt, hand lotions, soaps, and bubble baths and by other douches” (p. 89). However, care was taken to reassure her that chances of not secreting mucus were very minimal as this was a common experience with old women. She was advised that being the encounter it was good if she could not overdo the whole exercise as it would likely cause her some pain afterward in private parts and probably some slight difficulties in walking (Komisaruk, 2009). After creating a picture of the whole experience attention was turned to some other equally significant issues. She was made aware of the risks likely which come with having sex and in her case the risks she was going to face for the first time. She was made aware of the common sexually transmitted disease such as HIV Aids, syphilis, gonorrhea among others. She was advised to advise her partner to use a condom to avoid transmission of the disease. She was however advised to take her partner for a medical check-up before they could engage in sex. She was informed that it is not guaranteed that condoms can completely prevent transmission of the STDs. If she was not sure of her