Fisting
Hands are big things. If you get fisted, you’re going to have to treat your rectum and/or vagina very, very carefully, because fists can create more serious tears in the rectum and vagina than most sexual activities. People can take a long time to work up to a whole hand. Also, pushing too hard or fast can cause damage. So take your time and enjoy yourself.
If you are going to fist, it’s important to wear gloves. They protect both of you. Medical gloves are the best and need to fit properly. The additional friction caused by creases of excess material can cause increased sensitivity for the bottom, and eventually, damage in the mucosal membrane.
If you’re going to be fisting deeply, make sure your exposed arm is free of nicks and cuts. You can check for tiny nicks (that may not be visible) by rubbing skin lightly with rubbing alcohol. A sharp stinging sensation alerts you of surface abrasions that increase risks.
Don’t fist if your fingernails are long. Cut them and smooth them down with an emery board or put bandages over the ends of their nails as an added precaution to blunt them. If you have an open wound or hangnails on your hand(s), don’t fist with that hand, even with the precaution of gloves. Be sure the glove stays well lubed while you’re using it (see the section on lubricants to avoid contaminating lube). When pulling out (as with condoms), make sure to grab the open end of the glove so that it doesn’t slip off.
Many Western industrialized countries are now seeing the emergence of two infections which are associated with fisting and are limited to gay men. One is Lymhogranuloma Venereum (LGV). It is a form of chlamydia that can cause painful growths and swelling if not treated. The other infection has been an outbreak of HVC, which has been largely confined to gay men living with HIV. Both of these infections are primarily spread by fisting without gloves, using the same glove in more than one person, or using contaminated lube. In the case of HCV, however, it is likely that the fisting would have to involve some bleeding. (Both viruses can also be spread in a similar way using a penis after fisting.) Because of these facts, and since HCV is the western world’s most common blood borne infection, vaginal fisting should be avoided if the woman being fisted is menstruating.
If you’re living with both HIV and HCV co-infections and you want to fist, you need to know that HCV tends to be evident in people with higher viral loads. This has led many researchers in the field to think that fisting can spread HCV to sexual partners far more easily than if HIV were not involved. If you get fisted regularly, a secondary issue to keep in mind is that HCV is not necessarily screened by medical primary care professionals. So, if you are not using gloves, it is important to make sure you get yourself screened regularly for HCV. Keep in mind that HCV acts like other infections faced by people living with HIV, such as syphilis or HPV – they all progress quickly to secondary stages that can cause more serious health issues. Often, all of these infections are not apparent immediately after infection – and it is very common for people to be unaware they are infected. Most of this can be avoided by using fresh condoms and gloves for each partner.
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