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How can anal sex and ass-to-mouth be safe?

Q: I have seen in pornos that people have condom-less anal sex and condom-less ass to mouth. I was wondering if you knew what they did to ensure the cleanness of that area on the inside?

A: First off, pretty much anything you see in porno is an exaggerated sex practice. The performers are taking certain risks, which they understand going in to the scenes. Porn performers are required to know and be able to prove their STD status at all times.

To answer the broader question we can give you some information about cleanliness and risks of anal sex and ass to mouth play of any kind (ass to mouth and rimming).

Cleanliness – To prepare the rectum and anus for sex people usually take a shower or bath, and use an enema. There are 2 basic types of enema. One is the larger enema bottle that comes with a hose. A person lies down in the bathtub and receives some water into their rectum. Then they get up and let the water out into the toilet. The other method is to use a small squirt bottle called an “anal douche” or “disposable enema” from the drug store. Dump out the liquid that comes with the anal douche and replace it with warm water. The water can be squirted into the rectum while the person sits on the toilet and lets the water out into the toilet. The process can be repeated a couple times. With any enema it’s important to wait 15-20 minutes after before having sex so the rectum can recover.

Risks – Even with enemas there are still several health risks to condomless anal sex and ass to mouth. One risk is STDs. It’s possible to transmit HIV, Herpes, HPV, Syphilis, Chlamydia, and Gonorrhea between a penis and a butt. Using a lot of lube reduces the risks of some of these STD transfers by a significant amount. Even if you aren’t using condoms, use a lot of lube.

The risks of any contact between a person’s mouth and something that’s been in an ass (or is an ass) are Hepatitis and bacterial infections. The risk there is that some fecal matter gets into the rimmer’s mouth. No amount of douching can remove this risk. The good news is that Hepatitis can be tested for and also there is a vaccine.

If you are into this sort of play we suggest you consider using condoms and dental dams, get yourself and partners tested for the STDs, and also consider getting the Hepatitis vaccine.

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