Safer Sex & STD Prevention for Gay & Bi Men

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Fetish and Alternative Sexual Behaviors

Many of these sexual behaviors are impossible with condoms or dental dams, so they are high risk.

Felching (consuming semen from partner's anus)
STD risks include:

• Genital herpes
• Genital warts
• Gonorrhea
• Hepatitis A, B, and C
• HIV
• Molluscum
• Parasitic infections
• Syphilis

Felching carries an extremely high risk for STD transmission. By nature, felching does not allow for the use of condoms, dental dams, or the avoidance of semen. Many people who practice STD prevention avoid felching for this reason.

Fisting (inserting the hand or arm into the anus)
STD risks include:

• Hepatitis B and C
• HIV
• Syphilis

Fisting without a latex glove significantly increases the risk for STDs. Open wounds on the hand, arm, or rectum facilitate transmission. Inserting the hand or arm, especially if done too quickly, can tear the anus and cause bleeding. The fingernails should be trimmed to avoid tearing the rectum or the glove. Snagging the rectum can result in serious infection.

Snowballing (consuming own semen from partner's mouth)
STD risks include:

• Anogenital warts
• Chlamydia
• Genital herpes
• Gonorrhea
• Hepatitis A, B, and C
• HIV
• Molluscum
• Syphilis

The same preventive care that applies to oral sex applies to snowballing. Consuming semen that may have been exposed to blood or lesions in a partner's mouth increases the risk for STDs.

Golden shower (urinating on partner)
STD risks include:

• Chlamydia
• Gonorrhea

Chlamydia and gonorrhea are more likely to be transmitted if urine is drunk. If urine does not enter the mouth, eyes, or anus, there is no risk for STD. It is advisable to wash after a golden shower.

Scat (consuming a partner's feces)
STD risks include:

• Anogenital warts
• Chlamydia
• Genital herpes
• Gonorrhea
• Hepatitis A
• HIV
• Molluscum
• Parasitic infections
• Syphilis

The same preventive care that applies to oral-anal sex applies to scat. Having feces in the mouth increases the risk for STDs, especially parasitic infections and hepatitis A.

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