Fisting

Fisting (inserting most or all of the hand into an ass) in itself presents only a small chance of transmission of HIV, as long as there are no open cuts, sores or the like on the hand – and even less if a fisting glove is worn.

However, fisting presents a much higher chance of rectal damage. A damaged rectum is much more vulnerable to infection through sex that may take place afterwards. When recreational drugs are also being used severe damage can take place without fully feeling the pain.

If more than one person is being fisted, in a group sex situation, HIV or hepatitis C could be passed from one guy to another, via anal mucus or blood carried on the fist.

Fisting can lead to the transmission of STIs, including hepatitis C. It is also possible to acquire a variety of gut infections such as Shigella, if traces of faeces (poo) get passed to the mouth.

Using oil-based lube for fisting can create issues if you then choose to have anal sex afterwards, as the oil in the lube will damage most condoms. If you think it is likely that you will fist and have anal sex, use water-based lubricant to fist or use a non-latex condom which will not be damaged by oil (like polyurethane condoms) to have anal sex.