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Dear
Dr. Lipstick
Dear
Dr. Lipstick:
I
love fisting ….I mean I LOVE fisting…but I do have some concerns
about it…like is it dangerous? Are there things I should avoid?
Please say it ain't so cause I am….
Fulfilled
in Fresno
Dear
Fulfilled:
Yes,
fisting can be wonderful (I'll let Sexy Suzi expound on that)…and
for the most part it is safe, but there are things to be careful
about in the process. The most critical issue is injury. Injuries
can range from a fingernail scratch and minor tissue tears to
excessive bleeding and perforation. Now, I would be the last person
to try to dissuade you from fisting but let's look at each one
of these problems and the ways to avoid them. A word of warning
though…I need to talk anatomy here so it might be a bit clinical.
Scratches
can be prevented quite easily…cut the offending nails or tape
cotton balls to the ends of said fingers and wear a latex glove
or two. Even minor cuts can expose you or your partner to bloodborne
pathogens (organisms that live in the blood), like hepatitis B
and HIV…but I'll be addressing that below. Minor tissue tears
can result from rushing into things, so to speak. The skin around
the vaginal opening, the labia (vaginal lips) or even the urethral
opening (where you urinate from) can get torn if the vaginal muscles
are not relaxed enough, the fist is too large, or if you don't
use enough lube….lube is the most important part of fisting, I
think…there can never be too much!
Excessive
bleeding can result from major tears, perforation of the vaginal
wall, and excessive pressure against the cervix (which sits at
the top of the vagina) and uterus. These injuries can occur when
the action gets outta control, which makes it so important to
stay in communication with your partner. Of course relaxation
and lube are critical here as well. The intense contractions of
orgasm might also start menstrual periods.
Speaking
of periods, fistees who are perimenopausal (around the time of
menopause) or past menopause experience a drop in estrogen. This
may result in decreased vaginal secretions and a thinning of the
vaginal tissues. This in turn can increase the chance of tears.
So for women in this stage of life, lube is very helpful…and being
gentle is really important. Taking estrogen supplements or using
estrogen vaginal cream may also help, but be sure to discuss this
with your gynecologist first. She can help you decide if this
is a wise choice for you, in light of your symptoms and medical
history.
Major
tears or perforation, and the possibility of hemorrhage, are very
serious threats to your health and should receive immediate medical
attention. This is no time to be shy or embarrassed. See someone
immediately if you are experiencing an unusual amount of bleeding,
minor bleeding that continues beyond a day, or intense or constant
pain.
I
must inject here that fisting should not be undertaken when under
the influence of drugs or alcohol. As the fistee you must be aware
of what is going on in your body and you do not want to "dull"
the pain...if something is causing you an excessive amount of
pain you want to be aware of it and stop or at least back up and
slow down. As the fister, you also want to be mentally present
and aware of how your partner is feeling.
Certain
conditions warrant medical advice before embarking on this journey,
like previous infections and conditions that cause scarring in
the abdominal area, intestinal tract, vagina or urethra. These
conditions can cause pain and decreased elasticity of the vagina
and surrounding organs. The vaginal walls can also be weakened,
making them more susceptible to perforation, as a result of giving
birth and aging.
So,
if you have, or think you might have, a condition that could present
problems…please talk to your health care provider before entering
into any fisting play. In general, if a physical exam doesn't
bring to light any major health conditions, have fun….stock up
on lube, go slowly, and be sure to stay in tune and in touch with
each other.
One
last tip, be sure to empty your bladder after sex (fisting or
otherwise) to prevent urinary tract infections…it washes out the
urethra which may become contaminated with bacteria from skin
or 'bodily secretions' during sex.
For
more info, pick up a copy of A Hand in the Bush, The Fine Art
of Vaginal Fisting by Deborah Addington. It addresses some of
the issues I have raised and more…and it's a wonderful 'how-to'
manual with a good dose of frankness and lightness, and some sketches
to enlighten.
continued
on page 2
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