The Ultimate Guide to Fellatio
transmitted through unprotected fellatio. Both the person giving fellatio and the person receiving are at risk, though the risk level is very low. If one of you has a bacterial infection, such as chlamydia, it’s a good idea to use barriers until you’ve completed treatment.
    Some STDs can remain dormant for as long as a few years, so it’s possible to give someone something you didn’t even know you had. Add to all this the fact that conventional medical wisdom on safer sex and transmission of viruses and bacteria is subject to change, and can change often. Whenever in doubt, check with your doctor and keep abreast of new information by keeping up with the Centers for Disease Control, who conveniently have an STD section on their Web site, updated whenever there is new information (see chapter 13, “Resources,” for contact information).

CHAPTER 4
    Know the Hard Facts: Health Considerations
    The human body is a complex container for water, salt, sinews, bones, brains, feelings, dreams. The many things we can do with it are astounding: making buildings, babies, ideas, orgasms. The body itself is a fortress against intruders; white blood cells, helpful bacteria, and acids—nature’s polymorphous armies—can combat the common cold, keeping our delicate system in balance. And yet, when compromised, our own helpful tools can be turned against us and we suddenly become the perfect host to bugs, germs, diseases, and infections. In the realm of sex, becoming a good host means anything from engaging in unprotected sex to weakening yourself with illness and uninformed lube and toy practices, all the way to being a careless (or unknowing) carrier of unfriendly bugs.

    Is Fellatio Risky?
    When it comes to unprotected fellatio, everyone involved is taking a risk of some kind. Unprotected fellatio carries a lower risk for the transmission of sexually transmitted diseases (STDs) than unprotected vaginal and anal intercourse (with a penis or a just-shared, unprotected sex toy), or unprotected cunnilingus (unless she ejaculates in your mouth), but there is risk involved—for both the giving and the receiving partner. When a guy gets a blow job without a condom from a stranger, he’s in the low-risk category for HIV and hepatitis B and C; but he’s at high risk for herpes, syphilis, gonorrhea, and HPV (human papillomavirus, or genital warts). If you go down on a man and you don’t know whether he is infected, you put yourself at risk for hepatitis B, herpes, syphilis, gonorrhea, and HPV—and if you have a cut, bite, sore, or abrasion in your mouth, you are also at risk for HIV and hepatitis C. Unprotected rimming (oral-anal sex) puts you at risk for all of the above, along with hepatitis A. Brushing or flossing your teeth or going to the dentist before a round of oral sex will put you at significant risk; these activities produce tiny cuts on the gums.
    Risk Awareness
    Please note that the best way to avoid transmission of most viruses and STDs is to use a latex or nonlatex (but non-animal-skin) barrier for all activities involving fluid transmission.
    The following tables show at a glance the risks that accompany fellatio and other sexual activities; for more details on the risks for specific STDs, see the section that follows.
    Is Rimming Risky?
    Rimming, or analingus, refers to caressing or penetrating your lover’s anal opening with your tongue. Because the delicate pucker of the anus is rife with sensitive nerve endings, rimming feels incredibly pleasurable to many people, and just as many people enjoy giving it as getting it. For both givers and receivers, rimming sets the night on fire.
    Though rimming is certainly enjoyable, it isn’t a very safe activity. Unprotected rimming can transmit hepatitis A, anal herpes, anal warts, and possibly viruses such as HIV. Always use a barrier for rimming—but if you insist on barrier-free rimming, get a hepatitis A shot. Read about erotic rimming techniques in chapter 10, “More

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