Vaginal fisting injuries

In the s, it was assumed that unprotected fisting—which often produces small injuries to the anus, permitting microorganisms access to the blood—was an easy route for transmission of HIV. This, combined with sexual squeamishness towards the public fisting culture in gay establishments of San Francisco, led gay writer Randy Shilts to successfully campaign for the closure of venues, such as gay bathhouses and sex clubs, that openly permitted it. Typically, fisting does not involve forcing the clenched fist into the vagina or rectum; this is a practice called "punching". Instead, all five fingers are kept straight and held as close together as possible forming the beak -like "duck" , then slowly inserted into a well lubricated vagina or rectum.
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Vaginal "fisting" as a cause of death.

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Fisting - Wikipedia

People of all genders and sexual orientations practice fisting. Fisting is a slow, gentle process that needs plenty of lubrication , communication and trust. How does it work? Fisting works best when the receiver is already aroused. Warm-up can involve different kinds of stimulation, such as direct or indirect genital or anal stroking, vibration, or penetration. The giver should start with gentle penetration using one or more fingers.
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