Fisting:  The Basics 

How safe is it:Fisting can be very safe if you know what you are doing. You can't force it or you may damage rectal tissues.  The rectal tissues are not as delicate as 'wet paper towels' circa The Joy of Gay Sex.  It is very important that the fister has short and smooth fingernails. 

HIV transmission: HIV transmission is very minimal with just fisting, if you clean up correctly with a disinfectant soap afterward and do not contaminate yourself (i.e. rub your eyes in the middle of fisting).  Some men like to use gloves and this gives an added protection.  The downside to gloves is that some people develop Latex sensitivity.

Hepatitis transmission: Hepatitis transmission can also occur during fisting but this is of low risk.  Like with HIV, cuts in the skin on the hand of the fister is a way for the virus to enter.  Gloves can protect from most of these problems.        Doctors/nurses and other health care professionals have to work with secretions of HIV and hepatitis patients, studies have found that gloves and hand washing cut down the rate of transmission tremendously.  Also, it is suggested by the CDC that 'homosexuals' be vaccinated against Hepatitis B, if they don't already have the protective antibodies and the vaccination of Hepatitis A is probably a very good idea also.  You can find out your Hepatitis status, including Hepatitis C from your health care provider with a simple blood test.

Other problems that could occur: Most of the problems that occur during fisting is people not really know what they are doing.  A new 'fistee' should have an experienced 'fister' to help him through some of the potential problems.  Toys are the leading cause of rectal damage NOT fisting.

How can I learn to relax: fisting is a form of meditation to me, not just an act of expanding the anus and rectum.  TRUST is the most important thing you must have when you are trying to be fisted.  Forcing your ass to do something will not work.  Most of the muscles in fisting are involuntary smooth muscles.  Your 'head has to be in the right place' for things to work. Talk to experienced men in fisting and they can tell you volumes about this.

How can I stretch myself faster: There are several ways to help.  You can play with graduated toys, i.e. sized from small to larger.  There are inflatable buttplugs and the like.  Again, you have to go slow and pain is your clue that you are going too fast.  There are other things that can also help, like muscle relaxers, anesthetics, analgesics, etc., but again, you need to have a good knowledge of what you are doing or play with an experienced man who can teach you.

Why is there is almost always a bit of blood that occurs at the start of fisting that goes away quickly: A little bloody show is not unusual, it can be a slight irritated hemorrhoid to an irritated anal wart to something more serious like an anal fissure.  If you just get a little pink Crisco that goes away with a quick flush then it is probably not a problem.  Anything more than that and you should let your health care provider know.  If you can't talk to your health care provider about such things, then find one that you can talk to.

About hemorrhoids: Hemorrhoids or piles are enlarged veins in the wall of the anus (internal hemorrhoids) they are usually a consequence of prolonged constipation or, occasionally diarrhea.  Uncomplicated hemorrhoids are seldom painful; pain is usually caused by a fissure.  An anal fissure is a break in the skin lining the anal canal (mucosa) and the main symptom is bleeding.  In first-degree hemorrhoids, bleeding is at the end of defecation and is the only symptom. First-degree hemorrhoids never appear at the anus.  In second-degree hemorrhoids the hemorrhoid protrudes beyond the anus (the so called 'first sphincter') as an uncomfortable swelling but returns spontaneously.  Third- degree hemorrhoids remain outside the anus and need to be returned by pressure.

How can I prevent hemorrhoids: First-and second-degree hemorrhoids may respond to bowel regulations using a high-fiber diet with fecal softening agents.  (Metamucil, Citracel, Fibercon.)  On treatment of First and second degree hemorrhoids it is interesting to note that 'Forceful dilation of the anus under general anesthesia is also effective.'  Well, fisters don't need general anesthesia but this is why that regular fisters have a much lower incidence of first and second degree hemorrhoids.    Third-degree hemorrhoids, on the other hand (no pun intended) often require surgery especially if they become strangulated, producing severe pain and further enlargement.    External hemorrhoids are either prolapsed internal hemorrhoids or-more often- perianal hematomas (an accumulation of blood within the tissues that clots to form a solid swelling around the anus) or the residual skin tags remaining after a perianal hematoma has healed.  Perianal hematomas can be seen with punch fucking if the fistee is not relaxed enough and as a 'hicky' with rough rimming.

How long after a hemorrhoidectomy do I have to wait until I start training again: The anal and rectal tissues heal remarkable fast.  I would suggest that you wait until your check up with your surgeon and he does not see that anything is still in the active phases of healing.  Undoubtedly he will give you a much longer time to wait then you really need to for medicolegal reasons.

If I have a hemorrhoidectomy, is it possible to leave my anus a bit looser: The procedures for hemorrhoidectomy does not involve the muscles directly and therefore there should be no difference.  If you are a bit looser it may be due to some temporary nerve damage that will heal or a complication of permanent nerve damage that you do NOT want. 

Other than HIV and hepatitis are there any other issues or dangers for tops: Since a top is indirectly dealing with stool he has all the possibilities of any infectious agent that can be transmitted by stool, such as bacteria, viruses, and parasites.  Most of these pathogens (disease causing germs) are transmitted by the so called 'fecal-oral route.'  That is, there need to be contamination that somehow gets into your mouth.  This is often seen when a food handler with an infection does not wash his hands and handles your food after it is cooked. (the most common cause of travelers diarrhea).