WARNING: Explicit Imagery and Colloquial Language

What condoms should I use for anal sex?

With anal sex more strain is placed on the condom. You can use stronger condoms (which are thicker) but standard condoms are just as effective as long as they are used correctly with plenty of lubricant.

Condoms with a lubricant containing Nonoxynol 9 should NOT be used for anal sex as Nonoxynol 9 damages the lining of the rectum increasing the risk of HIV and other STD transmission.

If I have anal sex in a car what should I do?

Anal sex is a very efficient way of getting HIV, hepatitis B and other diseases.

If you are nervous, your sphincter will tighten and can tear.  Try to stay relaxed.

To prevent infections, don’t let him go from your ass to your mouth (and/or vagina), and insist he use separate hands for the anus and mouth (and/or vagina).

If possible insert a well lubricated female condom into your ass prior to work and change between tricks.

Try to be the ‘top’ to control the risk of your sphincter tearing and so the condom remains secure. You will also place yourself in a less vulnerable position.

If you are positioned on top and facing him, put your feet on the seat on either side of him (like a jockey on a horse).  This straightens your colon so you will have less discomfort and you will be able to move more easily.

When he enters, exhale slowly while pushing down, so his penis will go in more easily.

Try to stay relaxed and control the movements.

Keep a hand at the base of his dick to limit the depth and check that the condom doesn’t roll up.

What should I do to avoid the condom from breaking or slipping?

• Apply a small amount of lube to the tip of the penis prior to rolling the condom on—it will feel better for the client and prevent breakage. It also can expedite orgasm.

• Make sure that the condom has been put on properly—squeeze the tip of the condom while unrolling it onto an erect penis or dildo, completely down to the base.

• Before starting a service ensure that a variety of sizes and types of condoms and water-based lubricant are close at hand.

• Regularly (every 5-10 minutes) check that the condom is still on, or that the insertive partner has not cum into the condom (re-lubrication is a good excuse to use to stop the service and check the condom).

• Watch your back! If performing “doggie-style” regularly reach around and manually feel that the condom is still on his penis.

• Become familiar with what a condom breaking and a broken condom feels like—possibly by discussing it with other workers who have experienced it.

• Alert the employer and other workers to any client who attempts to break or remove a condom during a service.

What should I do if the condom breaks or slips during vaginal or anal sex?

Regardless of whether the male has ejaculated, there is the potential for the exchange of body fluids in either direction between the two partners. If the worker or client realizes the condom broke or slipped, the worker should ensure the following steps are carried out:

• Stop the service immediately; the insertive partner should withdraw. He should then urinate to clear the urethra and wash the genital area thoroughly, particularly under the foreskin if present.

• The receptive partner should remove excess semen from the vagina by squatting and squeezing it out using vaginal muscle exertion. Fingers can be used to scoop out any remaining excess semen. However, care must be taken to avoid scratching the lining of the vagina with fingernails or jewelry. Remove excess semen from the anus by sitting on the toilet and bearing down. Fingers should not be used in the anus.

• The Morning After pill, or other emergency contraception can be used to prevent pregnancy if necessary. Having extra doses on-hand is helpful. If not, seek care at a clinic or emergency room.

• Medication is available if you think you have been exposed to HIV or other STIs. Seek care at a clinic or emergency room ASAP. For an HIV exposure, antiretrovirals (anti-HIV meds, or PEP) are typically given for a month, but must be started no later than 72 hours after exposure. For an STI exposure many drugs can be prescribed for quick treatment.

What should I do if the condom breaks or slips during oral sex?

• The receptive partner should spit out any semen and rinse their mouth with a chlorhexidine-based mouthwash, a diluted tea-tree oil mixture, or Betadine. They should not brush or floss their teeth or eat for at least an hour afterwards. The insertive partner should urinate and wash their penis thoroughly particularly under the foreskin.