How to deal with injuries from fisting: What to do if things go too far during fist fucking?

Fisting Verletzungen Symbolbild: Ein Mann zieht sich einen Handschuh über. Englisch: Fisting injuries Symbolic image: A man pulls on a glove.
5 Min. Lesezeit

For many gay men, fisting is a game of trust, pushing boundaries, and intense physical sensations. If you’ve ever experimented with fisting or a well-stretched butt, you know that it takes patience, sensitivity, and above all, communication. In this article, you’ll learn how to recognize fisting injuries, what to do in an emergency, and how to fist your own body with pleasure and respect in the long term without taking unnecessary health risks.

When pleasure turns sour: Why fisting can quickly become too much

If you enjoy anal sex, you know that the anal canal is not only a very sensitive area, but also surprisingly adaptable. Nevertheless, if you or your partner overstrain the tissue during fisting, injuries can occur. Classic injuries include small tears that burn when you pull out, or a dull pain in the abdomen that only becomes noticeable later. There is at least a higher risk when poppers are involved.

Poppers are a natural part of this type of play for many people. After all, they relax the muscles and remove inhibitions. However, they can also become a stumbling block because they shift your pain threshold and your body therefore does more than is good for it. An injury is not immediately perceived as such. Instead, it just feels “tight” at first or after the kick that many people crave when high on poppers. This can have consequences because you are not paying attention and communication is either non-existent or inadequate.

Minor injury or emergency? How to tell the difference

First of all, a little blood after fisting does not automatically mean an emergency. A few drops on the glove or a towel are not unusual due to the intense friction. You have a problem if there is a lot of deep red blood and you are in pain that does not go away. Pressure or pain in the lower abdomen is also a warning sign. This can indicate a deeper injury or a perforated intestine. You should also be alert if you suddenly develop a high fever or chills. These can indicate an infection that requires medical treatment.

Of course, there are also the classic cases. The glove has disappeared and because the poppers high was too strong, you can’t remember exactly whether your partner really took it off and threw it away. If you’re not sure whether the glove is still in your butt or if you just have a bad feeling, play it safe. Be sure to get checked out, according to the motto: better once too many than too late.

First aid if you notice something has torn

If you suspect that you have suffered injuries during fisting, don’t panic and stay calm. First of all, stop the sexual activity. If you or your partner feel that something has gone wrong, self-care must be your priority. First, wash the external area carefully with lukewarm water. Avoid soap, as it can burn and irritate the mucous membrane. If you notice bleeding, you can apply light pressure with a clean cloth. Cooling from the outside helps against swelling, but you should not put ice directly on the skin.

Then you need to monitor the situation. If the bleeding stops quickly and you feel generally well, you can wait and see. However, refrain from anal intercourse and do not use any sex toys for the next few days. Your body usually gives you clear signals, and in a situation like this, it is important to listen to them.

When to see a doctor – even if it’s uncomfortable

Of course, there is a barrier to going to the emergency room in such a case. Many queer men hesitate because they are afraid of judgmental looks or questions. But in large cities with modern clinics, medical staff have long been prepared for such cases. There is probably nothing that emergency room doctors haven’t seen before. Rest assured that you are not the first and certainly not the last person to end up in the hospital with a fisting injury.

You should definitely see a doctor as soon as possible if you experience the severe pain, persistent bleeding, fever, or chills mentioned above. A “foreign body sensation” should also be investigated. The more honest you are about what happened, the better and faster the doctors can help you. In the best case, you will only be given an ointment and advised to rest. In serious cases, quick intervention can prevent worse damage.

How to support healing after a fisting injuries

The most important and healing thing you can do is to give yourself a break. Your body needs rest now, even if you feel like having sex again right away. You can try sitting in a bath with chamomile or sea salt, for example. These have anti-inflammatory properties. An ointment containing zinc or witch hazel can also help. If you experience pain when going to the bathroom, a soft, fiber-rich diet with lots of fruit, vegetables, flaxseed, and, above all, plenty of water will help.

Avoid alcohol, poppers, and other substances for a few days or weeks. Not only can they slow down the healing process, but they can also make you feel uncomfortable in your own body. After a week or two at the latest, once the symptoms and pain have disappeared, you can slowly start having sex again. Try using your fingers or small toys first. Take small steps; your body will tell you when it’s ready.

The emotional side: fisting injuries do not mean failure

A fisting injury can have not only physical but also emotional after-effects. You may feel ashamed, insecure, or even disappointed in yourself or your partner. This is completely normal. However, you should not make the mistake of telling yourself that you have somehow “failed.” Sure, you tested your limits and maybe crossed them, but that’s part of the experience. What matters is what you make of it.

Talk openly with your partner about what happened, exchange thoughts without looking for someone to blame. Maybe it was too fast, too deep, too much poppers? Maybe it just wasn’t the right moment. The good thing about the whole thing is that you can simply do better next time.

If you find that the experience is affecting you more than you thought it would, talking to a therapist can be helpful. AIDS service organizations or queer centers often provide discreet and straightforward help.

How to avoid fisting injuries

The safest way to avoid injuries during this type of play is to be careful. You can avoid fisting injuries by being patient, using plenty of lube, keeping your fingernails short, and wearing gloves. Proceed slowly and listen to your body. That way, it stays intense, safe, and pleasurable.

Conclusion: Fisting with responsibility – even (or especially) when things get wild

Fisting can be ecstatic, intense, and incredibly bonding. But it remains a game with boundaries, and those boundaries deserve respect. Fisting injuries happen and should no longer be taboo. It’s important that you know what to look out for, how to deal with possible injuries, what to do and how to get help as quickly as possible. Always listen to your body. If something does go wrong, you’re not alone. After an injury, approach the next time more consciously, as safely and slowly as possible – your body will thank you for it.

 

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