Male sex workers

Extreme sexual techniques

  • What is considered as extreme by one may not be extreme for the other.
  • But with extreme sex, frontiers are pushed back and there may be some experiments.  
  • It is important that it remains safe for you and your client!  
  • Some actions require knowledge and skill.  Without the necessary knowledge and skill, there are extreme safety risks attached to the performance of these actions.


Catheterization (insertion of a tube into the bladder)

  • This action is strictly reserved to competent medical staff.  
  • If you still want to use catheterization in your sex play, you have to realize that it is a very risky action.  
  • Micro organism may penetrate and also cause internal injuries.
  • Never insert a catheter into your client during the sex play.


Needles and injections

  • Be careful with the use of needles.  This action is also reserved to competent medical staff.  
  • If you still want to use needles, throw them away in a special needle container and never in the waste bin.  
  • Never inject a liquid into your client during the sex play.



  • Never perform a (temporary) piercing during the sex play.  It is almost impossible to do this correctly and in a sterile manner.  
  • The wound may become infected and inflamed.



  • If shaving is part of the sex play, make sure that you don’t cause any cuts while shaving your client.
  • Should you cause a cut, clean it thoroughly, e.g. with Iso-Betadine or 70% alcohol and cover the wound with a plaster (Band-Aid).  Avoid contact with blood and wound fluid.
  • Change disposable shaving blades after every client.  This is to avoid an infection with hepatitis B and hiv.
  • Throw used blades away in a needle container immediately after use.  Don’t throw them in the rubbish bag.  If you still want to put them in the rubbish bag, wrap them carefully, for instance, in a newspaper.  
  • Make sure that no one can get wounded.
  • If you use a trimmer with interchangeable blades, clean the interchangeable blades with 70% alcohol.


Bondage (tying someone or being tied)

  • Mutual trust is important for bondage.  
  • Never let a client tie you down if you don’t know or don’t trust him.  
  • Always make good arrangements with the client.  (e.g. about how tight the ropes may be and about safe sex).
  • It is best to use rope made with natural material, not nylon rope.


Fist fucking

  • Fist fucking in the anus holds the risk of a hepatitis A infection through the contact with stools.  
  • Always use a latex glove.  
  • Also apply enough (water-based) lubricant on the glove, anus or vagina.
  • Remember that fist fucking may cause internal wounds. 
  • The mucous membrane (lining) of the anus is very thin and can easily be wounded.  
  • There is a serious risk of an infection with an STI (also with hiv!).
  • Often greasy lubricants are used during fist fucking.  
  • A greasy lubricant may damage the condom; it may also damage latex gloves.  
  • Be careful if you want to have intercourse after fist fucking.  This sexual contact is very risky because there is still greasy lubricant in the anus or vagina. 
  • It is best to wait one day before having vaginal or anal sex.


Golden shower

  • If urine comes into contact with the mucous membrane of the nose, eyes,  anus or mouth, you may get an STI (e.g. hepatitis B).  
  • Urine on your skin is not a problem.  
  • Wash your skin afterwards with water and soap.


Scat – swallowing stools

  • Stools are always infected by bacteria, sometimes with viruses and parasites.  
  • Swallowing stools may cause an infection with hepatitis A.
  • Avoid swallowing stools and wash hands and genitals and anus carefully before and after having sex.
  • Be careful: also licking the anus or rimming may cause a hepatitis A infection.


Swallowing semen and vaginal fluids

  • Semen as well as vaginal fluids may be infected with harmful viruses and bacteria.  
  • Avoid swallowing semen and vaginal fluids.


Use of dildo or vibrator

  • When you use a dildo or vibrator with a client, make sure that you always put a condom on it.  
  • Make sure that no blood, semen, precum or saliva of the client enters your body.  
  • Be careful when you want to insert a dildo after inserting it into the client, use another condom.
  • Carefully clean sex toys after each client


The use of a speculum

  • It is best to use disposable specula.  
  • When you use specula in plastic or metal, carefully clean and disinfect them


Clysma (cleansing the bowels)

  • Prior to anal sex, you can cleanse the anus and bowels.  
  • A clysma after unsafe sex is strongly advised against.  
  • Instead of flushing semen or blood out, there is a serious risk of pushing the semen and blood deeper into the bowels.


Sadomasochistic sex (S.M.)

  • Make sure that blood, wound fluid and body fluid are not exchanged in case of wounds.
  • Only use tools which you can clean well.  Check this when you buy sex toys.
  • If you work with tools, you have to clean them carefully after each client.