Get clear, enthusiastic consent from everyone involved
Talk about boundaries, preferences, and safer-sex expectations first
Use condoms and plenty of water-based or silicone-based lubricant
Wash hands and trim nails before anal or manual play
Start slowly and check in often about comfort and pain
Use fingers, toys, or a penis gradually, with lots of lube
Stop if anything feels sharp, painful, or wrong
Change condoms between anal and oral or between partners
Avoid going from anus to mouth without cleaning or changing barriers
Consider STI testing regularly and before new partners
Use protection for oral sex if desired or if STI risk is a concern
Communicate during sex about pace, pressure, and what feels good
Afterward, clean up, hydrate, and check in emotionally
Seek medical care if there is bleeding, severe pain, or injury