Breast and Genital-Specific

You’re viewing a part of RED, the Risk Evaluation Database. Please visit the main page for more information or to see the complete index.

All the risks below are possibilities of the listed activity. They are listed in no particular order. Please do not consider it to be exhaustive or use it as your sole determining factor when it comes to your safety. Some risk possibilities must nearly always be considered; a few of these can be found in the second tab below. Additionally, please note that the list below does not account for acts of intentional malice or for every complicating medical condition. Possible mitigation strategies or more information sometimes appear under risks when given. These should not be considered solutions that bring a risk to 0%, nor should they be considered the only possible solutions or information. Likewise, lack of a mitigation strategy or research being listed does not mean none exists.

Breasts

Very vascular–likely to bruise, easily develops hematomas

Severe bruising, even after healing, can create internal artifacts on exams, requiring mammograms and follow-up for some

Sensitivity changing due to menstrual cycles

Nipple blebs (blocked ducts)

Mastitis

Fat necrosis from trauma (impact) or oxygen deprivation (due to bondage)

Higher fat makeup means breast tissue has a more difficult recovery, and can more easily suffer necrosis. Studies on breast reductions show that those with more tissue have more of a tendency to form fat necrosis

Lumps caused by the above which cannot be distinguished from cancerous lumps without biopsy

Yellow or brownish nipple drainage caused from the above

Ruptured implant

Loss of sensation to nipples, temporary or permanent

Possible cancer risk

Breasts hold a large amount of endocrine tissue, which carries lymphatic fluid. Some believe repeated impact may heighten risk of breast cancer, though this is controversial.

Use of R-named drug for lactation–heart risk leading to death

Vaginal and Vulvar

Vaginal Risks

Prolapse, including uterocele and cystocele (uterus, bladder), with large, rapid, or lubeless insertions as well as double penetration

Increased risk in bodies with connective tissue disorder; bodies that have gone through childbirth

Issues with IUD strings + insertables

Pussy pumps moving IUDs (rendering them ineffective)

Items inserted becoming lost or stuck

UTI

Vulvar Risks

Very vascular–likely to bruise, easily develops hematomas

Swelling

Swelling to the point of closing the urethra, making urination difficult or impossible

Injury to pelvic ligaments

Penile and Testicular

Torsion (twisting of the spermatic cord; requires immediate trip to OR)

Item inserted in urethra becoming lost or stuck

Piercing may collapse or block the urethra

Damage to nerves or blood supply can cause ED

Anal

Prolapse from large, rapid, or lubeless insertion as well as double penetration

Increased risk in bodies with connective tissue disorder

Items inserted becoming lost or stuck, which can cause embarrassing doctor trips or worse (bowel perforation, bowel ischemia, bowel necrosis — any of which can lead to fecal incompetence, emergency surgery, or death)

Herniations

Hemorrhoids and inflammation

Urinary

Looking for information on watersports? Click here (LINK TO COME).

Urinary tract infections due to bad sterile technique or dirty/reused disposables

Fistulas(holes and internal leaks), bleeding, urethral scarring, and bladder wall scarring, esp. for long-term/pretender play, and at larger French sizes (“calibers”)

Excessively flexible and long items may fold and knot during insertion (sounding), resulting in difficult and painful removal or injury, or requiring medical professionals to remove it

Infections of the vas deferens, epididymus, prostate, and testicle

Changes in bladder control, spasms, and painful urination

Failure of sterile fluid pathway and collection gear, especially in public

Ever-Present Risks

Risks/possibilities to always consider include (but are not limited to):

Psychological trauma, which can be unexpected and long-lasting

A resulting lack of ability to communicate (incl. safewords)

Pre-existing conditions or triggers not being disclosed, therefore increasing other risks without the other party’s knowledge

Equipment failure and the risks therein, both of structural elements (e.g., furniture, hard points) and toys (i.e., risks resulting from the toy breaking and associated jagged edges, shattered glass, etc)

Medical and legal misadventures

If there’s an emergency, who will get this person to the ER? Do you know their first and last name(/how to get to their ID if not) if they’re unconscious? Does any party want/need a cover story, particularly if the answer to the consent-to-assault question is “no”? Has everyone agreed on one that is as close to the truth as possible (medical professionals need what fully happened)?

Can you consent to assault in your state (assault in this case = near any kind of pain purposefully inflicted on a person)? If not, is the person facilitating the experience prepared to accept consequences if a worst-case scenario happens?

Thoughts and reactions of overhearers/onlookers, both kinky and non

Increased danger that comes from the prevalence of whiteness in Fetlife and popular media kinky pictures, leading warning signs and various medical conditions unnoticed on darker skin

To learn how this might appear, please see Mind the Gap here.

Allergies

Fungal/Staph infections from shared equipment

Shock

Fainting from pain, dehydration, shock, prolonged standing etc. and hitting head/bone/nerve

Panic attacks and related symptoms incl. shaking (dangerous especially with sharps) and inability to communicate

Financial responsibility

There’s a very expensive world of possibilities between “nothing went wrong” and “death”; when folks cannot take time off work, complications from play lead to loss of income for some, and job loss for others (or increase of severity of injury/trauma due to lack of ability to rest)

Changes/decreases to ability to heal even if experienced before due to natural aging and wear on the body

Death

The Fetlife post version of this list is available here.