Thanks for bringing up this fascinating but rarely discussed sexual practice! So with fisting, I have some good news and bad news to discuss. If you look up research for the past 30 years on fisting, you will be hit by a wave of studies on injuries and deaths due to mishandled fisting and sexual assault. It is some pretty gruesome stuff.
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Ask Dr. Laura: Fisting Fun and Pregnancy Sex – OutSmart Magazine
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A woman who is raped while giving birth does not experience the assault in a way that fits neatly within the typical definitions we hold true in civilised society. A penis is usually nowhere to be found in the story and the perpetrator may not even possess one. But fingers, hands, suction cups, forceps, needles and scissors… these are the tools of birth rape and they are wielded with as much force and as little consent as if a stranger grabbed a passer-by off the street and tied her up before having his way with her.