| | Prevention | Recommended Action | | :--- | :--- | :--- | | Hepatitis A (viral liver infection) | Vaccination (2 doses) | Get the Hep A vaccine. It is highly effective. | | Bacteria (Shigella, E. coli, Salmonella) | Dental dam or cut-open condom | Use a barrier. Never go mouth-to-anus directly. | | Parasites (Giardia, Amoebas) | Wash area with soap & water before | Avoid if the receiving partner has diarrhea. | | STIs (Herpes, HPV, Syphilis) | Barrier protection + regular testing | Rimming is lower risk for HIV, but high risk for local STIs. |
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