• • • The Stan­dard HIV test
      This test can detect HIV three weeks after infec­tion. This is the test rou­tine­ly offered by STI clin­ics and fam­i­ly doc­tors, and it mea­sures two things:
      – whether your body has pro­duced any anti-HIV antibodies.
      – whether there’s any P24 pro­tein in your blood; its pres­ence indi­cates the virus.
    • The HIV RNA test
      This test iden­ti­fies HIV infec­tion even ear­li­er than the stan­dard test. It detects the pres­ence of HIV RNA (= HIV par­ti­cles) in your blood. RNA is detectable from about one week after expo­sure to the virus, although detec­tion may some­times take sev­er­al weeks.
      It’s an expen­sive test, so doc­tors will only con­duct the test if there’s a strong indi­ca­tion of infec­tion.Are you HIV-neg­a­tive and:
      – have flu-like symp­toms or oth­er prob­lems that do not feel like the usu­al after-effects of tina?
      – have recent­ly had sex with­out a condom?Perform a symp­tom check at Hebikhiv.nl. The site will ask you about your symp­toms. It may then issue a refer­ral let­ter for an RNA test.

      Note: Refer­rals for RNA tests via this web­site are only applic­a­ble to those liv­ing in the Ams­ter­dam region. Has the site issued a refer­ral, but you live out­side the Ams­ter­dam region? Then con­tact your fam­i­ly doc­tor or local pub­lic health ser­vice. Tell them you sus­pect you have an acute (i.e. ear­ly-stage) HIV infec­tion. Also inform them of the results of the symp­tom check, and tell them Hebikhiv.nl rec­om­mend­ed an RNA test.

    • The Rapid HIV test
      This test deliv­ers its results with­in 20 min­utes; in oth­er words, rapid­ly. But it has one draw­back: old­er gen­er­a­tion rapid tests have been known to miss cas­es of recent infec­tion. If you nev­er or almost nev­er use a con­dom, or if you are fre­quent­ly at risk of con­tract­ing HIV, then best avoid the rapid test; take the stan­dard test instead. The stan­dard HIV test can some­times detect the virus three weeks after infec­tion. See above.

• • • Hepati­tis C anti­body test
      This test detects hepati­tis C as soon as your body starts pro­duc­ing antibodies.
      This usu­al­ly hap­pens about two months after infec­tion. It takes longer, though, if you’re HIV-pos­i­tive: more than four months, in many cas­es. Thus, bear in mind that the results of an anti­body test can be neg­a­tive (i.e. no anti­bod­ies detectable) while you, in fact, have the virus. Anti­body tests will not detect a recent infec­tion.Nei­ther are anti­body tests suit­able if you’ve had hepati­tis C before. Because even after you’re cured, anti­bod­ies will often remain in the body. Thus, an anti­body test in such a case would yield a false pos­i­tive result. There­fore, if you’ve pre­vi­ous­ly had hepati­tis C, take an RNA test.
    • Hepati­tis C RNA test
      This test can detect infec­tions at a very ear­ly stage: with­in sev­en to ten days of expo­sure to the virus. The test detects and mea­sures the num­ber of RNA (hepati­tis C virus par­ti­cles) in the blood.It’s an expen­sive test. Thus, doc­tors will only con­duct this test if there’s a strong indi­ca­tion of infec­tion, or if you’ve received a hepati­tis C notification.Alternatively, you can obtain a more afford­able RNA test via NoMoreC.nl. More infor­ma­tion about this under the head­ing “Where to get tested?”

      We rec­om­mend an RNA test if you’ve pre­vi­ous­ly had hepati­tis C.

    • Liv­er enzyme test
      This test detects any rise in liv­er activ­i­ty. It mea­sures the lev­el of the ALT liv­er enzyme (also known as ALAT) in the blood. It doesn’t detect the hepati­tis C virus itself. But an increase in ALT lev­els is often an indi­ca­tion of liv­er inflam­ma­tion, i.e. hepatitis.
      Your doc­tor will run a check to elim­i­nate oth­er pos­si­ble caus­es of liv­er inflam­ma­tion. He or she may sub­se­quent­ly decide to con­duct an RNA test. A liv­er enzyme test is much cheap­er than an RNA test, thus doc­tors usu­al­ly pre­fer to con­duct the for­mer, first, and an RNA test as a sec­ond step.Addi­tion­al info if you’re HIV-positive:
      Your HIV spe­cial­ist will per­form a liv­er enzyme test twice a year. Vis­it your fam­i­ly doc­tor for the oth­er two test occa­sions, and ask him or her to share the results with your HIV specialist.Additional info if you’re HIV-negative:
      Vis­it your fam­i­ly doc­tor for your quar­ter­ly liv­er enzyme test. Liv­er enzyme tests aren’t gen­er­al­ly offered at STI clinics.

      Note: An increase in liv­er activ­i­ty can also be the result of alco­hol, chems or med­ica­tion (incl. HIV med­ica­tion). There­fore, always tell your doc­tor if you use chems, drink or take med­ica­tion. Only then can they accu­rate­ly assess your situation.

      Note: The RNA test is always to be rec­om­mend­ed if you’ve had hepati­tis C before. But even if you’ve nev­er had hepati­tis C, mea­sur­ing your liv­er activ­i­ty is not the ide­al way to test for the virus. A spike in your ALAT val­ues may be missed (the spike may have sub­sided just before your lev­els were checked) or the spike may occur after the test. In which case, your liv­er val­ues might seem okay when you, in fact, have hepati­tis C.

• • • Use your own lubricant/crisco when being fucked or fist­ed. Invis­i­ble traces of hepati­tis C-infect­ed blood may be present in oth­er people’s lubri­cant or on the out­side of the jar.
    • Don’t let part­ners come inside you.
    • Does your sex­u­al part­ner have a cock pierc­ing, e.g. a Prince Albert? Ask him to remove it. Being fucked by some­one with a pierc­ing increas­es the risk of tears and bleeds.
    • Use your own toys, and don’t share them with any­one. Invis­i­ble traces of hepati­tis C-infect­ed blood may be present on oth­er people’s toys, or on yours if you have the infection.
    • If a guy who’s been fuck­ing some­one else wants to fuck you: ask him to first wash his cock of all “old” lubri­cant. To be absolute­ly cer­tain, accom­pa­ny him to the bath­room and wash it with him.
    • Wear gloves when fisting.
    • If some­one wants to fist you: ask him to put on a new pair of gloves before he even touch­es your ass. Tiny wounds and bruis­es may be hid­den under fin­ger­nails. Hepati­tis C can be trans­mit­ted through this way.
    • If dur­ing a sex par­ty, a guy who already fist­ed anoth­er guy wants to fist you: ask him to first degrease and dis­in­fect his hands and arms all the way up to the elbows. It doesn’t mat­ter if he does or doesn’t wear gloves when he fists. Even if he wears gloves, invis­i­ble blood par­ti­cles con­tain­ing hepati­tis C can end up on his fore­arms. The virus can also end up on his hands when he removes his gloves. Fur­ther­more, if he has hepati­tis C and has been play­ing with his own ass before play­ing with yours, he can trans­mit the virus to you on his fin­gers (see info box on disinfection).
    • When hav­ing sex on a bed, mat­tress or in a sling: do not lie in the residue of lubri­cant left by the pre­vi­ous occu­pant. First get rid as much of the lubri­cant residue as pos­si­ble; degrease and dis­in­fect the area; and lay your own tow­el over the spot (see info box on dis­in­fec­tion). If a top, whilst play­ing with anoth­er bot­tom, touched the sling’s chains and frame with “lubri­cat­ed hands”, make sure you dis­in­fect these parts, too. (See info box on disinfection).
    • Always use your own anal douche when clean­ing your butt.
    • Do not share nee­dles, syringes, spoons, fil­ters, cot­ton balls for staunch­ing blood, or cups or con­tain­ers for your equipment.
    • Bin used nee­dles in a nee­dle con­tain­er imme­di­ate­ly after use. You can order these online. This pre­vents needle­stick injuries.
    • Do not share meth pipes or syringes for booty bump­ing (anal inser­tion of chems).
    • Do not share straws for snort­ing. Tip: Pre­pare lots of short plas­tic straws in advance. Place these in a glass and tell your sex­u­al part­ners to bin each straw imme­di­ate­ly after use. This helps avoid confusion.
    • If you’ve recent­ly had any med­ical treat­ment involv­ing your anus, wait a few days before hav­ing sex again. You may have had a wart removed, for instance, or had a biop­sy tak­en as part of a study or test, such as for AIN (pre­cur­sors to anal cancer).
    • If you shave your balls, do so a few days before hav­ing sex. Shav­ing can leave tiny cuts. This makes it eas­i­er to con­tract hepati­tis C.
    • Do not have sex if you’ve got her­pes. The blis­ters that devel­op with her­pes can facil­i­tate the trans­mis­sion of hepati­tis C.

• • • Avoid­ing injury
      – Pro­ceed slow­ly when fist­ing. Nev­er use force.
      – If you’re the top, keep your fin­ger­nails clipped and smooth­ly filed (to avoid caus­ing injury).
      – Nev­er wear rings, bracelets, etc. when fisting.
      – Use lots of lubri­cant. This min­imis­es the risk of caus­ing bleeds. Buy the kind in squeeze bot­tles, such as this. These are typ­i­cal­ly sold as inti­mate douch­es for women (vagi­nal douch­es). That way, whoever’s about to fist you can squeeze the lubri­cant deep into your rec­tum. There is no bet­ter way to get lubed up. They’re sold for sin­gle use only, but if you dis­in­fect both bot­tle and noz­zle for 5 min­utes in a bleach solu­tion (see dis­in­fec­tion) after each occa­sion, you can use them mul­ti­ple times.
      – If you notice the lubri­cant turn­ing pink, take a break. This indi­cates a bleed. If bleed­ing con­tin­ues, stop fuck­ing or fist­ing alto­geth­er. If nec­es­sary, rinse your butt with cold water to tight­en the blood ves­sels. Then take a long break.
    • Fist­ing gloves
      – Aller­gic to latex? Then buy fist­ing gloves made of nitrile.
      – Use con­doms when foot­fuck­ing. Use the largest sized ones. This not only guards against hepati­tis C, but also against foot bacteria.
      – Wear a new pair of fist­ing gloves (and new con­doms) with each new partner.
      – Remove fist­ing gloves care­ful­ly. If some­one with hepati­tis C has just been fist­ed, the virus will be on the out­side of the pro­tec­tive mate­r­i­al. Always degrease and dis­in­fect your hands afterwards.
      – Prefer­ably, use sil­i­cone- or water-based lube, such as J-lube, Amos or oth­er brands typ­i­cal­ly used by vet­eri­nar­i­ans. These do not dam­age the latex in fist­ing gloves. You’re thus less like­ly to tear the gloves. Pre­fer oil or grease? Buy nitrile gloves. Nitrile isn’t weak­ened by oil or grease.
    • Dil­dos and toys
      – Keep each dil­do and toy apart from all the oth­ers. Don’t put them all togeth­er in one con­tain­er. This will cur­tail the pos­si­bil­i­ty of some­one with lubri­cat­ed hands touch­ing the oth­er toys when he grabs the one he wants to use on you.
      – Don’t try to share dil­dos by encas­ing them in con­doms. This’ll only give you a false sense of secu­ri­ty. The hepati­tis C virus may be present on the bits not cov­ered by the condom.
      – Shar­ing dil­dos or toys? Wouldn’t advise it. Want to any­way? Then degrease and dis­in­fect before shar­ing (see info box on disinfection).

Hepati­tis C can be trans­mit­ted via invis­i­ble blood par­ti­cles. Small bleeds are more like­ly to occur when you engage in pro­longed or vig­or­ous fuck­ing or fist­ing, if the top has a cock pierc­ing, or when you use dil­dos. Blood par­ti­cles with hepati­tis C can end up on your skin, but also on toys, anal douch­es and on the bed­ding or sling. The virus appears to be able to sur­vive out­side the body for up to six weeks.

There­fore, it is vital to keep dis­in­fect­ing your skin, bedding/sling/couch, etc. and all the sex equip­ment dur­ing sex ses­sions. It’s vital, even if you wear latex gloves while fist­ing. Gloves usu­al­ly only cov­er up to the wrists. With deep­er fist­ing, traces of blood with hepati­tis C may end up on your forearms.

Per­fect dis­in­fec­tion won’t always be pos­si­ble. But an attempt at dis­in­fec­tion is bet­ter than none at all. Before the sex begins, reach an agree­ment with every­one about con­tin­u­al disinfection.

• • • Dis­in­fect­ing your skin after fisting
      Focal points
      – Not only the hands, but also the forearms!
      – First degrease with soap and plen­ty of water! Hepati­tis C may be hid­den in the grease.
      – Dry your hands and fore­arms com­plete­ly. Oth­er­wise the dis­in­fec­tant won’t do its job effectively.
      – Dis­in­fect with Ster­il­i­um med®. Make sure your hands and arms remain wet with this solu­tion for at least 30 sec­onds after appli­ca­tion. Reap­ply, if nec­es­sary. Then hold out your arms to dry nat­u­ral­ly. Don’t dry your arms with a tow­el instead. It may be home to hepati­tis C.
      – Alter­na­tive: use Beta­dine® Scrub. Wash your hands and fore­arms in this solu­tion for at least 30 sec­onds before rinsing.
    • Dis­in­fect­ing sex area sur­faces (sling, bed sheets and plas­tic sheets, etc.)
      Focal points
      – First wipe off and degrease the sex area sur­faces to get rid of as much lubri­cant as pos­si­ble (use a spray bot­tle filled with 1 part clean­ing liq­uid, 9 parts water).
      – Dis­in­fect thor­ough­ly (use a Blue Won­der® dis­in­fec­tant wipe; allow sur­faces to remain damp for at least 15 sec­onds). See the instruc­tion video at NoMoreC.nl
      – Don’t for­get the sling’s chains and frame.
    • Dis­in­fect­ing sex toys (dil­dos and anal douches)
      Focal points
      – Ide­al­ly, only use your own dil­dos and anal douche. Oth­er­wise, dis­in­fect the ones you use.
      – First degrease with deter­gent and plen­ty of water! Hepati­tis C may be hid­den in the grease.
      – Dis­in­fect thor­ough­ly (bleach solu­tion of 1 part bleach, 9 parts cold water; for at least 5 minutes).
      – No one knows if “toy clean­ers” kill all traces of hepati­tis C. But house­hold bleach is effec­tive, cheap and doesn’t dam­age dildos.
      – Do you want to know more about dis­in­fec­tion? See the instruc­tion videos at NoMoreC.nl

Want to know more about dis­in­fec­tion? Then click here.

• • • The play­room
      – Pro­vide a stack of “par­ty tow­els” (laun­dered at 60 degrees). That way every­one has a tow­el of their own to lie on. Pro­vide dif­fer­ent coloured tow­els. This will min­imise con­fu­sion, and ensure that no one mis­tak­en­ly reuses some­one else’s towel.
      – Place sev­er­al rolls of paper tow­els around the play­room (bet­ter yet: loose paper tow­els). Paper is handy for wip­ing off lubri­cant residue before degreas­ing and dis­in­fect­ing your skin and the sex area.
      – Dis­in­fect dil­dos thor­ough­ly before use, and spread them out so there’s no con­tact between them. That way you avoid the pos­si­bil­i­ty of some­one acci­den­tal­ly touch­ing the oth­ers when he reach­es for one.
      – Place emp­ty bins and buck­ets around the room. This gives peo­ple some­where to chuck used toys.
      – Set out box­es of fist­ing gloves in a vari­ety of sizes.
      – Lay out con­doms (for fuck­ing and footfucking).
      – Place a waste bin near the action (so that used kitchen tow­els, fist­ing gloves and con­doms aren’t left lying around).
      – Place a nee­dle con­tain­er with­in easy reach (if any­one will be slamming).
      – Ask every­one to ini­tial their lubri­cant bot­tle with water-resis­tant mark­er. This will ensure you don’t mis­tak­en­ly use each other’s lubricant.
      – Fill a spray bot­tle with water and all-pur­pose clean­er (1 part clean­ing liq­uid, 9 parts water) and have a pack­et of Blue Won­der® dis­in­fec­tant wipes to hand. Both the spray bot­tle and wipes should be with­in easy reach of the action.
      – Give some thought to ade­quate light­ing (you need to be able to spot imme­di­ate­ly if a part­ner starts to bleed).
    • The bath­room (see also the info box on “Dis­in­fec­tion”)
      – Make sure you have at least one litre of bleach at home. If you use lots of toys, you’ll need a big buck­et of bleach solu­tion. The ratio is 1 part bleach to 9 parts cold water. In oth­er words, add one litre of bleach to nine litres of water.
      – Put soap or wash­ing-up liq­uid and Ster­il­i­um med® (or Beta­dine® Scrub) next to the sink or shower.
      – Fill a buck­et with bleach solu­tion (1 part bleach, 9 parts water). This is for degreased toys and anal douch­es. NB: Ide­al­ly, your guests will have brought their own toys and douch­es. But if not, the buck­et of bleach solu­tion allows you to keep the shared toys and douch­es dis­in­fect­ed (you must soak the toys and anal douch­es in the solu­tion for at least 5 minutes).
      – Keep piles of clean tow­els close at hand (to ensure that every­one has their own tow­el, and to avoid trans­mit­ting hepati­tis C via towels).
    • When your guests arrive
      – Show every­one where you’ve placed all the dis­in­fec­tion aids, fist­ing gloves, tow­els, etc.

• • • Take along
      – Your own anal douche
      – Your own toys
      – Your own lubri­cant, bear­ing your initials
      – Fist­ing gloves and condoms
      – Your own meth pipe
      – Your own straws
      – Your own syringes for booty bumping
      – Your own nee­dles and oth­er slam­ming equip­ment (includ­ing a pock­et-sized nee­dle container)
      – Ster­il­i­um med® (or Beta­dine® Scrub) to dis­in­fect your skin (see “Dis­in­fec­tion”) en Blue Won­der® desin­fec­tie­doek­jes om de speelplek te desin­fecteren (see “Dis­in­fec­tion”).
      – A few tow­els for lying on when being fucked or fist­ed. Your host may not have enough towels.
    • Dur­ing sex
      – Make sure NO ONE ELSE uses your lubri­cant or toys.

• • • Douche care­ful­ly and patient­ly. Care­less douch­ing can dam­age the intesti­nal wall. Use a soft jet of water. Nev­er douche with lax­a­tives or soap; these irri­tate the intesti­nal lining.
    • Apply sil­i­cone lubri­cant before insert­ing the anal douche for the first time. And apply a bit more lubri­cant as you repeat the process.
    • Take 30-minute (or longer) breaks when you douche. This places less stress on your intesti­nal lining.
    • Wait at least an hour after douch­ing before fuck­ing. This gives your mucous mem­brane a bit of time to recover.
    • Use lots and lots of lubri­cant when play­ing. Tina dries out your mucous mem­brane. Guys often use spit as lubri­cant when the fuck­ing begins. But spit dries quick­ly. This increas­es the risk of injury. So fuck care­ful­ly when you begin, and intro­duce lubri­cant — lots of it — as soon as pos­si­ble. Ide­al­ly, use lube from the very beginning.
    • Lubri­cate your cock when jack­ing off at length to avoid mas­tur­ba­tion-relat­ed injury.
    • Avoid using ure­thral sounds when you’re on Tina. Insert­ing ure­thral sounds demands atten­tion. If you’re bent on insert­ing them any­way, make sure everything’s ster­ile. Ster­il­ize the sounds (boil for 30 min­utes) and do not touch them with your bare hands (always wear latex gloves). Use ster­ile, water-based lubri­cant (KY), if pos­si­ble. Start with small sounds. Nev­er force a sound into the ure­thra. They should slide in effortlessly.
    • When using vac­u­um pumps, avoid pump­ing to the max. Oth­er­wise you may bruise your­self or suf­fer some oth­er tem­po­rary “mechan­i­cal injury” to the cock.

Rough play that ends in a bow­el per­ora­tion is no joke. It doesn’t hap­pen often, for­tu­nate­ly, but everyone’s heard at least one such sto­ry: torn intesti­nal wall, ambu­lance, emer­gency room … Desire can be greater than the ass­hole. Espe­cial­ly when you’re on chems. Then you want more, more, big­ger, deeper.

Fist­ing is harm­less and so is using (big) dil­dos, as long as you lis­ten to your body, force noth­ing and com­mu­ni­cate clear­ly with your top or bot­tom. In addi­tion, the old rule still holds true: the bot­tom is always the boss. If you say “stop”, “hold steady” or “back”, the top must com­ply immediately.

Chems like Tina can mess up this com­mu­ni­ca­tion. A top may become too pushy. Or a bot­tom can get so wrapped up in him­self that it becomes hard to tell what he wants from his reactions.

Here fol­lows the most impor­tant pieces of advice:

• • • If you and your part­ner find it dif­fi­cult to com­mu­ni­cate because of the chems, take a break.
    • If a top becomes too pushy or dis­tract­ed, stop immediately.
    • Make sure any top that’s about to fist or use toys on you hasn’t just had a chems “refill”. You’d be ask­ing for trou­ble oth­er­wise. As a gen­er­al rule, tops should stay as sober as pos­si­ble; they shouldn’t even take pop­pers. That way they can remain atten­tive to the bottom’s reactions.
    • If a bot­tom stops indi­cat­ing his enjoy­ment, stop immediately.
    • Don’t start with a big dil­do; build up to it with small­er ones.
    • Nev­er push the end of a dil­do beyond the sphinc­ter. Always leave the end stick­ing out.
    • If the lubri­cant starts turn­ing pink, take a break. This indi­cates a bleed. If the bleed­ing doesn’t stop, or turns dark red, stop fuck­ing or fist­ing immediately.

Fever or abdom­i­nal cramps after fist­ing or play­ing with toys:

• • • Expe­ri­enc­ing (severe) abdom­i­nal pain, stom­ach cramps or a high fever short­ly after being fist­ed or fucked with a toy? Then call the emer­gency ser­vices imme­di­ate­ly. You may be suf­fer­ing gas­troin­testi­nal inflam­ma­tion, and, if so, you need urgent med­ical atten­tion. Acute gas­troin­testi­nal inflam­ma­tion occurs when you rup­ture your intesti­nal wall and leak bow­el bac­te­ria into the body. It can be fatal.
    • When in doubt, call the emer­gency num­ber (‘Spoedeisende Hulp’) of the near­est hos­pi­tal. Tell them what you sus­pect and why.

Oth­er symp­toms of gas­troin­testi­nal inflam­ma­tion (besides a fever, (severe) abdom­i­nal pain or stom­ach cramps) include impaired con­scious­ness, blood loss and abdom­i­nal swelling. These are warn­ing signs. Call for an ambu­lance (112) immediately.

Anoth­er high­ly risky sit­u­a­tion can arise if you take Androskat or Caver­ject erec­tile dys­func­tion med­ica­tion. These drugs are admin­is­tered by injec­tion. But the result­ing erec­tions can per­sist for too long, poten­tial­ly caus­ing life­long impo­tence. Avoid hav­ing to call for an ambu­lance or vis­it the emer­gency room.

Some guys use Androskat (papaverine/phentolamine) or Caver­ject (alprostadil), instead of Via­gra, Kam­a­gra or Cialis. Urol­o­gists and sex­ol­o­gists some­times pre­scribe these to peo­ple whose erec­tile dys­func­tion is root­ed in a phys­i­cal cause (surgery, chemother­a­py, etc).

Androskat and Caver­ject are not typ­i­cal­ly pre­scribed if a client’s erec­tion prob­lem is psy­cho­log­i­cal. As such, these drugs aren’t meant to assist peo­ple who can get hard under nor­mal cir­cum­stances, but can’t when they’ve tak­en chems. The risk with these drugs is that your erec­tion may per­sist for too long; such is their poten­cy. This might sound great. Espe­cial­ly if you’re into long, drawn out sex ses­sions fuelled by chems. But the pic­ture might start to look less rosy if you con­sid­er that an erec­tion like this can destroy your cock. With­out the right pre­cau­tions, this could — in the worst-case sce­nario — result in life­long impo­tence. You’ll no longer be able to get a stiffy with­out a pros­thet­ic devise.

Those pre­scribed these drugs also need to be on the alert for per­sis­tent erec­tions. The drugs come with a leaflet that states that if an erec­tion lasts longer than three hours, the patient must call the emer­gency ser­vices. The like­li­hood of per­ma­nent dam­age increas­es if the erec­tion is not treat­ed after six hours.

How does Androskat work? When you have an erec­tion, the erec­tile tis­sue in your cock fills with blood. Androskat func­tions by keep­ing the blood there to main­tain your erec­tion. But this mustn’t hap­pen for too long. If blood isn’t refreshed in time, the erec­tile tis­sue becomes starved of oxy­gen and the blood starts to con­geal. This can dam­age the erec­tile tis­sue irrepara­bly. Once that hap­pens, you can for­get about erec­tions. Not even Via­gra will help then.

These drugs demand pre­ci­sion when gaug­ing dose size. Half a mil­lime­tre too much can result in a dan­ger­ous­ly per­sis­tent erec­tion. That’s why those pre­scribed these drugs are typ­i­cal­ly inject­ed by a med­ical spe­cial­ist over a peri­od of weeks, grad­u­al­ly and safe­ly build­ing up to the required dose.
Here fol­lows the most impor­tant pieces of advice:

• • • • Nev­er inject Androskat or Caver­ject unless you’ve been grad­u­al­ly intro­duced to it by a doc­tor and, as a result, know the required dose. Dose size must be gauged extreme­ly pre­cise­ly. You must build up to it very care­ful­ly. You and the doc­tor who pre­scribed the drug will even­tu­al­ly deter­mine a dose size that’s effec­tive, but that pos­es a low risk of a dan­ger­ous­ly per­sis­tent erec­tion (aka pri­apism). Thus, don’t let your­self be tempt­ed to ask a sex bud­dy to inject you if you weren’t pre­scribed the drug and intro­duced to it by a spe­cial­ist. No mat­ter how hot it sounds.
      • Nev­er wear a cock ring, and avoid bondage of the balls if you’re on Androskat or Caverject.
      • Nev­er com­bine Androskat or Caver­ject with oth­er erec­tile dys­func­tion med­ica­tion (Via­gra, Kam­a­gra, etc.).
      • Stay on the alert for erec­tions last­ing longer than three hours. If you’re still erect after five hours, you’ve entered the crit­i­cal stage. Wait no longer. You must receive treat­ment before the six-hour mark. Head straight to the emer­gency desk at your near­est hos­pi­tal. They will drain the blood from your cock and give you an adren­a­line shot. This will usu­al­ly relax your cock. If you’re lucky, you won’t have suf­fered per­ma­nent damage.
      • Nev­er take cocaine or Rital­in in com­bi­na­tion with these erec­tile dys­func­tion drugs. Cocaine and Rital­in them­selves can result in per­sis­tent erec­tions. Take this cock­tail of drugs and you might as well head straight to the emer­gency room.