As with any sexual activity, bottoming comes with risk of contracting STD’s, including HIV, Chlamydia, Gonorrhea, Syphillis, Herpes, HPV, etc. That’s why we recommend full comprehensive STD screenings that involve oral and anal swabs, urine check, and bloodwork to take place at least once a quarter. We also recommend, depending on your risk, taking PrEP and/or antibiotics and antivirals prophylactically to help mitigate STD transmission.