using latex or non-latex gloves for fingering or fisting.using a barrier (such as a condom cut into a square) for rimming.changing condoms between anal and oral sex.washing hands after sex (bottom, groin and penis too by taking a shower, if possible).Hepatitis A is not usually life-threatening and most people make a full recovery within a couple of months. Symptoms of hepatitis A can appear up to 8 weeks after sex and include tiredness and feeling sick (nausea). You can also get it through contaminated food and drink. MSM with multiple partners are particularly at risk. Hepatitis A is uncommon in the UK but you can get it through sex, including oral-anal sex ("rimming") and giving oral sex after anal sex. Hepatitis A is a liver infection that's spread by a virus in poo. This is important, as some STIs do not cause any symptoms. This can be done at a sexual health clinic (SHC) or genitourinary medicine (GUM) clinic. If you’re a man having sex with men (MSM), without condoms and with someone new, you should have an STI and HIV test every 3 months, otherwise, it should be at least once a year. Using a condom helps protect against HIV and lowers the risk of getting many other STIs. Having unprotected penetrative sex is the most likely way to pass on a sexually transmitted infection (STI).
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