QI am a 30-year-old trans guy, on T since college, happy and comfortable with my sexuality. However, I can’t find any helpful health info on a fetish I’ve developed: I insert needles directly into my clit, maybe an inch and a half in. I’m not talking through it, like a piercing, but into it, going in at the head and moving down into the shaft. There are lots of porn/BDSM sites that discuss piercing all sorts of “female” anatomy, and many that cover the excitement of needles inserted into the glans of the penis, but few go into details about putting needles directly into the clit itself—and none that I’ve found cover safety. As a trans man, this is a particularly tempting practice because, well, my clit is huge and I have a constant legal supply of safe, sterile needles. Still, I want to know if I am potentially causing permanent nerve damage. I’d like to keep my clit healthy and happy for future use! If one of your connections in the medical world has a sense of this, I’d love to know. —Sticking Things in Clit Knowledgeably

Allow me to address their concerns first: That’s not the way this works, that’s not the way any of this works. People don’t adopt sex practices or kinks after hearing about them. If that were the way it worked—if hearing about a crazy kink inspired otherwise vanilla types to run out and try it—we’d all be shoving gerbils in our asses. (We’ve all heard of gerbiling. No one has ever done it. Case closed.)

Some adult pleasures come with built-in risks—skydiving, snowboarding, clit needling—and an adult does a quick risk-reward analysis before deciding if the potential reward (thrills, powder, orgasms) is worth the risk (faulty parachutes, ski-resort food, permanent damage). It’s your clit, STICK, and you’ll have to weigh the risks and rewards for yourself. But you won’t find me sticking needles in my clit.

Knife play is a kink unto itself—it mostly involves drawing a sharp blade across someone’s flesh without actually cutting or drawing blood—and while most knife-play scenes include bondage (helplessness heightening the eroticized threat), only a tiny percentage of bondage scenes include knives. People into rope bondage typically keep a sturdy pair of blunt-edged scissors in their playrooms or gear bags. The scissors are for emergencies, not for play—the last thing a panicking bondage bottom who needs to be untied now wants to see coming at them is a knife.