Actualy when practicing analingus and or ass to mouth with a regular partner in a monogamus relationship taking the proper precautions the risk of getting many of the above are allmost non-existant.
here is but one of many threads on this type of subject for those that are interested.
http://www.bdsmlibrary.com/forums/sh...ad.php?t=18694
Just to stay on topic:
Getting your dominant to preform it on you might be considered topping from the bottom by some. LOL.
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(both ways)
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