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- Tearing and Trauma: The most immediate risk is tearing of the soft tissues (fissures or lacerations). Unlike partnered play where a second person can gauge reaction, self-performance relies solely on the performer’s internal sensation, which can be masked by adrenaline or numbing agents.
- Prolapse: Chronic extreme stretching can weaken the pelvic floor ligaments over time, leading to organ prolapse (where the uterus, bladder, or rectum slips down into the vagina or protrudes). This is a long-term health consequence that many extreme performers must manage.
- Loss of Tone: While the tissues are elastic, repeated extreme stretching can lead to a loss of muscle tone, resulting in incontinence issues later in life.