I skirt around breath play when I’m in a D/s dynamic. I’m a 50 yo woman confident in what I like and I mix with people who are into BDSM. No self-loathing or self esteem issues.
I’ve done quite a lot of research and spoken to everyone from professional Doms to paramedics and martial arts instructors. I wanted to properly understand the risks I was taking so I could make an informed decision.
General wisdom is that you avoid any pressure on the trachea and gently squeeze on the carotid arteries to induce a feeling of lightheadedness. You shouldnt apply pressure for more than 5 seconds. Somebody in the room should be CPR trained. Blah blah blah… there’s loads of “rules” you can follow.
Fundamentally, there is no safe way to choke somebody. As soon as you restrict the airflow or blood supply to the brain, you’re at risk of causing neurological injury. The risk might be small but the consequences are huge. I always ask partners who want to engage in choking if they’d be happy to pay for the carers and wheelchairs I might need for the rest of my life, assuming they didn’t kill me.
I read a harrowing article about a woman who used to consensually waterboard her husband during sex. They’d done it for years with no problem. Until one day he had a seizure and she had to call an ambulance. Now she cuts up his food for him.
These days, I make it very clear that I’ll only engage in “fantasy chokes”. He can put his hand around my throat with all the domination and threat that suggests, but the second he applies any significant pressure I’m calling my safe word. It’s just not worth the risk.