From what i've been told, the pain is hardly noticable, chances of infection aren't that high, condoms need to be worn during sex with it, and sex shouldn't happen for 8 weeks afterwards for healing. I've heard a lot about the condoms ripping during sex with one of these in, should i be worried? Also, is it relatively easy to take it out and put it back in once it's totally healed? Is it common for the peircing to rip through the skin through rough sex? Is it a pain in the ass for the healing time and processes? What guages do you start off with? i'm tempted to get a 3 or 4 rung ladder, but want to start off with a single perineum piercing first.