Anal warts (also called condylomas) are growths that form just outside the anus and in the lower anal canal below the dentate line. Sometimes they can be found just above the dentate line. They're caused by infection with human papilloma virus (HPV). People who have or had anal warts are more likely to get anal cancer. (See “Potentially pre-cancerous anal conditions” below and Risk Factors for Anal cancer)
You may need them to treat an infection, but some can kill the “good" bacteria that live in your bowels. You need those to keep your gut in natural balance, so diarrhea can be a common side effect. You also may be more likely to get a yeast infection while taking antibiotics. Ask your doctor if eating yogurt or taking a probiotic supplement may help.
Unless you're fluid-bonded with your partner (meaning that you've both been tested for STIs, have been cleared, and aren't having sex with anyone else), there's risk for contracting STIs with any type of unprotected sex — including anal. "Unprotected anal intercourse is high-risk for many sexually transmitted infections, such as gonorrhea, HIV, chlamydia, syphilis, herpes, HPV, and hepatitis," according to Planned Parenthood. So, please use condoms. Even if you're using a strap-on, it's important to use condoms if the toy has been used with multiple partners.
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^ Kammerer-Doak, Dorothy; Rogers, Rebecca G. (June 2008). "Female Sexual Function and Dysfunction". Obstetrics and Gynecology Clinics of North America. 35 (2): 169–183. doi:10.1016/j.ogc.2008.03.006. PMID 18486835. Most women report the inability to achieve orgasm with vaginal intercourse and require direct clitoral stimulation ... About 20% have coital climaxes...
Take things slowly, use plenty of lubrication, and stop if it becomes too painful. Don’t aim to have full penis penetration your first go-round. Try using a finger, and then upgrade to two or three fingers. A toy might be a good option, too, as you grow more comfortable with the sensation. After the first time or two, you and your partner will likely find that the pleasure trumps any initial discomforts.