Their purpose is to provide information on diseases and processes, rather than dictate a specific form of treatment. They are intended for the use of all practitioners, health care workers and patients who desire information about the management of the conditions addressed. It should be recognized that these brochures should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtain the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all the circumstances presented by the individual patient. 
First, a few words about the survey. We shared this 15-question anonymous survey with our social media followers, on our website and in our newsletters—to reach a convenience sample of people connected to San Francisco AIDS Foundation. The 412 people who took the survey likely felt they had something to say about pain and sex. (In other words, the sample isn’t representative of our entire community or San Francisco.)
But you can't just slide into anal sex (unless you're using plenty of lube...but more on that later). If you don't know what you're doing and you aren't careful, you could hurt yourself or your partner because the anus is sensitive. "Contrary to what many believe, anal sex does not have to be painful (unless people engaging in it want it to be)," says Dulcinea Pitagora, a sex therapist known as the Kink Doctor. So before you give anal a try, read our tips about how to prep, both physically and mentally.

While there’s no need to get uber-paranoid about the way you look, smell and taste – we’re all people with the same, sometimes-funky human parts, after all – a nice warm shower with soap is a good idea before you engage in any butt play. Lather yourself up with a mild, non-irritating body wash and scrub until you feel squeaky clean. You can even do this with your partner, for some built-in foreplay.
8. The right lube is twice as important as it is when having vaginal sex, which is already super-important. You might have heard that too much lube takes away the friction that makes it feel good for the dude. That's bullshit. There is no such thing as too much lube, because it makes it feel slightly less like you are using your butthole as a handbag for a flashlight.
Anal sex has never been a pleasant thought to me…till last night my boyfriend and I decided to try it out. We had a few drinks together and had sex the usual entry whilst that, we were having so much fun that I insisted we try anal and of course like any other guy wouldn’t disagree, we did. WOW! It was amazing! I had 3 orgasms consecutively! Something i have never done before! What better way to enjoy your sex.
"You want to use a condom, whether it’s actually on a human body or a strap on or another enhancement," Levkoff says. "Some people have more than one partner, and sometimes they use the same toy on different people. So you always want to play it safe, and obviously make sure your toys are washed as well. Not everyone gets tested and you want to do the smart thing here."
Anal sex being more common among heterosexuals today than it was previously has been linked to the increase in consumption of anal pornography among men, especially among those who view it on a regular basis.[39][40][52] Seidman et al. argued that "cheap, accessible and, especially, interactive media have enabled many more people to produce as well as consume pornography", and that this modern way of producing pornography, in addition to the buttocks and anus having become more eroticized, has led to a significant interest in or obsession with anal sex among men.[52]

13. You can lie flat on your stomach, get in doggy-style, or do missionary—and that is the order of what will hurt the least to the most. At least, in my (minimal) experience. You can tear your anus if you use a certain position that allows for more penetration before you're ready, and Taormino points out that the missionary position allows for the least clitoral stimulation and suggests receiver-on-top for beginners. "Insertive partners who are inexperienced, nervous about how to penetrate their partners anally, or fearful of hurting their partners may find this position most relaxing because the receiver can do much of the decision-making and work."

OK, so here’s where we get into some interesting G-spot and P-spot territory. The G-spot is thought to be a cluster of vaginal, urethral, and clitoral tissues and nerves, Dr. Chinn says. While the exact location of this cluster varies from person to person, some people can feel it when they put pressure on the front vaginal wall, about one or two inches inside the vagina. The emphasis here is on “some.” There’s actually a pretty big debate about the G-spot in the sex education and medical fields.

Sometimes women are turned off by the hygienic and health aspects of anything going on in the backdoor. "Many women express concern about this as an issue, but as long as you poop and then everything is cleaned out prior with an enema beforehand, there is very little chance of catching anything in there! I prefer natural enemas with no scent as these tend to irritate the rectum which can lead to a painful experience," says Singer.

It can be scary when you're trying something new, especially when it involves a body part you're not use to anyone touching. But try to relax as much as possible, because it will make anal sex better, Pitagora says. "Anoreceptive sex is enhanced by an openness to the experience, trust of the insertive partner, an associated sense of arousal, and the ability to overcome the stereotypical taboo," they once wrote in a paper. Bottom line, do whatever it takes to feel as comfortable as possible, because when you're relaxed you'll enjoy the experience more.


How long do hemorrhoids last? What to know Hemorrhoids are a common problem, particularly during pregnancy and as people age. While hemorrhoids sometimes only last for a few days and cause mild symptoms, some people experience frequent or long-lasting hemorrhoids. Here, learn more about how long hemorrhoids last. We also cover treatment and home remedies. Read now


Most anal cancers are cured with combination therapy. If caught early, many cancers that come back after nonsurgical treatment are treated effectively with surgery. While combination radiation/chemotherapy produces more side effects, this approach also results in the best long-term survival rates. After completing this treatment, as many as 70-90% of patients are still alive and cancer free at 5 years.
There is less research on anal sexual activity among women who have sex with women compared to couples of other sexual orientations. In 1987, a non-scientific study (Munson) was conducted of more than 100 members of a lesbian social organization in Colorado. When asked what techniques they used in their last ten sexual encounters, lesbians in their 30s were twice as likely as other age groups to engage in anal stimulation (with a finger or dildo).[2] A 2014 study of partnered lesbian women in Canada and the U.S. found that 7% engaged in anal stimulation or penetration at least once a week; about 10% did so monthly and 70% did not at all.[70] Anilingus is also less often practiced among female same-sex couples.[71][72]
27.“From a straight guy’s perspective: Like a lot of the previous comments, there’s an element of the taboo involved in it. Anal isn’t quite as accepted in ‘mainstream’ sexual discussions yet, and as such remains a bit out of reach for many curious individuals. Having already done anal on occasion with my girlfriend, the taboo is still there but has been transferred from a ‘mysterious and unknown’ sort of taboo to a ‘so rare as to be mystical’ taboo. On the pleasure side of things, it provides a nice change in sensation from vaginal, oral, and manual stimulation. And while it may not provide as much physical pleasure, its infrequency offsets that since it’s not something you’re typically used to like one of the above three. Also, the intimacy factor can’t be overstated. Because it’s such a rare occurrence for most guys (myself included), it carries a lot of weight when your girlfriend/wife/FWB/etc. gives you the opportunity. It requires more trust and communication than regular sex, and oftentimes your SO is sacrificing some of their comfort (and possibly dignity) to give you pleasure. It’s honestly both thrilling and humbling.”

Even if the anal they do on screen is hardly realistic for most people in everyday life, though, porn stars (like other sex workers) still have gobs of experience with back door play. (“I know my insides pretty well,” the anal queen Mandy Muse told me, “considering I’ve gone pretty far up and touched them.”) Sure, they sometimes have nasty accidents, or suffer horror stories. And, barring one or two like Kelly, who says that in her personal life she likes to “be ripped around and stretched to the core in an anal Olympics session” like she is on screen, most say they don’t do it nearly as often in their personal lives, and certainly not as hardcore or for as long as they do in scenes. But they know anal, and are happy to share tips for how to do it well.

Asking for anal can be a bit daunting, no matter who you are. Have a one-on-one with your partner and let them know that this is something you want to try. Be honest about your feelings about it. In a healthy relationship, you should be able to discuss anything openly. Everyone wants to have a good experience. If they are into it, go ahead and get started.


The tissue and skin around the anus acts as a protective barrier for the bottom half of your digestive tract. However, the tissue inside the anus is thinner, delicate, and more likely to tear and bleed as a result of penetration. This increases the likelihood of passing infections, viruses, or bacteria between partners. Even two partners who don’t have any sexually transmitted infections (STIs) can still pass bacteria between each other through these tears in the skin.
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