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. 

Many men also like having their prostate stimulated. The prostate is a walnut-sized gland located just below the bladder and is highly sensitive to stimulation (usually gentle finger stimulation through the anus). However, there are many blood vessels in and around the prostate and it can get bruised if handled roughly, so always treat it gently and use lots of lube.
21. “I had anal sex with my boyfriend for the first time a month ago. It was my five-year anniversary gift to him and it wasn’t great for me, but I let him keep going because I’m good for my word. When he pulled out after what seemed like a decade, a little poop came out. I was pretty mortified, but my boyfriend made me feel okay about it. I don’t think we’ll be doing it again any time soon, but the experience brought us closer together.” — Lilly, 29
Different cultures have had different views on anal sex throughout human history, with some cultures more positive about the activity than others.[5][52][97] Historically, anal sex has been restricted or condemned, especially with regard to religious beliefs; it has also commonly been used as a form of domination, usually with the active partner (the one who is penetrating) representing masculinity and the passive partner (the one who is being penetrated) representing femininity.[5][7][52] A number of cultures have especially recorded the practice of anal sex between males, and anal sex between males has been especially stigmatized or punished.[7][57][98] In some societies, if discovered to have engaged in the practice, the individuals involved were put to death, such as by decapitation, burning, or even mutilation.[5]
These days though, butt play is hot. Whether it’s Marnie getting rimmed on the hit HBO show Girls, or Harvard University offering an ‘Anal Sex 101’ workshop during their annual ‘Sex Week’, anal sex has decidedly outgrown its verboten past. A 2010 study published in The Journal of Sexual Medicine found that some 40 per cent of women ages 20-24 have engaged in anal sex at least once. And more than half have probably played around with oral or digital stimulation, whether on the giving or the receiving end.
Abdominoperineal resection: A surgical procedure in which the anus, the rectum, and part of the sigmoid colon are removed through an incision made in the abdomen. The doctor sews the end of the intestine to an opening, called a stoma, made in the surface of the abdomen so body waste can be collected in a disposable bag outside of the body. This is called a colostomy. Lymph nodes that contain cancer may also be removed during this operation.
13. You can vary up positions. No, not all butt stuff needs to be done doggie-style. It's true it might be a little harder to get some solid eye contact going on when face-to-anus things are happening. But! There are a variety of positions to try, like lying on your back with your hips elevated or sitting on his face in reverse-cowgirl. Move around until you find one that makes you feel most at ease.

14. Like peeing immediately after sex to avoid a UTI, it's good to go to the bathroom right after you're done. You'll also probably feel like you have to anyway. You have also opened yourself up to the joy of butt queefs. They're not farts, no matter what anyone says. Unlike frontal queefs, they might go on for a few hours as the air escapes. On the bright side, you are a human beatbox, and your partner can lay a sick freestyle over the top if s/he feels so inclined.
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Intra-rectal pressure builds as the rectum fills with feces, pushing the feces against the walls of the anal canal. Contractions of abdominal and pelvic floor muscles can create intra-abdominal pressure which further increases intra-rectal pressure. The internal anal sphincter (an involuntary muscle) responds to the pressure by relaxing, thus allowing the feces to enter the canal. The rectum shortens as feces are pushed into the anal canal and peristaltic waves push the feces out of the rectum. Relaxation of the internal and external anal sphincters allows the feces to exit from the anus, finally, as the levator ani muscles pull the anus up over the exiting feces.

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.
So, if you never want to try it or if you’ve tried it once and didn’t enjoy it, then the obvious but important anal sex tip I have for you is that you shouldn’t feel that you have to keep doing it with your man. If your sex life consists of you doing things that you don’t want to do, then it’s not going to be a particularly satisfying one. Like I mentioned previously, there are plenty more things you can do with your man.

Partaking in any form of sex – be it oral, anal, or vaginal, can put one at risk of contracting a sexually transmitted infection (STI). Anal sex, however, carries the highest risk of transmission. This is because the tissue in the anus is quite fragile and thus incurs small, microscopic tears during the act of anal sex. These tears expose trace amounts of blood, making it much more likely for HIV and/or Hepatitis B or C to be transmitted. The risk of contracting these STIs is greater for the recipient (aka the “bottom”), but the “top” is also at risk. This is still true when lots of lubrication is used.
Oil Based Lube – Oil based lube feels a little smoother and silkier than water-based lube. It also lasts for ages, so it’s perfect for anal sex, but there are some significant drawbacks. It’s much harder to wash out of linens. More importantly, oil-based lube degrades latex condoms making them tear and rip. Bottom line, if you don’t want the condom to tear during the act, then don’t use an oil-based lube.
For people with HIV, HIV medicine (called antiretroviral therapy or ART) can reduce the amount of virus in the blood and body fluids to very low levels, if taken as prescribed. This is called viral suppression—usually defined as having less than 200 copies of HIV per milliliter of blood. HIV medicine can even make the viral load so low that a test can’t detect it. This is called an undetectable viral load. People who take HIV medicine as prescribed and get and stay virally suppressed or undetectable can stay healthy for many years, and they have effectively no risk of transmitting HIV to an HIV-negative partner through sex. Only condoms can help protect against some other STDs.
Reduce your risk of cutting or scratching your partner by trimming your nails. Long nails might tear the thin, delicate tissue of the anus, which could lead to bleeding. It also increases the risk of spreading bacteria that could cause infections. Be sure to wash your hands well and scrub under your nails after anal sex, too, especially before inserting them into the vagina or mouth.
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