"The key to good anal—yes, that's a thing—is having a partner you trust completely and who will do it right. That means lots of lube, start small with a pinky finger just like in Fifty Shades, then work your way up to small toys or butt plugs. After that, anal can be amazing! It is super intense, and your lover has to be extremely delicate and careful and be a good listener and super patient—and you as the receiver have to have a lot of trust in that.
Anal sex can expose its participants to two principal dangers: infections due to the high number of infectious microorganisms not found elsewhere on the body, and physical damage to the anus and rectum due to their fragility. Unprotected penile-anal penetration, colloquially known as barebacking, carries a higher risk of passing on sexually transmitted infections (STIs/STDs) because the anal sphincter is a delicate, easily torn tissue that can provide an entry for pathogens. The high concentration of white blood cells around the rectum, together with the risk of tearing and the colon's function to absorb fluid, are what place those who engage in anal sex at high risk of STIs. Use of condoms, ample lubrication to reduce the risk of tearing, and safer sex practices in general, reduce the risk of STI transmission. However, a condom can break or otherwise come off during anal sex, and this is more likely to happen with anal sex than with other sex acts because of the tightness of the anal sphincters during friction.
It’s a cardinal rule of sex to never go from anal to vaginal penetration without changing the condom (even if the penetration is with a sex toy). This is because introducing fecal matter into a woman’s vagina – even if it’s her own fecal matter – places her at significant risk for developing a urinary tract infection. Women are at higher risk of getting these infections than men because a woman’s “plumbing” is such that her urethra is quite short, making it very easy for bacteria to climb up the urethra and set up camp in the bladder. In some cases, a bad urinary tract infection can even travel from the bladder to the kidneys, which is very serious.
Gay men who prefer anal sex may view it as their version of intercourse and a natural expression of intimacy that is capable of providing pleasure. The notion that it might resonate with gay men with the same emotional significance that vaginal sex resonates with heterosexuals has also been considered. Some men who have sex with men, however, believe that being a receptive partner during anal sex questions their masculinity.
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Spreading STIs. Infections and diseases that are shared during sexual intercourse — such as HIV, gonorrhea, chlamydia, and herpes — can be shared through anal sex. In fact, anal sex is the sexual behavior for transmitting and getting HIV for both men and women. People on the receiving end (or “the bottom”) of anal sex are more likely to become infected with HIV than the inserting partner (or “the top”).