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.)


Yep — pregnancy. In order for someone to become pregnant, sperm needs to make it into the vagina (and then through the cervix and into the uterus, etc.), and that could be possible (though unlikely) depending on what position you’re in, she explains. So ejaculating in someone’s butt probably isn’t the best idea if you're not also using another form of birth control.
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.)
Please explain the risk if you follow ALL safety measures (off the top of my head here are just a few of them to consider): Condom, lots of lube to help prevent condom breakage (and most women I know don’t like dry anal), go slow until things are “ready”, used a toy to stretch things a little bit first, both partners got tested, did your best not to “contaminate” the vagina, were on birth control (in case the condom broke & it was that time of the month & the sperm spread to the vagina), immediately cleaned up, both washed hands immediately and took showers immediately afterwards, cleaned the sheets properly, etc… So if you do all of that, what “very risky” issues are we talking about???
People who are HIV-negative and at very high risk for HIV can take daily medicine to prevent HIV. Pre-exposure prophylaxis (PrEP), if taken consistently, can reduce the risk of getting HIV from sex by more than 90%. PrEP is much less effective when it is not taken consistently. Since PrEP is not 100% effective at preventing HIV, consider using other prevention methods to further reduce your risk. Only condoms can help protect against other STDs.
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There are a variety of factors that make male-to-female anal intercourse riskier than vaginal intercourse for women, including the risk of HIV transmission being higher for anal intercourse than for vaginal intercourse.[3][84][85] The risk of injury to the woman during anal intercourse is also significantly higher than the risk of injury to her during vaginal intercourse because of the durability of the vaginal tissues compared to the anal tissues.[3][86][87] Additionally, if a man moves from anal intercourse immediately to vaginal intercourse without a condom or without changing it, infections can arise in the vagina (or urinary tract) due to bacteria present within the anus; these infections can also result from switching between vaginal sex and anal sex by the use of fingers or sex toys.[2][3][88]
A male citizen taking the passive (or receptive) role in anal intercourse (paedicatio in Latin) was condemned in Rome as an act of impudicitia (immodesty or unchastity); free men, however, frequently took the active role with a young male slave, known as a catamite or puer delicatus. The latter was allowed because anal intercourse was considered equivalent to vaginal intercourse in this way; men were said to "take it like a woman" (muliebria pati, "to undergo womanly things") when they were anally penetrated, but when a man performed anal sex on a woman, she was thought of as playing the boy's role.[115] Likewise, women were believed to only be capable of anal sex or other sex acts with women if they possessed an exceptionally large clitoris or a dildo.[115] The passive partner in any of these cases was always considered a woman or a boy because being the one who penetrates was characterized as the only appropriate way for an adult male citizen to engage in sexual activity, and he was therefore considered unmanly if he was the one who was penetrated; slaves could be considered "non-citizen".[115] Although Roman men often availed themselves of their own slaves or others for anal intercourse, Roman comedies and plays presented Greek settings and characters for explicit acts of anal intercourse, and this may be indicative that the Romans thought of anal sex as something specifically "Greek".[116]

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.”
In addition to nerve endings, pleasure from anal intercourse may be aided by the close proximity between the anus and the prostate for males, and vagina, clitoral legs and anal area for females. This is because of indirect stimulation of the prostate and vagina or clitoral legs.[7][8][9] For a male insertive partner, the tightness of the anus can be a source of pleasure via the tactile pressure on the penis.[10][11] Pleasure from the anus can also be achieved through anal masturbation, fingering,[3] facesitting, anilingus, and other penetrative and non-penetrative acts. Anal stretching or fisting is pleasurable for some, but it poses a more serious threat of damage due to the deliberate stretching of the anal and rectal tissues; its injuries include anal sphincter lacerations and rectal and sigmoid colon (rectosigmoid) perforation, which might result in death.[12] Lubricant and condoms are widely regarded as a necessity while performing anal sex as well as a slow and cautious penetration.[13]
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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.
If you decide to have penetrative anal sex, take things slowly and communicate with your partner. If you are giving anal sex, use plenty of lubricant and then start by penetrating just a little and then pulling out completely. When your partner is ready, penetrate a bit further and then pull out again. Continue with this until you are fully in – but be prepared to stop at any time if the other person is uncomfortable or in pain.
7. “It’s tighter around the actual butthole itself then less so deeper in. I’ve tried it with my partner a few times, but have never managed to cum from it because it doesn’t stimulate the more sensitive parts on the end of my penis enough. You might find that you enjoy it less then PiV, but you may also find that the hotness of it does it for you.”
In a 2010 clinical review article of heterosexual anal sex, anal intercourse is used to specifically denote penile-anal penetration, and anal sex is used to denote any form of anal sexual activity. The review suggests that anal sex is exotic among the sexual practices of some heterosexuals and that "for a certain number of heterosexuals, anal intercourse is pleasurable, exciting, and perhaps considered more intimate than vaginal sex".[6]
^ Ken Plummer (2002). Modern Homosexualities: Fragments of Lesbian and Gay Experiences. Routledge. pp. 187–191. ISBN 1134922426. Retrieved August 24, 2013. The social construction of 'sex' as vaginal intercourse affects how other forms of sexual activity are evaluated as sexually satisfying or arousing; in some cases whether an activity is seen as a sexual act at all. For example, unless a woman has been penetrated by a man's penis she is still technically a virgin even if she has had lots of sexual experience.
The fear that anal sex will loosen you up somehow and leave you farting and shitting all over the place is totally unfounded. Take it from Hutcherson. “The thing I can say…as a doctor is, it’s not unsafe. She’s not going to be wearing a diaper, she’s not going to have faecal incontinence, she’s not going to be soiling herself or passing gas all day.”

Yep — pregnancy. In order for someone to become pregnant, sperm needs to make it into the vagina (and then through the cervix and into the uterus, etc.), and that could be possible (though unlikely) depending on what position you’re in, she explains. So ejaculating in someone’s butt probably isn’t the best idea if you're not also using another form of birth control.
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. 
Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure.[1][2][3] Other forms of anal sex include fingering, the use of sex toys for anal penetration, oral sex performed on the anus (anilingus), and pegging.[4][5] Although anal sex most commonly means penile–anal penetration,[3][4][6] sources sometimes use anal intercourse to exclusively denote penile–anal penetration, and anal sex to denote any form of anal sexual activity, especially between pairings as opposed to anal masturbation.[6][7]

You don’t need to. As we just established, the chances of you pooping on your partner mid-act are slim to none. But there’s usually no harm in doing an enema as long as you're not doing it often enough to irritate your rectum, Dr. Frankhouse says. He recommends only doing them once every few months and following the instructions every time. If your butt starts feeling irritated when you do enemas, that's a sign you should quit.


"The anus is, after all, an exit, not an entrance, and so it could really, really hurt. This is not an act that should ever be undertaken with a random dude or at a random moment; you both have to want it, and you both have to be prepared. No assholes allowed in the asshole! I think that's one of the best parts of the whole ordeal. It takes so much time, trust, and communication that it just amplifies everything physical going on because you are so connected with your partner." —Tess N.

3. If it hurts, stop! Some, well, let's call them new sensations are to be expected—a lot of women say it feels like they need to poop, or like a primal, pressure feeling. But like any other sex act, if things start to hurt in a way that's no longer fun, you should stop. Injuries from anal sex are possible, but super rare. Pain most commonly comes from anal fissures, or little tears in the tissue around the anus, which is very thin and delicate. A good way to remedy that is using lots of lube and smarting with smaller objects, rather than big ones.
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