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These findings mirror recent data that show anal sex rates among adults doubled between the years 1995 and 2004. The study, published online by the American Journal of Public Health , is among the first to report on the little-known factors associated with heterosexual anal intercourse among adolescents and young adults.

"The topic of anal intercourse is often considered taboo – especially when discussed in the context of youth relationships – even though we know that this behaviour is a significant risk factor for HIV and other sexually transmitted infections.

"It's critical that we recognise that more and more young people are engaging in anal sex so we can open the lines of communications and help them protect their sexual health," says lead author Celia Lescano, PhD, of the Bradley Hasbro Children's Research Centre (BHCRC).

How the study was done
Researchers assessed the sexual behaviour of 1 348 adolescents and young adults between the ages of 15 and 21 who had unprotected sex in the previous three months. They found that 16% had engaged in heterosexual anal intercourse within the timeframe, with condoms being used just 29% of the time.

Females who had heterosexual anal sex were more likely to be living with their partners, to have two or more sexual partners and to have previously experienced coerced intercourse. Males who engaged in heterosexual anal intercourse were more likely to identify themselves as being homosexual, bisexual or undecided.

"These findings suggest that the factors associated with anal intercourse among females in the study relate to the context and power balance of sexual relationships," says Lescano, who's also an assistant professor of psychiatry (research) at the Warren Alpert Medical School of Brown University.

"We must teach teen girls and young women how to be assertive in sexual relationships, such as refusing unwanted sexual acts and negotiating for safer sex, whether it's anal or vaginal."

Sex can be pleasurable and safe
However, there were several factors related to anal intercourse that were consistent in both genders. In general, those who felt that using condoms decreased the pleasure of sex, and those who used drugs at the time of intercourse engaged in riskier behaviours, suggesting that interventions should emphasise that sex can be both pleasurable and safe.

"An open dialogue between health care providers and their young patients about anal intercourse is becoming increasingly important, and clinicians should ask about anal sex during discussions about vaginal intercourse and protection – regardless of the patient's gender or reported sexual orientation," says Lescano.

Study participants in Atlanta, Miami and Providence completed a self-interview designed to measure sexual risk behaviours, relationships, sexual risk attitudes, substance use and mental health. The majority of the group (92%) defined themselves as being heterosexual. Overall, 56% were female; approximately half of the participants were African American, 24% were Hispanic and 20% were white. – (EurekAlert, November 2008)

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https://www.thebody.com/article/anal-intercourse-aftercare
When it comes to anal sex, we often discuss preparation (aka the three Ds: dieting, douching, dilating), but we rarely mention what to do after engaging in anal sex. As fantastic as it is, anal sex can be traumatic to the body. If we engage regularly, we need to know how to properly care for the area before, during, and after the fun is said and done.
“Anal sex is a high-pressured act with significant forces at play, all of which can be quite traumatic,” Evan Goldstein, D.O., CEO of Bespoke Surgical, a medical and wellness practice for queer men, tells TheBody. “The anal cavity encompasses skin, muscles, and blood vessels, each of which can be restrictive and limiting. What that means is if someone goes beyond their capacity (i.e., their hole is opened up too wide or with too much force), any of these components can tear or develop other complications.”
The bum doesn’t self-lubricate like the vagina, and, since spit doesn’t contain the proper lubricity to ease penetration, one must invest in a quality lube (and lots of it) for a more pleasurable sexual experience and to prevent injury.
I favor a thick, water-based lubricant or silicone lube for anal sex, and applying it to the penis or toy, the b-hole, and inside the hole, since penetration often reaches deeper than the rim area. Lube can be applied with a finger (which makes for great foreplay) or, if your toy or partner is large, a lube injector. You can even play with a lubricated toy to both lube and dilate your hole before the action begins.
Goldstein says “overaggressive anal douching” (i.e., douching with too much water or force) and the angle of the top and bottom’s pelvises are additional factors to consider. “Some people like to get creative with complex sexual positions (which are fine, but only once everyone is comfortable) or they’re simply too aggressive when they’re thrusting before the bottom has opened up,” Goldstein explains. “Unfortunately, there are many variables to think about that can increase the chances of potential anal injury—and they all need to be taken into consideration to minimize possible complications.”
Some people, such as myself , favor CBD suppositories when planning for longer, more intense sessions. These rocket-shaped pills ease inflammation and help relax the area––whether a bum or vagina––prior to intercourse. Some CBD oils offer similar benefits.
Whatever you do, do not use numbing lubricants. These have a reputation of masking pain, which is your body’s way of telling you to stop and reassess the situation. “It’s also going to numb his cock as well, which could result in you getting fucked for a very long time and further irritate the area,” adult actor Dallas Steele adds.
After you’ve bottomed, the area will be more sensitive than usual, so run a nice warm bath, spill in some Epsom salts, and bliss TF out. The warm water and Epsom salts will quell the area and relax your muscles. This makes for an opportune time to replay those sexy moments in your mind and clean the area. While a gentle soap will do the trick, you can be extra and purchase a bum exfoliator to clean and buff your booty hole. If you’re still feeling a little raw after your bath, pop an ibuprofen to help with inflammation.
“If, after four hours, you discover going number-two hurts, try using CBD oil, an anal numbing solution, or just regular dental numbing gel like Anbesol,” Steele recommends. “This will lessen the pain while your hole recovers from the pounding.”
After you’ve pooped, inspect the stool for blood. A little bleeding can be expected from time to time, but excessive pain, bleeding, or discharge should not, and you may want to consult a physician.
If you witness any of these symptoms, abstain from anal intercourse until they’re gone. This can take anywhere from a few days to a week to heal. In the meantime, take some Metamucil before bed, and drink plenty of water, so bowel movements are as smooth as possible, and take a sitz bath three to four times a day to keep the area clean. For good measure, use this time to consider how things can be done more carefully next time.
Moving forward, you may also want to reevaluate how you clean your bum after a bowel movement, since wet wipes are no good for your rear, especially if you engage in regular anal intercourse. Due to their ingredients, their moisture, and their material, wet wipes can irritate and even infect your precious booty hole .
Toilet paper can be similarly abrasive, especially when you wipe instead of blot. That’s why you should be using a bidet. They’re a bottom’s best friend and offer a spa-like experience for your tuffet.
To keep your hole in tip-top shape, do some Kegels to tighten your pelvic floor and teach your hole some new tricks. Just insert a toy into your bum, flex, and repeat—it’s as simple as that. Additionally, many adult actors swear by vitamin E to keep their holes camera-ready. Dolf Dietrich , who is no stranger to a gangbang, applies vitamin E oil once per day, both in and around his hole.
Some bum injuries require surgery. At Bespoke Surgical, the most common injury is an anal fissure, a tear in the skin that’s incredibly painful. Other potential consequences could be dilated veins (hemorrhoids), skin tag development (residual hemorrhoids or scarring from tears), anal infections (abscesses), and/or the development of an infected tunnel (anal fistula). All of these can be treated—just make sure you see a sex-positive, queer-friendly doctor who is knowledgeable about the bum.
As you can see, there are a lot of things to consider even after you’ve had butt sex. While these suggestions may not be as important as the planning––Steele insists, “The key to not being sore or even hurting after sex is to be prepared before, and to know your limits and experience level”––anal aftercare is good practice. We put our bums through a lot, and it’s time we give back.
Bobby Box is a freelance writer and certified sex educator. He's currently Grindr's sex columnist and his work has been published in Daily Beast, Playboy , Askmen, Elle , NewNowNext, The Advocate , and more.
© 2022 Remedy Health Media, LLC ALL RIGHTS RESERVED

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Consent and Sexual Assault

Sexually Transmitted Infections (STDs)

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For Educators

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Overview

Schedule an Appointment

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By
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April 24, 2020, 5:40 p.m.

can anal sex have any long term effects on my body? I’ve heard that it can cause anal leakage later in life, and anal prolapse. is this true?
Anal sex is perfectly healthy and safe in both the long and short term. As with vaginal sex (penis-in-vagina sex), there’s a very small risk of leakage and prolapse (when your pelvic muscles weaken and cause organs to slip down) over the course of a lifetime. Anal sex can also aggravate existing hemorrhoids.
People who have anal sex can follow a few simple guidelines:
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