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By
Kendall @ Planned Parenthood
|
June 1, 2011, 10:13 p.m.


I was just told that the man I’m interested in likes anal sex. Is this common behavior for heterosexual males? I can’t seem to find any information on knowing more about anal sex beside that it is a common sexual activity. Please fill me in.
Anal sex is normal for some couples — straight or gay — and not for others. Whether you have anal sex depends on what makes you and your partner comfortable.
Most people mean anal intercourse when they think of anal sex. It happens when a man puts his penis into another person’s anus. Some men and women enjoy anal sex, and others do not. About four out of 10 people have tried anal intercourse. Other kinds of anal sex include touching the anus with hands, fingers, or the mouth.
Like unprotected vaginal sex, unprotected anal sex is high-risk for many sexually transmitted infections, such as chlamydia, gonorrhea, herpes, hepatitis, intestinal parasites, HIV, HPV, and syphilis. Use latex or internal condoms during anal intercourse to reduce the risk of sexually transmitted infections. Use Sheer Glyde dams or other plastic barriers to reduce the risk of infection when having other kinds of anal sex.
Planned Parenthood delivers vital reproductive health care, sex education, and information to millions of people worldwide.
Planned Parenthood Federation of America, Inc. is a registered 501(c)(3) nonprofit under EIN 13-1644147. Donations are tax-deductible to the fullest extent allowable under the law.


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The question is not whether you’ll change; you will. Research clearly shows that everyone’s personality traits shift over the years, often for the better. But who we end up becoming and how much we like that person are more in our control than we tend to think they are.


Posted December 1, 2010

|


Reviewed by Jessica Schrader




How prevalent is heterosexual anal sex? No one knows. Anal sex has long been considered taboo—and in some quarters, still is—so people may not be honest when surveyed about it. But since the early 1980s when receptive anal intercourse was identified as a key route of HIV transmission, research into anal sex, including heterosexual anal, has increased substantially, and all credible evidence suggests that hetero-anal has become increasingly popular.
Note: Anal play includes penis-anus intercourse, anal sphincter massage, fingering, oral-anal contact (analingus), and anal insertion of objects. Here, "anal intercourse" means penis insertion, while "anal sex" or "play" means any form of anal eroticism.
Ancient Greek pottery (c. 500 B.C.) shows men engaged in homosexual anal intercourse. But the oldest known depictions of heterosexual anal appear 800 years later on Peruvian pottery (c. 300 A.D.). In Peru 1,700 years ago, hetero-anal intercourse was by no means rare. On surviving pottery depicting erotic art, one-third of it shows hetero-anal intercourse. Chinese and Japanese woodblock prints (16th to 19th centuries) depict heterosexual anal intercourse fairly frequently. And ever since the invention of photography (1840) and motion pictures (1890), pornography has shown hetero-anal play.
Clearly, hetero-anal sex has been part of human sexuality for centuries, but in the U.S., it was rarely mentioned until AIDS appeared. Today, 30 years into the AIDS epidemic, discussions of hetero-anal sex are less likely to focus on HIV risk than on how anal play adds spice to lovemaking. These days, anal is often described as "the new sexual frontier," or "the new oral sex." Some young people committed to virginity until marriage engage in anal play because they don't consider it "sex." In one study (1999), 19 percent of college students agreed with the statement: Anal intercourse is not "sex."
The University of Chicago's landmark "Sex in America" survey (1994) showed that 10 percent of men and 9 percent of women said they'd participated in anal intercourse during the past year, with 2.3 percent of men and 1.2 percent of women saying it was part of their most recent sexual experience. However, this study relied on face-to-face interviews, so its findings are probably under-estimates.
More recent research shows a considerably higher prevalence. A study of 1,268 HIV-negative women (2000) shows that 32 percent reported anal intercourse in the past six months.
Two surveys of patients at sexually-transmitted-infection clinics also suggest that anal sex has become more popular. In a 1993-1995 survey, 9 percent of the men and women reported anal intercourse in the past 3 months. But in a survey conducted in 1999-2000, the figures were 22 percent of the women and 21 percent of the men.
Non-intercourse forms of anal play are more popular than penis-anus intercourse. A study of 1,478 hetero men (2008) shows that 18 percent reported a history of insertive anal intercourse. Meanwhile, 15 percent said they'd received analingus, 24 percent had performed analingus, 24 percent had received anal fingering, and a whopping 53 percent had anally fingered a woman. Men with no history of anal intercourse reported low rates of other anal play: 2 percent had performed analingus, 4 percent had received it, 3 percent had received anal fingering, and 10 percent had anally fingered a woman.
Across recent surveys, anal play is associated with youth. This, too, suggests that anal sex is on the rise. Youthful sexual activities tend to remain in the repertoire through adulthood, so over time, as young people grow older, we can expect many to continue engaging in anal play, slowly raising its overall prevalence.
What's the allure of heterosexual anal sex? A survey in New York magazine identified several elements:
Anyone interested in anal intercourse should understand that it carries health risks. Receptive anal intercourse is strongly associated with HIV risk. It's also been linked to increased risk of ano-rectal cancers. It appears that like cervical cancer, ano-rectal cancers have an infectious component and may be sexually transmitted. Condoms eliminate these risks.
If you're interested in anal play and want to learn how to enjoy it without pain, I recommend two books: Anal Pleasure and Health by sex therapist Jack Mornin, Ph.D., and The Ultimate Guide to Anal Sex for Women by Tristan Taormino.
Do you engage in anal play? Why or why not?
McBride, KR and JD Fortenberry. "Heterosexual Anal Sexuality and Anal Sex Behaviors: A Review," Journal of Sex Research (2010) 47:123.
Michael Castleman, M.A. , is a San Francisco-based journalist. He has written about sexuality for 36 years.

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The question is not whether you’ll change; you will. Research clearly shows that everyone’s personality traits shift over the years, often for the better. But who we end up becoming and how much we like that person are more in our control than we tend to think they are.



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Everything you wanted to know about bottoming but were too afraid to ask.

When it comes to having safe and pleasurable anal sex, it’s important to know all the facts. With that in mind, we asked Dr. Joseph Terlizzi , a New York-based colon and rectal surgeon, for the lowdown on how gay and bi men can prepare, how to do the deed, and how to stay safe post-coital. Check out his expert advice on how to make anal sex more pleasurable: 
While maintaining anal hygiene is important, people tend to be too fastidious when it comes to cleaning up before anal intercourse. Common mistakes I see patients make include using chemical wipes (the perfumes and preservatives make them irritating) and wiping too much (friction can lead to abrasions). This causes the skin around the anus to become inflamed, leading to thickening and ultimately itching or discomfort with sex. In fact, chemical wipes and over wiping are the most common causes of anal itch (if you haven’t experienced this…trust me, you don’t want to). So forget the harsh scents and chemicals — before sex, simply clean the outside of the anus well in the shower or bath with plain water or a very gentle soap.
It’s also helpful to consistently eat a high fiber diet that includes foods such as whole grains, broccoli, and beans — as this regulates bowel movements and decreases the likelihood of soiling during sex. Fiber helps bulk up stool and decreases liquidity, further minimizing the chance of a mess. In general, men should consume 30-40 grams of fiber per day, and women should consume 25-30 grams of fiber per day.
Due to the common fear of excrement rubbing off on one’s partner, many people perform enemas (whereby they inject liquid into the rectum) before engaging in anal sex. While enemas may seem like a logical way to avoid an embarrassing interaction, I strongly advise against them. Enemas increase your risk of acquiring infections, including gonorrhea, chlamydia, hepatitis and even HIV. In fact, rectal biopsies have found that individuals who performed enemas with tap water or soap suds show deterioration in their intestinal lining, resulting in increased susceptibility to pathogens. Additionally, among subjects who performed 50 or more enemas in their lifetime, there is a trend for increased risk of anal dysplasia (which can lead to anal warts and anal cancer). If you don’t feel like you need to go to the bathroom (we’re talking number two here, people), the rectum is likely empty, and you will be ready for anal sex.
If you just read this paragraph, rolled your eyes, and still plan to use enemas, there are steps you can take to mitigate the risks. First, it’s important to lube up so that you don’t damage the anal wall. Second, keep in mind that after the enema is about 1.5 inches inside, you won’t feel sharp pain — that’s because your rectum doesn’t have this type of pain receptor. Therefore, it’s important to choose an enema that has a smooth nozzle to prevent cuts and nicks. Make sure to use warm water so that your sphincters don’t tighten, but don’t make it so hot that you will burn yourself (I’ve seen several patients burn their rectum from hot enemas!). Ensure that there is no soap in the enema, as this can cause more irritation. Most importantly, only use a small volume of water (you can try the little bulbs that are sold in drug stores to clean out your ears). The human colon is 5 feet long and you don’t have to clean the stool out of the entire colon! If you try to clean high up, the water will mix with the stool. This can fill the rectum with liquid stool, running the risk that you will have a messy experience.
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