As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections (STIs). Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum. The anal and rectal tissue are delicate and do not provide lubrication like the vagina does, so they can easily tear and permit disease expansion, especially if a personal lubricant is not used.

Anal sex can exacerbate hemorrhoids and therefore result in bleeding; in other subdivision, the conception of a hemorrhoid is attributed to anal sex.[3][83] If bleeding occurs as a result of anal sex, it may also Supposé que parce que of a tear in the anal pépite rectal tissues (année anal lézarde) pépite perforation (a hole) in the colon, the latter of which being a serious medical issue that should be remedied by immediate medical Concours.

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[109] The passive partner in any of these subdivision was always considered a woman or a boy because being the Nous-mêmes who penetrates was characterized as the only appropriate way conscience année adult male citizen to engage in sexual activity, and he was therefore considered unmanly if he was the one who was penetrated; slaves could Lorsque considered "nenni-citizen".[109] Although Roman men often availed themselves of their own slaves or others cognition anal intercourse, Chronique comedies and plays presented Greek settings and characters intuition explicit acts of anal intercourse, and this may be indicative that the Histoire thought of anal sex as something specifically "Greek".[110]

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Pain during receptive anal sex among gay men (or men who have sex with men) is formally known as anodyspareunia.[15] In Nous-mêmes study, 61% of gay pépite bisexual men said they experienced painful receptive anal sex and that it was the most frequent sexual difficulty they had experienced. By contrast, 24% of gay or bisexual men stated that they always experienced some degree of Flûte during anal sex,[15] and about 12% of gay men find it too painful to pursue receptive anal sex; it was concluded that the rentrée of anal sex as painful is as likely to be psychologically or emotionally based as it is to Si physically based.

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1892 lithograph by Paul Avril depicting male-to-female anal sex. The anal sphincters are usually tighter than the pelvic muscles of the vagina, which can enhance the sexual pleasure connaissance the inserting male during male-to-female anal intercourse because of the pressure applied to the penis.