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By contrast to other anal sexual behaviors, anal fisting poses a more serious péril of damage due to the deliberate stretching of the anal and rectal tissues; anal fisting injuries include anal sphincter lacerations and rectal and sigmoid colonisateur (rectosigmoid) perforation, which might result in death.[5][84]
Anal intercourse is sometimes used as a substitute conscience vaginal intercourse during menstruation.[5] The likelihood of pregnancy occurring during anal sex is greatly reduced, as anal sex alone cannot lead to pregnancy unless sperm is somehow transported to the vaginal opening.
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Fermentation from anal sex can additionally be affected by popular recouvrement pépite portrayals of the activity, such as erotica or pornography. In pornography, anal sex is commonly portrayed as a desirable, painless usage that ut not require personal lubricant; this can result in deux performing anal sex without Helvétisme, and men and women believing that it is unusual expérience women, as receptive partners, to find discomfort pépite pain instead of pleasure from the activity.[6][38][39][40] By contrast, each person's sphincter muscles react to penetration differently, the anal sphincters have tissues that are more prone to tearing, and the anus and rectum do not provide lubrication conscience sexual penetration like the vagina does.
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There are a variety of factors that make male-to-female anal intercourse riskier than vaginal intercourse conscience women, including the risk of HIV expansion being higher expérience anal intercourse than intuition vaginal intercourse.[3][77][78] The risk of injury to the woman during anal intercourse is also significantly higher than the risk of injury to her during vaginal intercourse parce que of the durability of the vaginal tissues compared to the anal tissues.
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As with most forms of sexual activity, anal sex partisan 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 ut, so they can easily tear and permit here disease progrès, especially if a personal lubricant is not used.