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Anal sex is a form of of the erect Penis into the Rectum . ANAL INTERCOURSE Male-male having anal sex with Antinous in Egypt, portrayed by Édouard-Henri Avril ]] In premodern societies, including ancient Greece and premodern Japan , anal sex was associated with male-male Paederastic Relationships . Manuscripts and art from those periods depict anal sex as the main or only sexual activity that occurred in such relationships. In modern times, particularly in Western cultures, anal sex has been popularly associated with Gay and Bisexual men. In particular, anal sex has been associated with the spread of HIV , especially in early years of the discovery of the disease. This resulted in Gay Bathhouse s in some American cities being shut down by public-health authorities. Among ". Male-female In several cultures female receptive anal intercourse in a heterosexual context is widely accepted, especially as there is very low risk of unwanted Pregnancy via unprotected anal intercourse (though this is not an absolute guarantee, since semen can leak from the anus, across the Perineum , and enter the Vagina ). Anal sex is even sometimes seen as preserving female Virginity , because it leaves the Hymen intact. Another reason is that the anus is considered to be tighter than the vagina, therefore yielding more tactile pleasure for the penis. The Renaissance poet Pietro Aretino strongly recommended the practice of anal sex in his ''Sonetti Lussuriosi'' (Lust Sonnets).1 Anal sex and female virginity Though more often applied to first penetration,234 the concept of "technical Virginity " is sometimes conceived of as resting solely on vaginal penetration.5 In Norman Mailer 's novel '' Harlot's Ghost '', a character states that in Italy, an unmarried woman had to be "a maiden before and a martyr behind" which implied that such women often resorted to anal sex, and anal sex was consistently painful. In other cases first anal intercourse is conceived of as ending a separate virginity from first vaginal intercourse,67 with varying degrees of seriousness. In a Rolling Stone interview comedian Sarah Silverman joked: "I didn't lose my virginity until I was twenty-six. Nineteen vaginally, but twenty-six what my boyfriend calls 'the real way.'"http://www.rollingstone.com/news/story/8719206/dirty_rotten_princess Frequency Determining the proportion of people that engage in anal sex, and the frequency with which they do so, is rather difficult. Sexual surveys tend to reflect whether those surveyed have ever had anal sex, or whether they have had anal sex in the last year, instead of distinguishing between those who have tried it one or a few times and those who regularly have anal sex. The Gay Urban Men's Study (P.I. Stall, UCSF) and the Young Men's Study (YMS, PI Osmond/Catania, UCSF), indicate that 50% of men surveyed engage in anal sex. The Laumann Study claims that 80% of gay men practice it, while the remaining 20% never engage in it at all. found that number to be closer to 40%. More recently, a researcher from the University Of British Columbia in 2005 put the number of heterosexuals who have practiced anal sex at between 30% and 50%. 8 Most recently, a 2006 survey conducted by the Centers for Disease Control determined that the incidence of anal relations in the heterosexual population is on the increase. The survey showed that 38.2 percent of men between 20 and 39 and 32.6 percent of women aged 18 to 44 had engaged in heterosexual anal sex; in 1992 a similar survey found that only 25.6 percent of men 18 to 59 and 20.4 percent of women 18 to 59 had. {Link without Title} 2006 survey of sexual behavior from the CDC. OTHER ANAL SEXUAL BEHAVIOR Anal sex need not involve penile insertion. The active partner (male or female) may use appendages other than a penis, such as 2007 THE PROSTATE The Prostate gland, also known as a "male G-spot", "P-spot", or "A-spot" can be stimulated during anal intercourse. The A-Spot , Talk Sex with Sue Johansen, 2005, retrieved 2007-04-29 Stimulation of the Prostate Gland can result in pleasurable sensations and can lead to a distinct type of Orgasm in some cases. The prostate is located next to the rectum and is the larger, more developed The G Spot: And Other Discoveries About Human Sexuality by Alice Kahn Ladas, Beverly Whipple, and John D. Perry, pg 57. male Homologue to the Skene's Glands , also known as the "G-spot" Bigger is better when it comes to the G spot , Nicola Jones, NewScientist.com, July 2002, retrieved 2007-04-29 or "female prostate",9 which are located around the urethra and can be felt through the wall of the vagina. HYGIENE Although the rectum is associated with fecal matter, anal sex is not necessarily messy because the rectum is usually empty: it only contains a significant amount of feces at the point when it needs to be emptied. Once the rectum is emptied normally, it contains only a small amount of Feces . Enema s can also be used to empty the rectum. RISKS AND PROTECTIVE MEASURES Anal sex exposes participants to hazards of two kinds: infections, due to the high number of infectious , 2005 , retrieved 2007-04-29 Infectious diseases Among the diseases with which anal sex is associated are HIV, What are the Dangers of Anal Sex? , SexInfo, University of California at Santa Barbara, retrieved 2007-04-29 anal cancer, Anal Cancer in Gay & Bisexual Men , LGBTHealthChannel, retrieved 2007-04-29 typhoid fever Sexual Transmission of Typhoid Fever: A Multistate Outbreak among Men Who Have Sex with Men , Reller, Megan E. et al, Clinical Infectious Diseases, volume 37 (2003), pages 141 – 144, retrieved ; Chlamydia ; Cryptosporidiosis ; Giardiasis ; Gonorrhea ; Hepatitis A ; Hepatitis B ; Hepatitis C ; Herpes Simplex ; Human Papillomavirus ; Lymphogranuloma Venereum ; Pubic Lice ; Salmonellosis ; Shigella ; Syphilis ; Tuberculosis . Anal Health , Sexual Health Channel, retrieved 2007-04-29 Diseases From Anal Sex Harold Oster, MD, iVillage, retrieved 2007-04-29 Tuberculosis , The Mayo Clinic, retrieved 2007-04-29 HIV/AIDS The high concentration of white blood cells around the rectum, together with the risk of cuts to the rectum and that one of the functions of the rectum is to absorb fluid, increases the risk of HIV transmission because the HIV retrovirus reproduces within the immune system's T-cells/CD4 cells. Use of Condom s and other precautions are a medically recommended way to lessen risk of infections. Unprotected receptive anal sex is the most risky sexual behavior in terms of HIV transmission. High-Risk Sexual Behavior by HIV-Positive Men Who Have Sex with Men --- 16 Sites, United States, 2000--2002 , MMWR Weekly, October 1 , 2004 / 53(38);891-894, retrieved 2007-04-29 "Am I at Risk for HIV Infection?" Mark Cichocki, About:HIV/AIDS, retrieved 2007-04-29 The truth about barebacking Dr. Jeffrey Klausner, PlanetOut, retrieved 2007-04-29 Physical damage Physical damage to the rectum and anus can manifest as generalized ano-rectal trauma, Hemorrhoid s, Anal Fissure s, Anal Health , Sexual Health Channel, retrieved 2007-04-29 and Rectal Prolapse . Damage is more likely if intercourse is forcible or aggressive, if alcohol or other drugs have dulled sensitivity, if communication is poor, or if technique is clumsy. Incontinence Incontinence has also been reported; the result of the anal sphincter losing its tonus. Net Doctor - Sex and Relationships Does anal sex cause incontinence? , NetDoctor.co.uk, 2006-06-19 , retrieved 2007-04-29 A 1993 study published in the ''Journal of the Royal Society of Medicine'' found that out of a sample of forty men receiving anal intercourse, fourteen experienced episodes of frequent anal incontinence. Effect of anoreceptive intercourse on anorectal function AJ Miles, TG Allen-Mersh and C Wastell, Department of Surgery, Westminster Hospital, London; in ''Journal of the Royal Society of Medicine'' Vol 86, Issue 3 144-147; 1993, retrieved 2007-04-29 Tristan Taormino argues in her book '' The Ultimate Guide To Anal Sex For Women '' that proper technique, clear communication, and mutual consent can reduce the risk of incontinence. Protective measures As the Rectum has no natural lubrication, Artificial Lubrication is most often required or preferred when penetrating the anus. Because the Vaginal Opening is located so close to the Anus , without Proper Precautions it is not uncommon for sexual partners to spread bacteria from the anus into the vagina as well as the urethra, the repercussions of which can include Urinary Tract Infection (UTI), which can lead to infection of the kidneys. This also happens if an object or appendage is inserted rectally and then vaginally before proper cleaning. Latex gloves or condoms can be used to reduce the risk. It is also possible to take acceptable measures separate from such protection, which include (but are not limited to) hand washing and being conscious and wary of where one's hands and devices are placed. Condoms may be less effective and more prone to burst or slip during anal sex than vaginal sex. While one study estimates that condoms fail anywhere from 10% - 32% of the time during anal sex,10 SIECUS indicates a much lower failure rate of 0.5 to 12%. The Truth about Condoms SIECUS |
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