Anal sex can expose participants to two principal dangers: infections due to the high number of infectious microorganisms not found elsewhere on the body, and physical damage to the anus and the rectum due to their fragility.
Infection
Unprotected penile-anal penetration, carries a higher risk of passing on sexually transmitted infections because the anal sphincter is a delicate, easily-torn tissue which can tear and provide an entry for pathogens. Use of condoms, ample lubrication to reduce the risk of tearing, and other safer sex practices reduce the risk.
Unprotected receptive anal sex is considered the sex act most likely to result in HIV transmission. Other infections like human papillomavirus (HPV) (which can increase risk of anal cancer and typhoid fever), amoebiasis; chlamydia; E. coli infections; giardiasis; gonorrhea; hepatitis A; hepatitis B; hepatitis C; herpes simplex...
Physical damage
Physical damage to the rectum and anus can manifest as generalized ano-rectal trauma, anal fissures, rectal prolapse, and exacerbating hemorrhoids. Adequate lubrication and preparation reduces the risk of physical trauma.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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