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>hxxps://badgirlsbible.com/is-anal-sex-safe (2020/11/20) > Typically, people run into trouble with anal sex when they don’t listen to their body’s cues. We’re specifically talking about pain, which lets you know whether you’re doing anal sex safely. >hxxps://squirrelmunk.com/2017/10/13/so-you-wanna-get-your-butt-fuarrrked/ > You need to be able to feel pain. That’s how you know when something’s wrong. >hxxps://www.elitedaily.com/dating/anal-sex-beginners/1445771 (2016/04/06) > When having anal sex for the first time, he needs to start slowly as he is entering your anus. He can speed up later "The simple columnar epithelium lining the rectal mucosa is significantly more fragile than the stratified squamous epithelium found in the ectocervix and vagina." "HIV Infection and Gut Mucosal Immune Function: Updates on Pathogenesis with Implications for Management and Intervention." Current Infectious Disease Reports. 2010 January; 12(1): 19-27. PMC2821616. doi:10.1007/s11908-009-0072-9. "The functional anal canal is approximately 4 cm in length (from the anal verge to distal rectum). The dentate line, approximately 2 cm above the anal verge, is a major anatomic point when considering the physiology and physiopathology of HD [hemorrhoidal disease] since, distal to the dentate line, the anal canal is lined with squamous epithelium covering the external hemorrhoidal plexus that is innervated by the somatic nervous system and highly sensitive to pain. Internal hemorrhoids are located proximal to the dentate line, where the anal canal is lined with columnar epithelium as in the rectum. This tissue lacks sensitivity due to its innervation by the sympathetic and parasympathetic nervous systems, primarily distinguishing only fullness and pressure. There are typically 3 major anal cushions above the dentate line (right anterior, right posterior, and left lateral) often with some minor accessory cushions between them." "Portuguese Society of Gastroenterology Consensus on the Diagnosis and Management of Hemorrhoidal Disease." GE - Portuguese Journal of Gastroenterology. 2020 Feb; 27(2): 90-102. PMC7113592. doi:10.1159/000502260.

>hxxps://www.cosmopolitan.com/sex-love/news/a17749/anal-sex-misconceptions/ (2020/08/18) > There isn’t enough clear evidence from doctors and researchers that fecal incontinence is a true long-term risk of anal sex, says King. "The anal canal consists of three fibrovascular [hemorrhoidal] cushions that are fed directly by arteriovenous communications. These cushions are supported within the anal canal by a connective tissue framework, and they are important in providing a watertight seal to the anus. The degenerative effects of ageing may weaken or fragment the supporting tissues, and this along with the repeated passage of hard stool and straining produces a shearing force on the cushions [as can anal insertions], leading to their descent and prolapse." "Management of haemorrhoids." British Medical Journal. 2008 February 16; 336(7640): 380-383. PMC2244760. doi:10.1136/bmj.39465.674745.80. "𝐴𝑛𝑜𝑟𝑒𝑐𝑡𝑎𝑙 disease is a significant risk factor for incontinence, including [diseased] hemorrhoids, fissure or fistulae even without surgical intervention." "Fecal Incontinence: Etiology, Evaluation, and Treatment." Clinics in Colon and Rectal Surgery. 2011 March; 24(1): 64-70. PMC3140335. doi:10.1055/s-0031-1272825. "Proctologic complications of anal intercourse include allergic reactions to anal lubricants, prolapsed hemorrhoids, anal fistulas, and fissures. Rectosigmoid tears may result from fist, forearm, and foreign body penetration of the bowel." "Sexually transmitted diseases and traumatic problems in homosexual men." Annals of Internal Medicine. 1980 Jun; 92(6): 805-8. doi:10.7326/0003-4819-92-6-805. (PMID 6992680) [PubMed text inconsistency]

>hxxps://www.plannedparenthood.org/learn/teens/ask-experts/can-anal-sex-have-any-long-term-effects-on-my-body-ive-heard-that-it-can-cause-anal-leakage-later-in-life-and-anal-prolapse-is-this-true (2020/04/24) > Anal sex is perfectly healthy and safe in both the long and short term. "Traumatic complications of rectal intercourse include prolapsed hemorrhoids, anal fistulas and fissures, perirectal abscesses, rectal ulcers, and anal tears." Primary Care Medicine: Office Evaluation and Management of the Adult Patient (2009) - Page 528 "Anal sex can also cause physical damage to the [anus and] rectum, increasing the risk of [diseased] hemorrhoids, fissures, rectal prolapse, and fecal incontinence." What's Up Down There?: Questions You'd Only Ask Your Gynecologist If She Was Your Best Friend (2010) - Page 325

>hxxps://goop.com/wellness/sexual-health/reality-check-anal-sex/ (2017/03/23; updated 2020/01/06) > Q: Does the popularity of anal in porn reflect reality in both homosexual and heterosexual couples? A: No. "Experts say teenage girls are copying what they see in pornography and seeking treatment from family doctors for injuries sustained during “rough sex”. They believe it’s part of the dark side of the sexualisation of the internet generation." ... "According to Reality and Risk, more than 90 per cent of boys and 60 per cent of girls have watched pornography online. Of those videos, more than 88 per cent include physical aggression." ... "Allison Pearson, a columnist for The Telegraph in London, wrote earlier this year that young women are engaging in sex that their bodies are “simply not designed for”. She said a GP she spoke with confessed a growing number of teenage girls were being treated for internal injuries caused by frequent anal sex “not because (they) wanted to, or because (they) enjoyed it — on the contrary — because a boy expected (them) to”." ... "[Dr Meagan Tyler, a research fellow at RMIT University] said research shows women are suffering from faecal incontinence as a result of anal sex and that they’re “uncomfortable” with the assumption that it’s become “the norm”. “That’s the brutal material reality for what it means for these young women’s lives.”" https://www.news.com.au/lifestyle/relationships/sex/boner-garage-posts-a-window-into-the-world-of-sexualised-young-women-online/news-story/f7d83a68c48e378027430fd8e93da349 (June 02, 2015)

>hxxps://www.vice.com/en/article/xdw4q4/does-anal-sex-do-longterm-damage (2016/11/17) > Significant physical trauma due to anal eroticism is rare [...] there isn't really any evidence that anal sex is likely to damage the anus.​ I hope that I don't need to point out why those statements are blatant bs. >hxxps://www.vice.com/en_ca/read/everything-you-ever-wanted-to-know-about-anal-sex (2016/08/18) > [Question] Is there a downside to only doing anal? [Answer] [...] there's not really a downside to doing it all the time. > [Question] Can you do it too much and stretch it out? [Answer] [...] There's a myth that you can stretch the anus, it doesn't work that way. It's actually relaxing the anus. [...] In fact, a lot of people say anal sex is a great way to prevent hemmoroids because the area is much more relaxed. "Frequent anal eroticism is associated with 𝑎𝑛𝑜𝑟𝑒𝑐𝑡𝑎𝑙 pain, ulcers or fissures, rectal prolapse or leakage, and [diseased] hemorrhoids." Primary Care in Obstetrics and Gynecology: A Handbook for Clinicians (2008) - Page 408 "Increased pressure and shearing [frictional sliding] force in the anal canal may lead to severe changes in topography with detachment of the hemorrhoids from the internal sphincter and fibromuscular network resulting in bleeding, itching, pain and disordered 𝑎𝑛𝑜𝑟𝑒𝑐𝑡𝑎𝑙 function, even [fecal] incontinence." "Hemorrhoidectomy: indications and risks." European Journal of Medical Research. 2004 Jan 26; 9(1): 18-36. PMID 14766336.

>hxxps://squirrelmunk.com/2017/10/13/so-you-wanna-get-your-butt-fuarrrked/ This article promotes anal stretching. "Any break in the ring of the internal sphincter is abnormal, and easily recognized on endosonography. Examination of patients after lateral internal anal sphincterotomy has confirmed that sonographic defects correspond to the site of surgical division. After anal dilatation or stretch procedures there may be multiple defects or fragmentation of the sphincter. A number of studies have confirmed a fall in resting pressure with internal sphincter disruption." ... "Endosonography has made a contribution to the prevention of incontinence by showing exactly what procedures are associated with sphincter damage. Manual dilatation of the anus during anaesthesia is comparatively uncontrolled, and the internal sphincter may be damaged in more than half the patients undergoing such stretch procedures. In 32 consecutive cases sphincter defects were found in 65% with some degree of anal incontinence in 12.5%." "Anal endosonography in faecal incontinence." Gut. 1995 Jul; 37(1): 4-6. PMC1382758. doi:10.1136/gut.37.1.4. "Manual dilatation of the anus is falling out of favour as a procedure. Incontinence may be seen in around one-quarter of patients. Endo-anal ultrasound demonstrates sphincter defects in a substantial number of patients, with fragmentation of the IAS being the most common abnormality." "Towards Safer Treatments for Benign 𝐴𝑛𝑜𝑟𝑒𝑐𝑡𝑎𝑙 Disease: The Pharmacological Manipulation of the Internal Anal Sphincter." Annals of The Royal College of Surgeons of England. 2007 September; 89(6): 574-579. PMC2121247. doi:10.1308/003588407x205576.

Walking too often causes plantar fasciitis op. Too much of literally anything is bad for you. Water, you suffocate if you drink too much due to electrolyte imbalances. Too much sugar? Diabetes. Run too far and damage your heart. Never run and damage your heart. Take heart pills and they damage you too. Eat fiber and poo too often, not enough and get constipated. Eat too much sugar free sugar-alcohol food and get diarrhea. Squat too often and get bad knees. Never squat and get a hernia. Never take it up the ass and become mentally ill, or rather anal retentive people are jerks to begin with. Life is all about balance.