Science behind anal sex

Anal intercourse is a highly efficient mode of HIV transmission. Nevertheless, there is evidence to suggest that anal intercourse is also widely practiced by women in the US 1 — 4. Given that anal intercourse is associated with higher rates of heterosexual HIV transmission than vaginal intercourse 10 — 13 , women who engage in unprotected anal intercourse with sexual partners of unknown or seropositive status may be at greater risk for acquiring HIV than women who do not practice anal intercourse or who use protection while doing so. Additionally, Halperin 1 found that women who engaged in anal intercourse were less likely to use condoms during anal intercourse than during vaginal intercourse. Most studies of heterosexual HIV transmission fail to distinguish between vaginal and anal intercourse in their assessments of coital acts, thus continuing to overlook anal intercourse as a potential source of HIV transmission.
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Women who have anal sex: Pleasure or pressure? Implications for HIV prevention

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Anal sex - Wikipedia

Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus , or anus and rectum , for sexual pleasure. While anal sex is commonly associated with male homosexuality , research shows that not all gay men engage in anal sex and that it is not uncommon in heterosexual relationships. 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 tissues are delicate and do not provide lubrication like the vagina does , so they can easily tear and permit disease transmission, especially if a personal lubricant is not used. Strong views are often expressed about anal sex.
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Why Women Engage in Anal Intercourse: Results from a Qualitative Study

Yeah, they can! In cisgender men and people assigned male at birth, anal sex can stimulate the prostate and lead to an orgasm. Prostate orgasms are intense enough to send waves of orgasmic pleasure from head to toe. For cisgender women and people assigned female at birth, anal sex can hit two hot spots: the G-spot and A-spot.
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This study used qualitative methods to assess why women engage in heterosexual anal receptive intercourse AI with a male partner. Four focus groups which comprised women from diverse ethnicities were conducted. All groups were digitally recorded for transcription; transcripts were analyzed using the methods of grounded theory to determine themes. The riskiness of AI was assessed within relationship contexts.
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