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- Apr 12, 2008
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Is it safe?
Anal sex, if practised with care, is possible for most couples.
It does, however, carry health risks and there are safer sexual practices that couples can enjoy.
The main health risks, which affect both heterosexual and homosexual couples, are described below.
Protection
- Human immunodeficiency virus (HIV): there is no doubt that anal intercourse carries a greater risk of transmission of HIV – the virus that can cause acquired immunodeficiency syndrome (AIDS) – than other sexual activities, particularly for the receptive partner.
- Human papilloma virus and warts: this virus can be transmitted during anal intercourse and that may lead to anal warts.
- HPV and anal cancer: unfortunately, certain strains of HPV virus do have carcinogenic (cancer-provoking) potential. There are some types of HPV that cause cancer of the cervix in women and probably also cancer of the throat. Round about the beginning of the present century, research showed that HPV could be isolated from the tissues of many anal cancers. By 2008, it became clear that people who had been anally penetrated by multiple partners were unusually likely to get carcinoma of the anus. A Danish study has recently suggested that gay men may have a 17-fold increase in risk of anal cancer – but close inspection of this paper reveals that the number of people involved was very small. So the case is not quite proven yet, but there are enough data to suggest that if you are going in for anal intercourse, it's safest to do it with only one regular partner.
- Hepatitis A (infectious hepatitis): this is a viral infection that can cause jaundice and abdominal pain. Hepatitis A is not usually a life-threatening illness, although sufferers can feel quite ill. It can be transmitted by oral-anal contact.
- Hepatitis C: is a cause of progressive and sometimes fatal chronic liver disease. Hepatitis C may be transmitted by anal intercourse, although this seems to be a rare occurrence. Sharing of equipment for intravenous drug use is a far more important risk for transmission.
- Escherichia coli (E. coli): may sometimes cause mild to severe, or even (very rarely) fatal, gastroenteritis. It is one of many viruses and bacteria that can be transmitted by oral-anal contact. Some E. coli strains (uropathic E. coli) can also cause urinary tract infections (UTIs), ranging from cystitis to pyelonephritis – a serious kidney infection. E. coli very readily crosses the short distance between the female anus and the female urinary opening, so causing a urinary infection. Anal intercourse can facilitate this transfer, particularly if it is immediately followed by vaginal intercourse.
Avoiding anal sex altogether is of course the best way of avoiding these risks.
There are other, safer sexual practices that can be exciting and rewarding, but many couples may still wish to try the anal route.
The use of condoms and water-based lubricants, such as K-Y Jelly, will offer some protection.
Other lubricants may cause condoms to split, as will over-energetic thrusting without adequate lubrication.
Specially toughened condoms designed for anal intercourse may offer more protection.
How to have anal intercourse safely
Anal intercourse involves the penetration of the anus and rectum with the erect penis for the purpose of sexual stimulation.
It is possible for both men and women to 'receive' it, although care is needed for it to be safe and comfortable.
Ensure the anal area is clean and the bowel is empty. This is important both aesthetically and practically. If the bowel is empty, there is no risk of the receptive partner passing faeces.
First try gently inserting a lubricated finger, perhaps covered by a condom or glove into the anus. This will enable the receiving partner to find out whether penetration is comfortable and enjoyable. Having managed to accommodate one finger, you can run it around the anal canal – gently stretching it. This must be done delicately so as not to cause pain or injury.
If this is successfully achieved, the couple may agree to try with a well-lubricated penis or with a butt plug (a broad-based anal dilator), dildo or vibrator (see below about the risks of sex aids and anal sex).
Gentleness, care, adequate lubrication and anal relaxation are required, not the insertive partner pushing harder! If condoms are used for penile penetration, which is advisable to reduce the risk of sexually transmitted disease, it is important to use a water-based lubricant. The insertive partner must be gentle with any thrusting, so as to give the receptive partner time to allow the sphincter to relax. With time and practice, this may become easier.
Drugs and anal sex
Fisting
- Muscle relaxant drugs (amyl nitrate, butyl nitrate, glyceryl trinitrate) have been tried to make anal intercourse easier or more comfortable. We do not recommend this. Amyl nitrate 'poppers' sold in small bottles for inhalation, are popular in the gay community and have a reputation both for enhancing the intensity of orgasm and helping relax the anal sphincter. There's no real evidence to support these assertions and its use isnot recommended by medical authorities. It is important to remember that amyl nitrate is a potent drug with many side-effects, including facial flushing, headaches, dizziness and low blood pressure, which may lead to faintness and loss of consciousness. Amyl nitrate, when taken with Viagra (sildenafil), may cause a catastrophic drop in blood pressure with potentially fatal consequences. Other nitrates may have the same effect. All erection-inducing drugs, including Viagra (sildenafil), Cialis (tadalafil)and Levitra tablets (vardenafil), can be very dangerous if you are using nitrates.
- Local anaesthetics, such as lignocaine (lidocaine) cream or even locally applied cocaine, have been used to reduce anal pain during intercourse. Again, we strongly advise against this. By numbing the anal skin there is a real risk of causing serious injury to the anal sphincter through over-vigorous thrusting. By following the steps above it is possible to gently dilate the sphincter for comfortable intercourse. The purpose of pain is to make us aware that we are causing injury and, therefore, local anaesthetics should be avoided. Another problem with local anaesthetics is that they may make the penis of the insertive partner numb. This may lead to problems with erection, orgasm and ejaculation.
This means putting the whole hand into the rectum.
With adequate relaxation it's physically possible, and it may be acceptable and enjoyable for some couples. But the diameter of the hand is so much greater than that of the penis that there's an increased risk of anal injury. For that reason, we do not recommend this practice.
In reality, anal fisting is very rarely used by heterosexual couples.
Rimming
Rimming involves oral contact with the anus for sexual stimulation. This involves a high risk of transmission of infection. So we cannot recommend this practice.
Sex aids and anal sex – a cautionary note
Some couples like to use sex aids for insertion into the anus. Certain individuals may use them for solitary sexual stimulation.
The same principles apply as for genital insertion in that relaxation is essential. Sex aids must be kept clean and washed carefully between use. Condoms may be placed over sex aids as an additional precaution.
One additional risk from the use of sex aids in anal sex is that of losing the aid into the rectum.
Read more: http://www.netdoctor.co.uk/sexandrelationships/analsex.htm#ixzz2EriOyksK
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majority ya madhara hapo yapo hata kwenye sex ya kawaida
Ni taboo na imani ndivyo vinavyotakiwa kuwa misingi, mengine yote ni madhara kama madhara mengine ya ngono, kuna akina mama kutengua cervix, kuchanika uke au hata kupata cystitis sababu ya kutiana kawaida
we need to observe zaidi prevention ya magonjwa, hygiene na kuumizana katika mahusiano ya kingono ya namna yoyote ile