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Anal sex or anal intercourse is generally the insertion and
thrusting Thrust is a reaction force described quantitatively by Newton's third law. When a system expels or accelerates mass in one direction, the accelerated mass will cause a force of equal magnitude but opposite direction to be applied to that syst ...
of the erect penis into a person's
anus The anus (Latin, 'ring' or 'circle') is an opening at the opposite end of an animal's digestive tract from the mouth. Its function is to control the expulsion of feces, the residual semi-solid waste that remains after food digestion, which, de ...
, or anus and rectum, for sexual pleasure.Se
pages 270–271
for anal sex information, an
page 118
for information about the
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the ope ...
.
Other forms of anal sex include fingering, the use of
sex toy A sex toy is an object or device that is primarily used to facilitate Human sexual activity, human sexual pleasure, such as a dildo, artificial vagina or Vibrator (sex toy), vibrator. Many popular sex toys are designed to resemble human genita ...
s for anal penetration, oral sex performed on the anus (
anilingus Anilingus (from the Latin ''anus'' + ''-lingus'', from ''lingere'', "to lick", variantly spelled "analingus") is the oral and anal sex act in which a person stimulates the anus of another by using the mouth, including lips, tongue, or teeth. I ...
), and pegging. Although ''anal sex'' most commonly means penileanal penetration, sources sometimes use ''anal intercourse'' to exclusively denote penileanal penetration, and ''anal sex'' to denote any form of anal sexual activity, especially between pairings as opposed to
anal masturbation Anal masturbation is the erotic self-stimulation of the anus and rectum. For humans, common methods of anal masturbation include manual stimulation of the anal opening, and the insertion of an object or objects. Items inserted may be a body p ...
. 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. Types of anal sex can also be a part of
lesbian sexual practices Lesbian sexual practices are sexual activities involving women who have sex with women, regardless of their sexual orientation. A woman who has sex with another woman may identify as a lesbian if she is sexually attracted to women, or bisexual ...
. People may experience pleasure from anal sex by stimulation of the anal nerve endings, and orgasm may be achieved through anal penetration – by indirect stimulation of the prostate in men, indirect stimulation of the
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the ope ...
or an area of the vagina (sometimes called ''the
G-spot The G-spot, also called the Gräfenberg spot (for German gynecologist Ernst Gräfenberg), is characterized as an erogenous area of the vagina that, when stimulated, may lead to strong sexual arousal, powerful orgasms and potential female eja ...
'') in women, and other sensory nerves (especially the pudendal nerve). However, people may also find anal sex painful, sometimes extremely so, which may be due to psychological factors in some cases. 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 tissue 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 Personal lubricants (colloquially termed lube) are specialized lubricants used during sexual acts, such as intercourse and masturbation, to reduce friction to or between the penis and vagina, anus or other body parts or applied to sex toys to red ...
is not used. Anal sex without protection of a condom is considered the riskiest form of sexual activity, and therefore health authorities such as the World Health Organization (WHO) recommend safe sex practices for anal sex.World Health Organization, Department of Reproductive Health and Researc
Global strategy for the prevention and control of sexually transmitted infections: 2006–2015. Breaking the chain of transmission
, 2007,
Strong views are often expressed about anal sex. It is controversial in various cultures, especially with regard to religious prohibitions. This is commonly due to prohibitions against anal sex among males or teachings about the procreative purpose of sexual activity. It may be considered taboo or unnatural, and is a
criminal offense In ordinary language, a crime is an unlawful act punishable by a state or other authority. The term ''crime'' does not, in modern criminal law, have any simple and universally accepted definition,Farmer, Lindsay: "Crime, definitions of", in Ca ...
in some countries, punishable by
corporal Corporal is a military rank in use in some form by many militaries and by some police forces or other uniformed organizations. The word is derived from the medieval Italian phrase ("head of a body"). The rank is usually the lowest ranking non- ...
or
capital punishment Capital punishment, also known as the death penalty, is the state-sanctioned practice of deliberately killing a person as a punishment for an actual or supposed crime, usually following an authorized, rule-governed process to conclude that t ...
. By contrast, anal sex may also be considered a natural and valid form of sexual activity as fulfilling as other desired sexual expressions, and can be an enhancing or primary element of a person's
sex life In human sexuality, a sex life is a sector of a person's day-to-day existence which may involve sexual activity or represent the absence of sexual activity. In general parlance, the term can have many sub-meanings and social layers, but generally ...
.


Anatomy and stimulation

The abundance of nerve endings in the anal region and rectum can make anal sex pleasurable for men or women. The
internal Internal may refer to: *Internality as a concept in behavioural economics *Neijia, internal styles of Chinese martial arts *Neigong or "internal skills", a type of exercise in meditation associated with Daoism *''Internal (album)'' by Safia, 2016 ...
and external sphincter muscles control the opening and closing of the anus; these muscles, which are sensitive membranes made up of many nerve endings, facilitate pleasure or pain during anal sex. ''Human Sexuality: An Encyclopedia'' states that "the inner third of the anal canal is less sensitive to touch than the outer two-thirds, but is more sensitive to pressure" and that "the rectum is a curved tube about eight or nine inches long and has the capacity, like the anus, to expand". Research indicates that anal sex occurs significantly less frequently than other sexual behaviors, but its association with dominance and submission, as well as taboo, makes it an appealing stimulus to people of all sexual orientations. In addition to sexual penetration by the penis, people may use
sex toys A sex toy is an object or device that is primarily used to facilitate human sexual pleasure, such as a dildo, artificial vagina or vibrator. Many popular sex toys are designed to resemble human genitals, and may be vibrating or non-vibrating ...
such as a
dildo A dildo is a sex toy, often explicitly phallic in appearance, intended for sexual penetration or other sexual activity during masturbation or with sex partners. Dildos can be made from a number of materials and shaped like an erect human penis ...
, a
butt plug A butt plug is a sex toy that is designed to be inserted into the rectum for sexual pleasure. They are similar to a dildo in some ways but tend to be shorter and have a flanged end to prevent the device from being lost inside the rectum. Histor ...
or
anal beads Anal beads are a sex toy consisting of multiple balls attached in series. Individual balls are continuously inserted through the anus into the rectum and then removed with varying speeds depending on the desired effect. The main use of anal beads ...
, engage in fingering,
anilingus Anilingus (from the Latin ''anus'' + ''-lingus'', from ''lingere'', "to lick", variantly spelled "analingus") is the oral and anal sex act in which a person stimulates the anus of another by using the mouth, including lips, tongue, or teeth. I ...
, pegging,
anal masturbation Anal masturbation is the erotic self-stimulation of the anus and rectum. For humans, common methods of anal masturbation include manual stimulation of the anal opening, and the insertion of an object or objects. Items inserted may be a body p ...
or
fisting Fisting, handballing, fist-fucking, brachiovaginal, or brachioproctic insertion is a sexual activity that involves inserting a hand into the vagina or rectum. Once insertion is complete, the fingers are either clenched into a fist or kept straig ...
for anal sexual activity, and different
sex position A sex position is a position of the body that people use for sexual intercourse or other sexual activities. Sexual acts are generally described by the positions the participants adopt in order to perform those acts. Though sexual intercourse g ...
s may also be included. Fisting is the least practiced of the activities, partly because it is uncommon that people can relax enough to accommodate an object as big as a fist being inserted into the anus. In a male
receptive partner In human sexuality, top, bottom, and versatile are roles during sexual activity, especially between two men. A ''top'' is usually a person who penetrates, a ''bottom'' is usually one who receives penetration, and someone who is ''versatile'' e ...
, being anally penetrated can produce a pleasurable sensation due to the object of insertion rubbing or brushing against the prostate through the anal wall. This can result in pleasurable sensations and can lead to an orgasm in some cases. Prostate stimulation can produce a deeper orgasm, sometimes described by men as more widespread and intense, longer-lasting, and allowing for greater feelings of ecstasy than orgasm elicited by penile stimulation only. The prostate is located next to the rectum and is the larger, more developed male homologue (variation) to the female
Skene's glands In female human anatomy, Skene's glands or the Skene glands ( , also known as the lesser vestibular glands, paraurethral glands) are glands located around the lower end of the urethra. The glands are surrounded by tissue that swells with blo ...
. It is also typical for a man to not reach orgasm as a receptive partner solely from anal sex. General statistics indicate that 70–80% of women require direct
clitoral The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the open ...
stimulation to achieve orgasm. The vaginal walls contain significantly fewer nerve endings than the clitoris (which has many nerve endings specifically intended for orgasm), and therefore intense sexual pleasure, including orgasm, from vaginal sexual stimulation is less likely to occur than from direct clitoral stimulation in the majority of women. The clitoris is composed of more than the externally visible
glans The glans (, plural "glandes" ; from the Latin word for "acorn") is a vascular structure located at the tip of the penis in male mammals or a homologous genital structure of the clitoris in female mammals. Structure The exterior structure ...
(head). The vagina, for example, is flanked on each side by the
clitoral crura The clitoral crura (singular: clitoral crux) are two erectile tissue structures, which together form a V-shape. ''Crus'' is a Latin word that means "leg". Each "leg" of the ''V'' converges on the clitoral body. At each divergent point is a corp ...
, the internal legs of the clitoris, which are highly sensitive and become engorged with blood when sexually aroused. * Indirect stimulation of the clitoris through anal penetration may be caused by the shared sensory nerves, especially the pudendal nerve, which gives off the
inferior anal nerves The Inferior rectal nerves (inferior anal nerves, inferior hemorrhoidal nerve) usually branch from the pudendal nerve but occasionally arises directly from the sacral plexus; they cross the ischiorectal fossa along with the inferior rectal arter ...
and divides into the
perineal nerve The perineal nerve is a nerve of the pelvis. It arises from the pudendal nerve in the pudendal canal. It gives superficial branches to the skin, and a deep branch to muscles. It supplies the skin and muscles of the perineum. Its latency is tes ...
and the
dorsal nerve of the clitoris The dorsal nerve of the clitoris is a nerve in females that branches off the pudendal nerve to innervate the clitoris. The nerve is important for female sexual pleasure, and it may play a role in clitoral erections. It travels from below the infer ...
. Although the anus has many nerve endings, their purpose is not specifically for inducing orgasm, and so a woman achieving orgasm solely by anal stimulation is rare. The Gräfenberg spot, or
G-spot The G-spot, also called the Gräfenberg spot (for German gynecologist Ernst Gräfenberg), is characterized as an erogenous area of the vagina that, when stimulated, may lead to strong sexual arousal, powerful orgasms and potential female eja ...
, is a debated area of female anatomy, particularly among doctors and researchers, * but it is typically described as being located behind the female pubic bone surrounding the urethra and accessible through the anterior wall of the vagina; it and other areas of the vagina are considered to have tissue and nerves that are related to the clitoris. Direct stimulation of the clitoris, a G-spot area, or both, while engaging in anal sex can help some women enjoy the activity and reach orgasm during it.Se
page 3
for women preferring anal sex to vaginal sex, an
page 15
for reaching orgasm through indirect stimulation of the G-spot.
Stimulation from anal sex can additionally be affected by popular perception or portrayals of the activity, such as erotica or pornography. In pornography, anal sex is commonly portrayed as a desirable, painless routine that does not require
personal lubricant Personal lubricants (colloquially termed lube) are specialized lubricants used during sexual acts, such as intercourse and masturbation, to reduce friction to or between the penis and vagina, anus or other body parts or applied to sex toys to red ...
; this can result in couples performing anal sex without care, and men and women believing that it is unusual for women, as receptive partners, to find discomfort or pain instead of pleasure from the activity.Se
page 560
for effects of viewing pornography with regard to anal sex, an
pages 286–289
for anal sex as a birth control method.
Pdf.Preview.
By contrast, each person's sphincter muscles react to penetration differently, the anal sphincters have tissues that are more prone to tearing, and the anus and rectum do not provide lubrication for sexual penetration like the vagina does. Researchers say adequate application of a personal lubricant, relaxation, and communication between sexual partners are crucial to avoid pain or damage to the anus or rectum. Additionally, ensuring that the anal area is clean and the
bowel The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organs of the digestive system, in humans and ...
is empty, for both aesthetics and practicality, may be desired by participants.


Male to female


Behaviors and views

The anal sphincters are usually tighter than the
pelvic muscles The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus muscle, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the leva ...
of the vagina, which can enhance the sexual pleasure for the inserting male during male-to-female anal intercourse because of the pressure applied to the penis. Men may also enjoy the penetrative role during anal sex because of its association with dominance, because it is made more alluring by a female partner or society in general insisting that it is forbidden, or because it presents an additional option for penetration. While some women find being a receptive partner during anal intercourse painful or uncomfortable, or only engage in the act to please a male sexual partner, other women find the activity pleasurable or prefer it to
vaginal intercourse Sexual intercourse (or coitus or copulation) is a sexual activity typically involving the insertion and thrusting of the penis into the vagina for sexual pleasure or reproduction.Sexual intercourse most commonly means penile–vaginal penetra ...
. In a 2010 clinical review article of heterosexual anal sex, ''anal intercourse'' is used to specifically denote penile-anal penetration, and ''anal sex'' is used to denote any form of anal sexual activity. The review suggests that anal sex is exotic among the sexual practices of some heterosexuals and that "for a certain number of heterosexuals, anal intercourse is pleasurable, exciting, and perhaps considered more intimate than vaginal sex". Anal intercourse is sometimes used as a substitute for vaginal intercourse during menstruation. The likelihood of pregnancy occurring during anal sex is greatly reduced, as anal sex alone cannot lead to pregnancy unless sperm is somehow transported to the vaginal opening. Because of this, some couples practice anal intercourse as a form of contraception, often in the absence of a condom. Male-to-female anal sex is commonly viewed as a way of preserving female
virginity Virginity is the state of a person who has never engaged in sexual intercourse. The term ''virgin'' originally only referred to sexually inexperienced women, but has evolved to encompass a range of definitions, as found in traditional, modern ...
because it is non-procreative and does not tear the hymen; a person, especially a teenage girl or woman, who engages in anal sex or other sexual activity with no history of having engaged in vaginal intercourse is often regarded among heterosexuals and researchers as not having yet experienced virginity loss. This is sometimes called '' technical virginity.''Se
here
an
pages 48–49
for the majority of researchers and heterosexuals defining virginity loss/"technical virginity" by whether or not a person has engaged in vaginal sex.
Heterosexuals may view anal sex as "fooling around" or as
foreplay Foreplay is a set of emotionally and physically intimate acts between one or more people meant to create sexual arousal and desire for sexual activity. Although foreplay is typically understood as physical sexual activity, nonphysical activiti ...
; scholar Laura M. Carpenter stated that this view "dates to the late 1600s, with explicit 'rules' appearing around the turn of the twentieth century, as in marriage manuals defining petting as 'literally every caress known to married couples but does not include complete sexual intercourse.'"


Prevalence

Because most research on anal intercourse addresses
men who have sex with men Men who have sex with men (MSM) are male persons who engage in sexual activity with members of the same sex. The term was created in the 1990s by epidemiologists to study the spread of disease among all men who have sex with men, regardless of ...
, little data exists on the prevalence of anal intercourse among heterosexual couples. In Kimberly R. McBride's 2010 clinical review on heterosexual anal intercourse and other forms of anal sexual activity, it is suggested that changing norms may affect the frequency of heterosexual anal sex. McBride and her colleagues investigated the prevalence of non-intercourse anal sex behaviors among a sample of men (n=1,299) and women (n=1,919) compared to anal intercourse experience and found that 51% of men and 43% of women had participated in at least one act of oral–anal sex, manual–anal sex, or anal sex toy use. The report states the majority of men (n=631) and women (n=856) who reported heterosexual anal intercourse in the past 12 months were in exclusive, monogamous relationships: 69% and 73%, respectively. The review added that because "relatively little attention sgiven to anal intercourse and other anal sexual behaviors between heterosexual partners", this means that it is "quite rare" to have research "that specifically differentiates the anus as a sexual organ or addresses anal sexual function or dysfunction as legitimate topics. As a result, we do not know the extent to which anal intercourse differs qualitatively from coitus." According to a 2010 study from the
National Survey of Sexual Health and Behavior The National Survey of Sexual Health and Behavior is a decade-long nationally representative study of human sexual behavior. The research has been conducted in the United States by researchers from the Center for Sexual Health Promotion in the Scho ...
(NSSHB) that was authored by
Debby Herbenick Debby Herbenick ( )) is an American author, research scientist, sex educator, sex advice columnist, children's book author, blogger, television personality, professor, and human sexuality expert in the media. Herbenick is a professor at the Ind ...
et al., although anal intercourse is reported by fewer women than other partnered sex behaviors, partnered women in the age groups between 18 and 49 are significantly more likely to report having anal sex in the past 90 days. Women engaged in anal intercourse less commonly than men. Vaginal intercourse was practiced more than insertive anal intercourse among men, but 13% to 15% of men aged 25 to 49 practiced insertive anal intercourse. With regard to adolescents, limited data also exists. This may be because of the taboo nature of anal sex and that teenagers and caregivers subsequently avoid talking to one another about the topic. It is also common for subject review panels and schools to avoid the subject. A 2000 study found that 22.9% of college students who self-identified as non-virgins had anal sex. They used condoms during anal sex 20.9% of the time as compared with 42.9% of the time with vaginal intercourse. Anal sex being more common among heterosexuals today than it was previously has been linked to the increase in consumption of anal pornography among men, especially among those who view it on a regular basis. Seidman et al. argued that "cheap, accessible and, especially, interactive media have enabled many more people to produce as well as consume pornography", and that this modern way of producing pornography, in addition to the buttocks and anus having become more eroticized, has led to a significant interest in or obsession with anal sex among men.


Male to male


Behaviors and views

Historically, anal sex has been commonly associated with male homosexuality. However, many gay men and men who have sex with men in general (those who identify as gay,
bisexual Bisexuality is a romantic or sexual attraction or behavior toward both males and females, or to more than one gender. It may also be defined to include romantic or sexual attraction to people regardless of their sex or gender identity, whic ...
, heterosexual or have not identified their sexual identity) do not engage in anal sex. Among men who have anal sex with other men, the insertive partner may be referred to as the ''
top A spinning top, or simply a top, is a toy with a squat body and a sharp point at the bottom, designed to be spun on its vertical axis, balancing on the tip due to the gyroscopic effect. Once set in motion, a top will usually wobble for a few ...
'' and the one being penetrated may be referred to as the '' bottom''. Those who enjoy either role may be referred to as '' versatile''. Gay men who prefer anal sex may view it as their version of intercourse and a natural expression of intimacy that is capable of providing pleasure. The notion that it might resonate with gay men with the same emotional significance that vaginal sex resonates with heterosexuals has also been considered. Some men who have sex with men, however, believe that being a receptive partner during anal sex questions their masculinity. Men who have sex with men may also prefer to engage in
frot Frot or frotting (slang for frottage; ) is a non-penetrative form of male-to-male sexual activity that usually involves direct penis-to-penis contact. The term was popularized by gay men activists who disparaged the practice of anal sex, but ...
or other forms of mutual masturbation because they find it more pleasurable or more affectionate, to preserve technical virginity, or as safe sex alternatives to anal sex, while other frot advocates denounce anal sex as degrading to the receptive partner and unnecessarily risky.


Prevalence

Reports regarding the prevalence of anal sex among gay men and other men who have sex with men vary. A survey in '' The Advocate'' in 1994 indicated that 46% of gay men preferred to penetrate their partners, while 43% preferred to be the receptive partner. Other sources suggest that roughly three-fourths of gay men have had anal sex at one time or another, with an equal percentage participating as tops and bottoms. A 2012 NSSHB sex survey in the U.S. suggests high lifetime participation in anal sex among gay men: 83.3% report ever taking part in anal sex in the insertive position and 90% in the receptive position, even if only between a third and a quarter self-report very recent engagement in the practice, defined as 30 days or less. Oral sex and mutual masturbation are more common than anal stimulation among men in sexual relationships with other men. According to Weiten et al., anal intercourse is generally more popular among gay male couples than among heterosexual couples, but "it ranks behind oral sex and mutual masturbation" among both sexual orientations in prevalence. Wellings et al. reported that "the equation of 'homosexual' with 'anal' sex among men is common among lay and health professionals alike" and that "yet an Internet survey of 180,000 MSM across Europe (EMIS, 2011) showed that oral sex was most commonly practised, followed by mutual masturbation, with anal intercourse in third place".


Female to male

Women may sexually stimulate a man's anus by fingering the exterior or interior areas of the anus; they may also stimulate the perineum (which, for males, is between the base of the scrotum and the anus), massage the prostate or engage in anilingus. Sex toys, such as a
dildo A dildo is a sex toy, often explicitly phallic in appearance, intended for sexual penetration or other sexual activity during masturbation or with sex partners. Dildos can be made from a number of materials and shaped like an erect human penis ...
, may also be used. The practice of a woman penetrating a man's anus with a
strap-on dildo A strap-on dildo (also strap-on) is a dildo designed to be worn, usually with a harness, during sexual activity. Harnesses and dildos are made in a wide variety of styles, with variations in how the harness fits the wearer, how the dildo attac ...
for sexual activity is called pegging. It is common for heterosexual men to reject being receptive partners during anal sex because they believe it is a feminine act, can make them vulnerable, or contradicts their sexual orientation; they may believe being a receptive partner is indicative that they are gay. Reece et al. reported in 2010 that receptive anal intercourse is infrequent among men overall, stating that "an estimated 7% of men 14 to 94 years old reported being a receptive partner during anal intercourse". The ''
BMJ ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origina ...
'' stated in 1999:


Female to female

With regard to
lesbian sexual practice Lesbian sexual practices are sexual activities involving women who have sex with women, regardless of their sexual orientation. A woman who has sex with another woman may identify as a lesbian if she is sexually attracted to women, or bisexual ...
s, anal sex includes fingering, use of a dildo or other sex toys, or anilingus. There is less research on anal sexual activity among
women who have sex with women Women who have sex with women (WSW) are women who engage in sexual activities with other women, whether they identify themselves as lesbian, bisexual, or heterosexual, or dispense with sexual identification altogether. The term ''WSW'' is often u ...
compared to couples of other sexual orientations. In 1987, a non-scientific study (Munson) was conducted of more than 100 members of a lesbian social organization in Colorado. When asked what techniques they used in their last ten sexual encounters, lesbians in their 30s were twice as likely as other age groups to engage in anal stimulation (with a finger or dildo). A 2014 study of partnered lesbian women in Canada and the U.S. found that 7% engaged in anal stimulation or penetration at least once a week; about 10% did so monthly and 70% did not at all. Anilingus is also less often practiced among female same-sex couples.


Health risks


General risks

Anal sex can expose its 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 rectum due to their fragility. Unprotected penile-anal penetration, colloquially known as ''
barebacking Bareback sex is physical Human sexual activity, sexual activity, especially sexual penetration, without the use of a condom. The topic primarily concerns anal sex between men who have sex with men without the use of a condom, and may be distinguis ...
'', carries a higher risk of passing on sexually transmitted infections (STIs) because the anal sphincter is a delicate, easily torn tissue that can provide an entry for pathogens. Use of condoms, ample lubrication to reduce the risk of tearing, and
safer sex In cryptography, SAFER (Secure And Fast Encryption Routine) is the name of a family of block ciphers designed primarily by James Massey (one of the designers of IDEA) on behalf of Cylink Corporation. The early SAFER K and SAFER SK designs share ...
practices in general, reduce the risk of STIs. However, a condom can break or otherwise come off during anal sex, and this is more likely to happen with anal sex than with other sex acts because of the tightness of the anal sphincters during friction. Unprotected receptive anal sex (with an HIV positive partner) is the sex act most likely to result in
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
transmission. Other infections that can be transmitted by unprotected anal sex are human papillomavirus (HPV) (which can increase risk of
anal cancer Anal cancer is a cancer which arises from the anus, the distal opening of the gastrointestinal tract. Symptoms may include bleeding from the anus or a lump near the anus. Other symptoms may include pain, itchiness, or discharge from the anus. A c ...
* *); typhoid fever;
amoebiasis Amoebiasis, or amoebic dysentery, is an infection of the intestines caused by a parasitic amoeba ''Entamoeba histolytica''. Amoebiasis can be present with no, mild, or severe symptoms. Symptoms may include lethargy, loss of weight, colonic ulc ...
;
chlamydia Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium ''Chlamydia trachomatis''. Most people who are infected have no symptoms. When symptoms do appear they may occur only several wee ...
;
cryptosporidiosis Cryptosporidiosis, sometimes informally called crypto, is a parasitic disease caused by ''Cryptosporidium'', a genus of protozoan parasites in the phylum Apicomplexa. It affects the distal small intestine and can affect the respiratory tract i ...
; ''E. coli'' infections; giardiasis; gonorrhea; hepatitis A;
hepatitis B Hepatitis B is an infectious disease caused by the ''Hepatitis B virus'' (HBV) that affects the liver; it is a type of viral hepatitis. It can cause both acute and chronic infection. Many people have no symptoms during an initial infection. For ...
; hepatitis C;
herpes simplex Herpes simplex is a viral infection caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold ...
; Kaposi's sarcoma-associated herpesvirus (HHV-8);
lymphogranuloma venereum Lymphogranuloma venereum (LGV; also known as climatic bubo, Durand–Nicolas–Favre disease, poradenitis inguinale, lymphogranuloma inguinale, and strumous bubo) is a sexually transmitted disease caused by the invasive serovars L1, L2, L2a, L ...
; ''
Mycoplasma hominis ''Mycoplasma hominis'' is a species of bacteria in the genus ''Mycoplasma''. ''M.hominis'' has the ability to penetrate the interior of human cells. Along with ureaplasmas, mycoplasmas are the smallest free-living organisms known. They have no c ...
''; ''
Mycoplasma genitalium ''Mycoplasma genitalium'' (''MG'', commonly known as Mgen) is a sexually transmitted, small and pathogenic bacterium that lives on the mucous epithelial cells of the urinary and genital tracts in humans. Medical reports published in 2007 and 20 ...
'';
pubic lice Pediculosis pubis (also known as "crabs" and "pubic lice") is an infestation by the pubic louse, ''Pthirus pubis'', a wingless insect which feeds on blood and lays its eggs (nits) on mainly pubic hair. Less commonly, hair near the anus, armpi ...
; salmonellosis;
shigella ''Shigella'' is a genus of bacteria that is Gram-negative, facultative anaerobic, non-spore-forming, nonmotile, rod-shaped, and genetically closely related to '' E. coli''. The genus is named after Kiyoshi Shiga, who first discovered it in ...
;
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, and ...
; tuberculosis; and ''
Ureaplasma urealyticum ''Ureaplasma urealyticum'' is a bacterium belonging to the genus ''Ureaplasma'' and the family Mycoplasmataceae in the order Mycoplasmatales. This family consists of the genera ''Mycoplasma'' and ''Ureaplasma''. Its type strain is T960. There a ...
''. As with other sexual practices, people without sound knowledge about the sexual risks involved are susceptible to STIs. Because of the view that anal sex is not "real sex" and therefore does not result in virginity loss, or pregnancy, teenagers and other young people may consider vaginal intercourse riskier than anal intercourse and believe that a STI can only result from vaginal intercourse. It may be because of these views that condom use with anal sex is often reported to be low and inconsistent across all groups in various countries. Although anal sex alone does not lead to pregnancy, pregnancy can still occur with anal sex or other forms of sexual activity if the penis is near the vagina (such as during intercrural sex or other
genital-genital rubbing A sex position is a position of the body that people use for sexual intercourse or other sexual activities. Sexual acts are generally described by the positions the participants adopt in order to perform those acts. Though sexual intercourse g ...
) and its sperm is deposited near the vagina's entrance and travels along the vagina's lubricating fluids; the risk of pregnancy can also occur without the penis being near the vagina because sperm may be transported to the vaginal opening by the vagina coming in contact with fingers or other non-genital body parts that have come in contact with semen. There are a variety of factors that make male-to-female anal intercourse riskier than vaginal intercourse for women, including the risk of HIV transmission being higher for anal intercourse than for vaginal intercourse. The risk of injury to the woman during anal intercourse is also significantly higher than the risk of injury to her during vaginal intercourse because of the durability of the vaginal tissues compared to the anal tissues. Additionally, if a man moves from anal intercourse immediately to vaginal intercourse without a condom or without changing it, infections can arise in the vagina (or urinary tract) due to bacteria present within the anus; these infections can also result from switching between vaginal sex and anal sex by the use of fingers or sex toys. Pain during receptive anal sex among gay men (or men who have sex with men) is formally known as ''anodyspareunia.'' In one study, 61% of gay or bisexual men said they experienced painful receptive anal sex and that it was the most frequent sexual difficulty they had experienced. By contrast, 24% of gay or bisexual men stated that they always experienced some degree of pain during anal sex, and about 12% of gay men find it too painful to pursue receptive anal sex; it was concluded that the perception of anal sex as painful is as likely to be psychologically or emotionally based as it is to be physically based.Handbook of affirmative psychotherapy with lesbians and gay men
By Kathleen Ritter, Anthony I. Terndrup; p350
Factors predictive of pain during anal sex include inadequate lubrication, feeling tense or anxious, lack of stimulation, as well as lack of social ease with being gay and being
closeted ''Closeted'' and ''in the closet'' are metaphors for lesbian, gay, bisexual and transgender and other (LGBTQ+) people who have not disclosed their sexual orientation or gender identity and aspects thereof, including sexual identity and human ...
. Research has found that psychological factors can in fact be the primary contributors to the experience of pain during anal intercourse and that adequate communication between sexual partners can prevent it, countering the notion that pain is always inevitable during anal sex. Unprotected anal sex is a risk factor for formation of
antisperm antibodies Antisperm antibodies (ASA) are antibodies produced against sperm antigens. Types Antisperm antibodies are immunoglobulins of IgG, IgA, and/or IgM, which are directed against sperm antigens. ASA can be detected in ejaculate, cervical mucus, f ...
(ASA) in the recipient. In some people, ASA may cause autoimmune infertility. Antisperm antibodies impair fertilization, negatively affect the implantation process and impair growth and development of the embryo.


Physical damage and cancer

Anal sex can exacerbate
hemorrhoid Hemorrhoids (or haemorrhoids), also known as piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term ''he ...
s and therefore result in bleeding; in other cases, the formation of a hemorrhoid is attributed to anal sex. If bleeding occurs as a result of anal sex, it may also be because of a tear in the anal or rectal tissues (an
anal fissure An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic ...
) or
perforation A perforation is a small hole in a thin material or web. There is usually more than one perforation in an organized fashion, where all of the holes collectively are called a ''perforation''. The process of creating perforations is called perfor ...
(a hole) in the colon, the latter of which being a serious medical issue that should be remedied by immediate medical attention. Because of the rectum's lack of elasticity, the anal
mucous membrane A mucous membrane or mucosa is a membrane that lines various cavities in the body of an organism and covers the surface of internal organs. It consists of one or more layers of epithelial cells overlying a layer of loose connective tissue. It is ...
being thin, and small blood vessels being present directly beneath the mucous membrane, tiny tears and bleeding in the rectum usually result from penetrative anal sex, though the bleeding is usually minor and therefore usually not visible. By contrast to other anal sexual behaviors, anal fisting poses a more serious danger of damage due to the deliberate stretching of the anal and rectal tissues; anal fisting injuries include anal sphincter lacerations and rectal and sigmoid colon (rectosigmoid) perforation, which might result in death. Repetitive penetrative anal sex may result in the anal sphincters becoming weakened, which may cause rectal prolapse or affect the ability to hold in feces (a condition known as
fecal incontinence Fecal incontinence (FI), or in some forms encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents, both liquid stool elements and mucus, or solid feces. When this loss includes flatus (gas), it is referred ...
). Rectal prolapse is relatively uncommon, however, especially in men, and its causes are not well understood. Kegel exercises have been used to strengthen the anal sphincters and overall pelvic floor, and may help prevent or remedy fecal incontinence. Most cases of anal cancer are related to infection with the human papilloma virus (HPV). Anal sex alone does not cause anal cancer; the risk of anal cancer through anal sex is attributed to HPV infection, which is often contracted through unprotected anal sex. Anal cancer is relatively rare, and significantly less common than cancer of the colon or rectum (
colorectal cancer Colorectal cancer (CRC), also known as bowel cancer, colon cancer, or rectal cancer, is the development of cancer from the colon or rectum (parts of the large intestine). Signs and symptoms may include blood in the stool, a change in bowel m ...
); the
American Cancer Society The American Cancer Society (ACS) is a nationwide voluntary health organization dedicated to eliminating cancer. Established in 1913, the society is organized into six geographical regions of both medical and lay volunteers operating in more than ...
states that it affects approximately 7,060 people (4,430 in women and 2,630 in men) and results in approximately 880 deaths (550 in women and 330 in men) in the United States, and that, though anal cancer has been on the rise for many years, it is mainly diagnosed in adults, "with an average age being in the early 60s" and it "affects women somewhat more often than men." Though anal cancer is serious, treatment for it is "often very effective" and most anal cancer patients can be cured of the disease; the American Cancer Society adds that "receptive anal intercourse also increases the risk of anal cancer in both men and women, particularly in those younger than the age of 30. Because of this, men who have sex with men have a high risk of this cancer."


Cultural views


General

Different cultures have had different views on anal sex throughout human history, with some cultures more positive about the activity than others. Historically, anal sex has been restricted or condemned, especially with regard to religious beliefs; it has also commonly been used as a form of domination, usually with the active partner (the one who is penetrating) representing masculinity and the passive partner (the one who is being penetrated) representing femininity. A number of cultures have especially recorded the practice of anal sex between males, and anal sex between males has been especially
stigmatized Social stigma is the disapproval of, or discrimination against, an individual or group based on perceived characteristics that serve to distinguish them from other members of a society. Social stigmas are commonly related to culture, gender, ra ...
or punished. In some societies, if discovered to have engaged in the practice, the individuals involved were put to death, such as by decapitation, burning, or even
mutilation Mutilation or maiming (from the Latin: ''mutilus'') refers to severe damage to the body that has a ruinous effect on an individual's quality of life. It can also refer to alterations that render something inferior, ugly, dysfunctional, or imper ...
. Anal sex has been more accepted in modern times; it is often considered a natural, pleasurable form of sexual expression. Some people, men in particular, are only interested in anal sex for sexual satisfaction, which has been partly attributed to the buttocks and anus being more eroticized in modern culture, including via pornography. Engaging in anal sex is still, however, punished in some societies. For example, regarding LGBT rights in Iran, Iran's Penal Code states in Article 109 that "both men involved in same-sex penetrative (anal) or non-penetrative sex will be punished" and "Article 110 states that those convicted of engaging in anal sex will be executed and that the manner of execution is at the discretion of the judge".


Ancient and non-Western cultures

From the earliest records, the ancient Sumerians had very relaxed attitudes toward sex and did not regard anal sex as taboo. priestesses were forbidden from producing offspring and frequently engaged in anal sex as a method of birth control. Anal sex is also obliquely alluded to by a description of an
omen An omen (also called ''portent'') is a phenomenon that is believed to foretell the future, often signifying the advent of change. It was commonly believed in ancient times, and still believed by some today, that omens bring divine messages fr ...
in which a man "keeps saying to his wife: 'Bring your backside. Other Sumerian texts refer to homosexual anal intercourse. The , a set of priests who worked in the temples of the goddess
Inanna Inanna, also sux, 𒀭𒊩𒌆𒀭𒈾, nin-an-na, label=none is an ancient Mesopotamian goddess of love, war, and fertility. She is also associated with beauty, sex, divine justice, and political power. She was originally worshiped in Su ...
, where they performed elegies and lamentations, were especially known for their homosexual proclivities. The Sumerian sign for was a
ligature Ligature may refer to: * Ligature (medicine), a piece of suture used to shut off a blood vessel or other anatomical structure ** Ligature (orthodontic), used in dentistry * Ligature (music), an element of musical notation used especially in the me ...
of the signs for 'penis' and 'anus'. One Sumerian proverb reads: "When the wiped off his ass
e said E, or e, is the fifth letter and the second vowel letter in the Latin alphabet, used in the modern English alphabet, the alphabets of other western European languages and others worldwide. Its name in English is ''e'' (pronounced ); plur ...
'I must not arouse that which belongs to my mistress .e., Inanna'" The term '' Greek love'' has long been used to refer to anal intercourse, and in modern times, "doing it the Greek way" is sometimes used as slang for anal sex. Male-male anal sex was not a universally accepted practice in
Ancient Greece Ancient Greece ( el, Ἑλλάς, Hellás) was a northeastern Mediterranean civilization, existing from the Greek Dark Ages of the 12th–9th centuries BC to the end of classical antiquity ( AD 600), that comprised a loose collection of cult ...
; it was the target of jokes in some Athenian comedies.
Aristophanes Aristophanes (; grc, Ἀριστοφάνης, ; c. 446 – c. 386 BC), son of Philippus, of the deme Kydathenaion ( la, Cydathenaeum), was a comic playwright or comedy-writer of ancient Athens and a poet of Old Attic Comedy. Eleven of his ...
, for instance, mockingly alludes to the practice, claiming, "Most citizens are ('wide-arsed') now." The terms , , and were used by Greek residents to categorize men who chronically practiced passive anal intercourse. Pederastic practices in ancient Greece (sexual activity between men and adolescent boys), at least in Athens and Sparta, were expected to avoid penetrative sex of any kind. Greek artwork of sexual interaction between men and boys usually depicted fondling or intercrural sex, which was not condemned for violating or feminizing boys, while male-male anal intercourse was usually depicted between males of the same age-group. Intercrural sex was not considered penetrative and two males engaging in it was considered a "clean" act. Some sources explicitly state that anal sex between men and boys was criticized as shameful and seen as a form of
hubris Hubris (; ), or less frequently hybris (), describes a personality quality of extreme or excessive pride or dangerous overconfidence, often in combination with (or synonymous with) arrogance. The term ''arrogance'' comes from the Latin ', mean ...
. Evidence suggests, however, that the younger partner in pederastic relationships (i.e., the ) did engage in receptive anal intercourse so long as no one accused him of being 'feminine'. In later Roman-era Greek poetry, anal sex became a common literary convention, represented as taking place with "eligible" youths: those who had attained the proper age but had not yet become adults. Seducing those not of proper age (for example, non-adolescent children) into the practice was considered very shameful for the adult, and having such relations with a male who was no longer adolescent was considered more shameful for the young male than for the one mounting him. Greek courtesans, or hetaerae, are said to have frequently practiced male-female anal intercourse as a means of preventing pregnancy. A male citizen taking the passive (or receptive) role in anal intercourse ( in Latin) was condemned in Rome as an act of ('immodesty' or 'un
chastity Chastity, also known as purity, is a virtue related to temperance. Someone who is ''chaste'' refrains either from sexual activity considered immoral or any sexual activity, according to their state of life. In some contexts, for example when ma ...
'); free men, however, could take the active role with a young male slave, known as a or . The latter was allowed because anal intercourse was considered equivalent to vaginal intercourse in this way; men were said to "take it like a woman" ( 'to undergo womanly things') when they were anally penetrated, but when a man performed anal sex on a woman, she was thought of as playing the boy's role. Likewise, women were believed to only be capable of anal sex or other sex acts with women if they possessed an exceptionally large clitoris or a dildo. The passive partner in any of these cases was always considered a woman or a boy because being the one who penetrates was characterized as the only appropriate way for an adult male citizen to engage in sexual activity, and he was therefore considered unmanly if he was the one who was penetrated; slaves could be considered "non-citizen". Although Roman men often availed themselves of their own slaves or others for anal intercourse, Roman comedies and plays presented Greek settings and characters for explicit acts of anal intercourse, and this may be indicative that the Romans thought of anal sex as something specifically "Greek". In Japan, records (including detailed
shunga is a type of Japanese erotic art typically executed as a kind of ukiyo-e, often in woodblock print format. While rare, there are also extant erotic painted handscrolls which predate ukiyo-e. Translated literally, the Japanese word ''shunga' ...
) show that some males engaged in penetrative anal intercourse with males. Evidence suggestive of widespread male-female anal intercourse in a pre-modern culture can be found in the erotic vases, or stirrup-spout pots, made by the Moche people of Peru; in a survey, of a collection of these pots, it was found that 31 percent of them depicted male-female anal intercourse significantly more than any other sex act. Moche pottery of this type belonged to the world of the dead, which was believed to be a reversal of life. Therefore, the reverse of common practices was often portrayed. The
Larco Museum The Larco Museum (officially known as Rafael Larco Herrera Archaeological Museum, in es, Museo Arqueológico Rafael Larco Herrera, links=no) is a privately owned museum of pre-Columbian art, located in the Pueblo Libre District of Lima, Peru. T ...
houses an erotic gallery in which this pottery is showcased.


Western cultures

In many Western countries, anal sex has generally been taboo since the Middle Ages, when heretical movements were sometimes attacked by accusations that their members practiced anal sex among themselves. At that time,
celibate Celibacy (from Latin ''caelibatus'') is the state of voluntarily being unmarried, sexually abstinent, or both, usually for religious reasons. It is often in association with the role of a religious official or devotee. In its narrow sense, th ...
members of the Christian clergy were accused of engaging in " sins against nature", including anal sex. The term '' buggery'' originated in medieval Europe as an insult used to describe the rumored same-sex sexual practices of the heretics from a sect originating in
Bulgaria Bulgaria (; bg, България, Bǎlgariya), officially the Republic of Bulgaria,, ) is a country in Southeast Europe. It is situated on the eastern flank of the Balkans, and is bordered by Romania to the north, Serbia and North Maced ...
, where its followers were called ; when they spread out of the country, they were called ''buggres'' (from the ethnonym ''Bulgars''). Another term for the practice, more archaic, is ''pedicate'' from the Latin , with the same meaning. The Renaissance poet Pietro Aretino advocated anal sex in his ('Lust Sonnets'). While men who engaged in homosexual relationships were generally suspected of engaging in anal sex, many such individuals did not. Among these, in recent times, have been
André Gide André Paul Guillaume Gide (; 22 November 1869 – 19 February 1951) was a French author and winner of the Nobel Prize in Literature (in 1947). Gide's career ranged from its beginnings in the symbolist movement, to the advent of anticolonialism ...
, who found it repulsive, and Noël Coward, who had a horror of disease, and asserted when young that "I'd never do anything – well the disgusting thing they do – because I know I could get something wrong with me". During the 1980s, Margaret Thatcher questioned the inclusion of "risky sex" in the United Kingdom's AIDS related government advertisements. Thatcher questioned the inclusion of the term "anal sex" in line with the
Obscene Publications Act 1959 The Obscene Publications Act 1959 (c. 66) is an Act of Parliament of the United Kingdom Parliament that significantly reformed the law related to obscenity in England and Wales. Prior to the passage of the Act, the law on publishing obscene mater ...
. The term "rectal sex" was agreed upon to be used instead.


Religion


Judaism

The ''
Mishneh Torah The ''Mishneh Torah'' ( he, מִשְׁנֵה תּוֹרָה, , repetition of the Torah), also known as ''Sefer Yad ha-Hazaka'' ( he, ספר יד החזקה, , book of the strong hand, label=none), is a code of Rabbinic Jewish religious law ('' ...
'', a text considered authoritative by
Orthodox Jewish Orthodox Judaism is the collective term for the traditionalist and theologically conservative branches of contemporary Judaism. Theologically, it is chiefly defined by regarding the Torah, both Written and Oral, as revealed by God to Moses on ...
sects, states "since a man's wife is permitted to him, he may act with her in any manner whatsoever. He may have intercourse with her whenever he so desires and kiss any organ of her body he wishes, and he may have intercourse with her naturally or unnaturally raditionally, ''unnaturally'' refers to anal and oral sex provided that he does not expend semen to no purpose. Nevertheless, it is an attribute of piety that a man should not act in this matter with levity and that he should sanctify himself at the time of intercourse."


Christianity

Christian texts may sometimes
euphemistically A euphemism () is an innocuous word or expression used in place of one that is deemed offensive or suggests something unpleasant. Some euphemisms are intended to amuse, while others use bland, inoffensive terms for concepts that the user wishes ...
refer to anal sex as the ('the sin against nature', after
Thomas Aquinas Thomas Aquinas, OP (; it, Tommaso d'Aquino, lit=Thomas of Aquino; 1225 – 7 March 1274) was an Italian Dominican friar and priest who was an influential philosopher, theologian and jurist in the tradition of scholasticism; he is known w ...
) or ('sodomitical lusts', in one of
Charlemagne Charlemagne ( , ) or Charles the Great ( la, Carolus Magnus; german: Karl der Große; 2 April 747 – 28 January 814), a member of the Carolingian dynasty, was King of the Franks from 768, King of the Lombards from 774, and the first Em ...
's ordinances), or ('that horrible sin that among Christians is not to be named').


Islam

, or the sin of Lot's people, which has come to be interpreted as referring generally to same-sex sexual activity, is commonly officially prohibited by Islamic sects; there are parts of the Quran which talk about smiting on
Sodom and Gomorrah Sodom and Gomorrah () were two legendary biblical cities destroyed by God for their wickedness. Their story parallels the Genesis flood narrative in its theme of God's anger provoked by man's sin (see Genesis 19:1–28). They are mentioned fre ...
, and this is thought to be a reference to unnatural sex, and so there are hadith and Islamic laws which prohibit it. While, concerning Islamic belief, it is objectionable to use the words and to refer to homosexuality because it is
blasphemy Blasphemy is a speech crime and religious crime usually defined as an utterance that shows contempt, disrespects or insults a deity, an object considered sacred or something considered inviolable. Some religions regard blasphemy as a religio ...
toward the prophet of
Allah Allah (; ar, الله, translit=Allāh, ) is the common Arabic word for God. In the English language, the word generally refers to God in Islam. The word is thought to be derived by contraction from '' al- ilāh'', which means "the god", a ...
, and therefore the terms ''sodomy'' and ''homosexuality'' are preferred, same-sex male practitioners of anal sex are called ''luti'' or ''lutiyin'' in plural and are seen as criminals in the same way that a thief is a criminal.


Other animals

As a form of
non-reproductive sexual behavior in animals Non-reproductive sexual behavior consists of sexual activities animals participate in that do not lead to the reproduction of the species. Although procreation continues to be the primary explanation for sexual behavior in animals, recent obser ...
, anal sex has been observed in a few other primates, both in
captivity Captivity, or being held captive, is a state wherein humans or other animals are confined to a particular space and prevented from leaving or moving freely. An example in humans is imprisonment. Prisoners of war are usually held in captivity by a ...
and in the
wild Wild, wild, wilds or wild may refer to: Common meanings * Wild animal * Wilderness, a wild natural environment * Wildness, the quality of being wild or untamed Art, media and entertainment Film and television * ''Wild'' (2014 film), a 2014 A ...
.


See also

*
Anal eroticism Anal eroticism, in psychoanalysis, is sensuous pleasure derived from anal sensations. Sigmund Freud, the founder of psychoanalysis, hypothesized that the anal stage of childhood psychosexual development was marked by the predominance of anal e ...
*
Ass to mouth Ass to mouth (abbreviated as ATM or A2M in pornography) is a slang term associated with the porn industry describing anal sex immediately followed by oral sex. The term is primarily used to describe a sexual practice whereby an erect penis is ...
*
Coprophilia Coprophilia (from Greek κόπρος, ''kópros'' 'excrement' and φιλία, ''philía'' 'liking, fondness'), also called scatophilia or scat (Greek: σκατά, ''skatá'' 'feces'), is the paraphilia involving sexual arousal and pleasure from ...
* Creampie (sexual act) * Felching * Gay bowel syndrome *
Klismaphilia Klismaphilia (or ''klysmaphilia''), from the Greek words ("enema", from , "deluge, flood") and ("love"), is a paraphilia involving enjoyment of, and sexual arousal from, enemas. History The term ''klismaphilia'' was coined in 1973 by Dr. Joann ...
* Sodomy law


References


Further reading

* Brent, Bill ''Ultimate Guide to Anal Sex for Men'', Cleis Press, 2002. * DeCitore, David ''Arouse Her Anal Ecstasy'' (2008) * Houser, Ward ''Anal Sex'', Encyclopedia of Homosexuality Dynes, Wayne R. (ed.), Garland Publishing, 1990. pp. 48–50. * Morin, Jack ''Anal Pleasure & Health: A Guide for Men and Women'', Down There Press, 1998. * Sanderson, Terry ''The Gay Man's Kama Sutra'', Thomas Dunne Books, 2004. * Tristan Taormino ''
The Ultimate Guide to Anal Sex for Women Tristan Taormino (born May 9, 1971) is an American feminist author, columnist, sex educator, activist, editor, speaker, radio host, and pornographic film director. She is most recently known for her book ''Opening Up: A Guide to Creating and Susta ...
'', Cleis Press, 1997, 2006. * Underwood, Steven G. ''Gay Men and Anal Eroticism: Tops, Bottoms, and Versatiles'', Harrington Park Press, 2003


External links

{{DEFAULTSORT:Anal Sex Anal eroticism Sexology Sexual acts