By contrast to other anal sexual behaviors, anal fisting poses a more serious péril 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.[5][84]
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Male genital anatomy, showing the Loyer of the prostate with observation to the rectum The abundance of nerve endings in the here anal region and rectum can make anal sex pleasurable for men and women.[4][2][5] The internal and external sphincter muscles control the opening and closing of the anus; these muscles, which are sensorielle membranes made up of many nerve endings, facilitate pleasure or pain during anal sex.
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 ut not result in virginity loss, or pregnancy, teenagers and other young people who are unaware of the risks of the anal sex may consider vaginal intercourse riskier than anal intercourse and also the may believe that an STI can only result from vaginal intercourse.
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