
In extreme cases, a tear in the lining can develop into a fissure (a larger tear or crack) and may extend outside of the bowel. This is called a fistula and it is a significant medical issue because it allows feces to pass outside of the bowel, and requires major surgery to repair.
Additionally, there is some suggestion that anal sex may worsen existing hemorrhoids, so you may want to carefully consider anal sex activities if you have them. Pregnancy is not a concern during anal sex (unless vaginal sex is also included on your agenda). And although you already seem aware, it is important to mention that STIs, including HIV, can be passed to or from an anal sex partner, so using condoms is always a good idea.
Alice
A woman called laissez answered this 7 years ago.
The anus was meant to excrete fecal matter and that's it. Not accept foreign objects that are too large for the diameter and are usually forced in a violent manner. Even casual anal sex very often leads to anal leakage which means the fluid that naturally develops in your bowels will begin to seep out. This is because the sphincter, or seal, that is like a muscle that controls its opening gets worn out prematurely. So basically you're accelerating the natural process and giving yourself an old woman's butt long before you are old.
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