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ORDINARILY, there should be only one (main) route to sexual
satisfaction – intercourse, but in reality, people have devised several means
to that destination, and one of the ways some people have adopted is anal sex.
This means sex through the anus.
And
the act seems to be growing, because in spite of the society’s stance on it and
how much it has been condemned by some medical experts, a report by the Centre
for Disease Control and Prevention, under the United States Department of
Health and Human Services, shows that 44 per cent of men and 36 per cent of
women have had anal sex at least once in their lifetime.
Apart
from those who tried it once in a lifetime, a report by WebMD, an American
corporation that reports news and information pertaining to human health and
well being, found in 2015 that as many as five to 10 per cent of sexually
active women engage in receptive anal sex.
Notably,
apart from consenting heterosexual adults and homosexuals, it has been observed
that some of those who also practise it are young men and women lured into it
based on money, while some children; young boys and girls, have been or are
being sexually abused by older men.
Regardless,
given that some have already embraced this backdoor action, it is however
instructive to note that there are serious health risks attached to anal sex,
and some of these include:
Severe physical pains: One of the many adverse effects of anal sex is
that it could cause serious physical pain, as the penile penetration could tear
the tissue inside the woman’s anus, while the man could also feel some pain on
his penis.
This is mainly because the anus is not lubricated like the vagina,
thus, thrusting might bring about some pains, more so that the skin on the
penis is such a flexible one that is prone to tear on slight friction. Even
though such people tend to use lubricants like cream, to lessen the pain, Dr.
William Blahd, an emergency medicine specialist, who wrote on WebMD, noted that
using lubricants does not completely prevent tearing of the tissue in the anus.
While both persons may try to enjoy the act, it was also gathered that the pain
after the exercise may not go away quickly, especially if the man has a bigger
organ. Blahd would also point out that apart from the pain, consistent anal sex
could affect the functioning of the anus and affect the overall health of such
persons.
He
added, “There could be bleeding after anal sex which could be due to hemorrhoid
(a swollen vein or group of veins in the region of the anus) or tear, or
something more serious such as a perforation (hole) in the colon. This is a
dangerous problem that requires immediate medical attention. Treatment involves
a hospital stay, surgery, and antibiotics to prevent infection.
Anal leakage: While men who engage in masturbation have to
contend with seminal leakage, in which case sperm begins to leak out of their
penis even when there is no erection, due to excessive masturbation, people, including
women and homosexuals, who engage in anal sex tend to have weakened anal
sphincter, thereby reducing their ability to hold faeces for a long time. Blahd
explained that anal sphincter, which controls the closing of the anus after
defecation, is a tight circular muscle that constricts and expands, but that
due to repeated penile penetration, the sphincter would be weakened, “making it
difficult to hold in faeces until you can get to the toilet.”
Also,
a gynaecologist, Dr. Bolanle Shukra-Okesina, said anal sex destroys the inner
tissues and that such women or the (receiving) men, in the case of homosexuals,
could end up using pampers. She explained, “The anus has a locking mechanism
that keeps it close when you finish defecating. So, if somebody continues to
traumatise that area, that place relaxes and becomes slack, such that the anus
won’t close anymore.
“After
a long time of practising it, the person would start having loose release of
gas and stool because the sphincter in the anus would have become slack. I’ve
heard a lot of young guys that put on pampers because of that. It’s also
applicable to young guys who are being abused or lured into it by older men
because of money.”
Free ticket to STIs: According to experts, sexually transmitted
infections can easily be transmitted through anal sex. According to Blahd, this
is partly because if the penetration of the penis tears the tissue inside the
anus, it serves as broad opening for viruses and bacteria to penetrate the
bloodstream of such persons, and the infections that could be transmitted in
this regard include HIV.
He said studies had shown that sex through the anus is
30 times more risky for HIV infection than sex through the vagina. He added, “Our
external tissue has layers of dead cells that serve as a protective barrier
against infection. The tissue inside the anus does not have this natural
protection, which leaves it vulnerable to tearing and the spread of infection.”
Even though using a condom could reduce the likelihood of getting infection, it
has been said that condom is not an absolute (100 per cent) protection against
infection.
Shukra-Okesina
also explained that there are some organisms in the stool and some in the inner
canal of the anus, which a man could easily contact during anal sex. She added,
“For people who get involved in it, they contract those organisms and so they
are prone to having infections. And the effect of having to treat several
infections along the genital tract is that it can block the tract, causing
difficulty when they want to make a woman pregnant, because that is the same
tract semen passes through.” This is applicable whether the man does it with a
male or a female.
And
it should equally be noted that the possible health issues connected to STIs
include pain with urination and intercourse, vaginal bleeding and discharge,
rashes, itching and odour oozing out from the genitals, infertility,
reproductive system cancers and inflammation of the coiled tube at the back of
the testicle that stores and carries sperm.
The anus has loads of
bacteria: As the canal for human
waste (faeces), it has been found that the anus is a breeding ground for
bacteria, and Blahd stressed that even if both of the persons involved in the
act do not have sexually transmitted disease before the act, the quantum of
bacteria in the anus are capable of infecting the man, and that is easily
caught through the penile penetration.
While anal sex on its own is as risky as
can be imagined, Blahd warned that the situation could be worse if the man and
the woman engage in vaginal sex after anal sex. He said this could lead to
vaginal and urinary tract infections, and the urinary tract includes bladder,
ureter, urethra and kidney.
And for those who like to put their mouths in the
anus, perhaps out of sexual excitement or adventure, Blahd warned that oral
contact with the anus could make both persons stand the risk of hepatitis,
which is a disease characterised by inflammation of the liver, human papillomavirus
infection, which could result in anal cancer or warts, which is a small, hard,
benign growth on the skin, caused by a virus.
Meanwhile, there are reports that
some men who had sex through the anus were found to have the hard-to-treat
Methicillin-Resistant Staphylococcus Aureus, which is a bacterium that causes
infections in different parts of the body and it is tougher to treat because it
is resistant to common antibiotics. According to WebMD, it can cause serious
skin infections, infect the bloodstream, the lungs and even the urinary tract.
Notably, this infection can be passed among sexual partners.
Anal cancer: Apart from the infections and other effects
that have been identified, anal sex has also been found to cause anal cancer.
According to Shukra-Okesina, anal sex could also lead to cancer, due to the
changes in the nature of the tissues in the anus. She said, “On the long run,
once the nature of the tissues changes, which is known as metaplasia, the
mucosa, which is a membrane that lines various cavities in the anus and some
other parts of the body and surrounds internal organs, also becomes infected
over time. It becomes inflamed. And so these continuous abnormal changes of the
mucosa would lead to anal cancer on the long run.”
Punch
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