What Are the Long-Term Effects of Anal Sex?

alwaysanalblog: An apprehensive reader asks:

My husband and I really enjoy anal sex. I need a lot of foreplay, and it always kind of hurts at first, but once we get going, it feels really good and makes me climax. I have two questions for you, though. The first is, why does this feel good and give me orgasms? I don’t get the anatomy of this. It seems to me there is nothing in there that should feel this good. Secondly, what are the long-term effects of anal sex? My husband would have it all the time if I let him, but I try to keep it to once a month due to the fact that it takes a lot of time to warm me up and sometimes I’m just not into the initial pain involved. I’m also afraid that, if we do it too frequently, the long-term effects could be negative.

Part of the problem not addressed in the article is that the reason it can hurt at first is because she isn’t having enough anal – once a month simply isn’t frequent enough to get the anus in physical condition for sex.

Still, the response gets it right in one respect:

When it comes to anal sex, you’ve got several feel-good nerves working for you, including the pelvic nerve running to the rectum and the pudendal nerve to the muscles surrounding the anus. So your orgasms back there are perfectly — and anatomically — normal.

The author of the article goes on to list only two possible long term effects. One of them, rough sex, is only temporarily inconvenient, while the other, anal cancer from HPV, is just as likely with vaginal sex and isn’t unique to anal.

They finish with:

But there’s no reason to deny yourselves the pleasures of the back door. Being able to orgasm in different ways is an anatomical perk. Enjoy it.

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