Risks of anal intercourse?

I just read an article in Medscape (kind of a blog for medical professionals) about the risks of anal intercourse for women. "These [risks] include fecal incontinence and anal sphincter injury, which have been reported in women who engage in anal intercourse. When it comes to incontinence, women are at higher risk than men because of their different anatomy and the effects of hormones, pregnancy, and childbirth on the pelvic floor." Well, yes, but what about men, or trans-women with male anatomy - the article suggests the risks are there too, though less.

So - do any of you anal sex practitioners (catchers, not pitchers) know of any problems with fecal incontinence or anal sphincter injury?

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Originally Posted by Del06

Well, yes, but what about men, or trans-women with male anatomy - the article suggests the risks are there too, though less.

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Some years ago a transgender friend suffered anal fissure. What follows is excruciating pain, the loss of self-esteem, while the remedy requires abstinence and a liquid diet I can't recall but may be up to a week or more. I am not sure of the cause, the lack of lubricant, the weakening of the skin due to repetitive sexual activity or another non-sexual cause. I am tempted to say from what I know that her sexual behaviour may have been a cause (she was not an escort but had multiple encounters).

Two links-
Anal fissure - NHS (www.nhs.uk)

The Part Of Anal Sex That Everyone's Afraid To Talk About | HuffPost UK Wellness (huffingtonpost.co.uk)

I discussed this with my primary care physician, who is very experienced with LGBT patients (his practice is mostly gay men, trans women, and men who date trans women), and the nurse practitioner who runs a LGBT sexual health program at my healthcare provider. My takeaway from those discussions was that many risks commonly associated with receiving anal sex seem to be overstated, as long as one uses common sense, and some are just myths rooted in homophobia. Here are some links that pretty much recap what I was told my my healthcare providers:

https://www.medicalnewstoday.com/articles/324637#stis

https://www.healthline.com/health/he...-safety#safety

Risks of...
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