Ordinarily, there should be only one (main) route to s exual satisfaction – intercourse, but in reality, people have devised several means to that destination, and one of the ways some people have adopted is a nal s*x. This means s*x through the anus.  
Also, a gynaecologist, Dr. Bolanle Shukra-Okesina, said a nal s ex destroys the inner tissues and that such women or the (receiving) men, in the case of h0mos exuals, 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, s exually transmitted infections can easily be transmitted through a nal s ex. According to Blahd, this is partly because if the penetration of the p enis 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 s ex through the anus is 30 times more risky for HIV infection than s ex through the v agina. 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 a nal s ex. 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, v aginal 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 s exually 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 a nal s ex 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 v aginal s ex after a nal s ex. He said this could lead to v aginal 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 s exual 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 a nal 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 s ex 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 s exual partners.
A nal cancer: Apart from the infections and other effects that have been identified, a nal s ex has also been found to cause a nal cancer. According to Shukra-Okesina, a nal s ex 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 a nal cancer on the long run.”

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