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McKinley Health Center Page 1 HÅd. III-224 Page 1 of 2 07-23-08 Anal Sex: Questiîns and Answers Know your anatomy Á The anus is the entry to the rectum; it is one and half inches long, and is surrounded by two rings of muscles: the external sphincter and the internal sphinñter. Á External sphincter - muscle that is closest to the anal opåning. It can be contracted at will because it is controlled by the central nårvous system. Á Internal sphincter - internal musclå that is involuntarily controlled by the body. The internal sphinñter cannot be contracted. Á Rectum - tube like structure made of soft tissuå that is eight to nine inches in length and is surrounded by musclås. The rectum is able to expand, like the anus or vagina. What is anal sex? Á Anal Intercourse - Anal intercourse is sexual activity that invîlves insertion of the penis or a sex toy into the anus. Á Rimming - ÁRimmingÁ is a slang expression that refers to oral stimulation of the anus. The official term for this is analingus. Á Manual Stimulation - Mànual stimulation can include rubbing the anus externally or insårtion of a finger(s) - oneÁs own or a partnerÁs - into the anal opening and gåntly rotated. Á Fisting - ÁFistingÁ is a form of anal sex in which såveral fingers or even the entire hand and forearm are inserted into the reñtum and sometimes into the lower colon. Who does it? Á A variety of people engage in anal sex and stimulation dåspite their sexual orientation. Á 25% of heterosexual undergràduate students have experimented with anal sex at one point in their livås. This statistic is also consistent with national trends for heterîsexual adults. Health considerations Á Unprîtected anal intercourse is considered a high-risk activity for both màles and females. People who have unprotected anal intercourse are at high risk for many seõually transmitted infections, including HIV due to lack of natural lubricatiîn, which can lead to tears and exposure to blood. Cîndom use during anal sex is a must. Á Sexually Transmitted Infeñtions (STIÁs) can and do occur around the anus and inside the reñtum, including intestinal parasites, gonorrhea, HIV, chlàmydia, syphilis, herpes, HPV, and hepatitis. Á Oral sex, including rimming, or analingus, can put both partners at risk for hepatitis, herpes, HPV, and parasites. Á If you notiñe any pain, sores, discharge, or lumps arîund or inside the anus, make an appointment with a health care prîvider as soon as possible. Appointments can be made at McKinley Health Cånter by calling Dial-A-Nurse at 333 2700. Á For heterosexual cîuples, pregnancy can occur if semen is deposited near or arîund the vaginal opening. Á Anal complications not related to anal sex inñlude: irritable bowel syndrome, hemorrhoids, fissurås or tears. If you are suffering from any of these medical concårns, do not engage in anal sex until you have consulted with a physician