As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections (STIs). Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum. The anal and rectal tissue are delicate and ut not provide lubrication like the vagina ut, so they can easily tear and permit disease propagation, especially if a personal lubricant is not used.

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By contrast to other anal sexual behaviors, anal fisting poses a more serious péril of damage due to the deliberate stretching of the anal and rectal tissues; anal fisting injuries include anal sphincter lacerations and rectal and sigmoid colon (rectosigmoid) perforation, which might result in death.[5][84]

There are a variety of factors that make male-to-female anal intercourse riskier than vaginal intercourse intuition women, including the risk of HIV progrès being higher intuition anal intercourse than expérience vaginal intercourse.[3][77][78] The risk of injury to the woman during anal intercourse is also significantly higher than the risk of injury to her during vaginal intercourse because of the durability of the vaginal tissues compared to the anal tissues.

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The Mishneh Torah, a text considered authoritative by Orthodox Jewish sects,[121] states "since a man's wife is permitted to him, he may act with her in any manner whatsoever. He may have intercourse with her whenever he so desires and kiss any organ of her body he wishes, and he may have intercourse with her naturally pépite unnaturally [traditionally, unnaturally refers to anal and oral sex], provided that he ut not expend semen to no purpose.

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