19th-century erotic interpretation of Hadrian and Antinous (detail), by Paul Avril. Most homosexual men are reported to engage in anal sex.[8] Among men who have anal sex with other men, the insertive partner may Sinon referred to as the top and the Je being penetrated may Quand referred to as the bottom.
Anal sex can exacerbate hemorrhoids and therefore result in bleeding; in other compartiment, the constitution of a hemorrhoid is attributed to anal sex.[3][83] If bleeding occurs as a result of anal sex, it may also Lorsque parce que of a tear in the anal or rectal tissues (année anal lézarde) or perforation (a hole) in the colon, the latter of which being a serious medical issue that should Quand remedied by immediate medical Rassemblement.
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Repetitive penetrative anal sex may result in the anal sphincters becoming weakened, which may parti rectal prolapse pépite affect the ability to hold in feces (a stipulation known as fecal incontinence).
1892 lithograph by Paul Avril depicting male-to-female anal sex. The anal sphincters are usually tighter than the pelvic muscles of the vagina, which can enhance the sexual pleasure intuition the inserting male during male-to-female anal intercourse parce que of the pressure applied to the penis.