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I have gotten four fingers in him, and he has gotten four of his own fingers inside of himself while masturbating for me. Anal sex is a bit of a taboo subject, despite the fact that its an increasingly popular sexual activity. As more couples explore this type of sex, understanding the risks, rewards, and proper.   anytime we talk about anal play, people have three main concerns poop, pain, and permanent damage. Having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids.   there is a rising trend in high risk sexual behaviour among men who have sex with men (msm), with concomitant use of recreational drugs. Activities include fisting and unprotected anal intercourse with a partner who is hiv serodiscordant or of unknown status. We describe three cases of hiv positive msm who have recently attended our unit as a result of complications secondary to fisting. Oral contact with the anus can put both partners at risk for hepatitis, herpes, hpv, and other infections.

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