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Reality Check: Anal Sex

First it was shocking, then it was having a cultural moment, now it’s practically standard in the modern bedroom repertoire—or so a quick scan of any media, from porn to HBO, will tell you. But the reality about anal is not, actually, that everyone’s doing it, says research psychoanalyst and author Paul Joannides, Psy.D., whose comprehensive book on sexuality, The Guide to Getting it On!, is used in college and medical school sex-ed courses across the US and Canada. The book is amazing not just for its straight-up factual information on practically any aspect of sex you can think of, but also for its easy, nonjudgmental, at-times humorous tone.

The CDC reports that the number of heterosexual men and women who’ve tried it vacillates between 30 and 40 percent (oddly, the CDC doesn’t report on how many homosexual men have tried it, except in a statistic that weirdly combines it with oral). If anal turns you on, you are definitely not alone, but its prevalence doesn’t change the fact that it’s the riskiest sexual behavior in terms of HIV and other STDs. Here, Joannides talks us through the realities of making anal both as safe and as pleasurable as possible.


A Q&A with Paul Joannides, Psy.D.

Q

When did heterosexual anal start to become a thing?

A

In the 80’s, I remember hearing from a friend that he had a videotape of anal porn. This seemed shocking at the time. (This was pre-Netflix: Everything was on videotape, from porn to Disney movies to highlights from the Olympics. Video rental stores were everywhere.) I’m not sure there are too many middle schoolers today who would be shocked or even surprised to watch anal sex on Pornhub or Xhamster.

Since porn became as easy to access as YouTube, porn producers have had to fight for clicks, and so porn has become more extreme. I’d say that by 2005, porn had totally blurred the distinction between a woman’s anus and vagina. This wasn’t because women were begging their lovers for anal, it’s because porn producers were afraid you’d click on someone else’s porn if they weren’t upping the ante in terms of shock value.


Q

Does the popularity of anal in porn reflect reality in both homosexual and heterosexual couples?

A

No. There are some couples who enjoy anal sex a lot, maybe 10 percent to 15 percent of all straight couples. But if you ask them how often they have anal vs. vaginal intercourse, they’ll say maybe they have anal one time for every five or ten times they have vaginal intercourse. We occasionally, as in once a year, hear from women who say they have anal as often as vaginal, but that’s unusual.

As for gay men, statistics vary widely, and studies aren’t always consistent in how they collect data—some might be looking at different levels of frequency, i.e. have you had anal once in the past year, or do you have it regularly? I’ve seen studies suggesting that 65 percent of men have anal sex, and others that suggest the figure is less than 50 percent. So, I don’t have exact figures for hetero or homosexual couples, but there is data suggesting that a good percentage of gay men would rather give and receive blowjobs than have anal sex.


Q

How should we modify the anal sex we see modeled in porn to best suit an in-real-life couple?

A

The way the rectum curves shortly after the opening tells us we need to make a lot of adjustments for anal to feel good. Also, the two sets of sphincter muscles that nature placed around the opening of the anus to help humans maintain their dignity when in crowded spaces (to keep poop from dropping out) mean there’s an automatic reflex if you push against them from the outside.

So one of the first things a woman or man needs to do if they want to be on the receiving end of anal sex is to teach their sphincter muscles to relax enough that a penis can get past their gates. This takes a lot of practice.

Also, unlike the vagina, the anus provides no lubrication. So in addition to teaching the sphincters to relax, and in addition to getting the angle right so you don’t poke the receiver in the wall of the rectum, you need to use lots of lube.

They show none of this in porn. Nor do they show communication, feedback, or trust. Couples who do not have excellent sexual communication, who don’t freely give and receive feedback about what feels good and what doesn’t, and who don’t have a high level of trust should not be having anal sex.


Q

What are the health risks of anal?

A

A woman has a 17-times-greater risk of getting HIV and AIDS from receiving anal intercourse than from having vaginal intercourse. So your partner needs to be wearing a condom and using lots of lube, unless both of you are true-blue monogamous, with no sexual diseases. Any sexually transmitted infection can be transmitted and received in the anus. Because of the amount of trauma the anus and rectum receive during anal intercourse, the likelihood of getting a sexually transmitted infection is higher than with vaginal intercourse.

Unprotected anal sex, regardless of whether it is practiced by straight or gay couples, is considered the riskiest activity for sexually transmitted diseases because of the physical design of the anus: It is narrow, it does not self-lubricate, and the skin is more fragile and likely to tear, allowing STDs such as HIV and hepatitis easy passage into the bloodstream.


Q

Are those risks all mitigated by the use of condoms and lube, or are there still issues, even beyond that?

A

The risks are substantially reduced by the use of condoms and lube as long as they are used correctly, but you won’t find too many condoms that say “safe for anal sex” because the FDA has not cleared condoms for use in anal sex. That said, research indicates that regular condoms hold up as well as thicker condoms for anal sex, so there’s nothing to be gained from getting heavy-duty condoms.

As for using the female condom for anal sex—studies report more slippage and more pain than with regular condoms.

Do not use numbing lube, and do not have anal sex while drunk or stoned. Pain is an important indicator that damage can occur if you don’t make the necessary adjustments, including stopping. If there is pain, perhaps try replacing a penis with a well lubed and gloved finger. The glove will help your finger glide more easily, and might be more pleasurable for the person on the receiving end. Also, this allows a woman to do anal play on a male partner. (When it comes to anal sex, what’s good for the goose should be good for the gander.)


Q

Are there known health consequences of anal practiced over the long-term? Can you do it too much?

A

One of the urology consultants for my book believes that unprotected anal sex can be a way for bacteria to get into the man’s prostate gland. He prefers the person with the penis that’s going into the other person’s butt use a condom.

Also, small chunks of fecal matter can lodge into the man’s urethra. So if the couple has vaginal intercourse following anal intercourse without a condom, the male partner should pee first in addition to washing his penis with soap and water.


Q

Do pre-anal enemas make a difference in terms of health safety? What about preventing accidents?

A

I know of no studies on the relationship between pre-anal enemas and health outcomes. As for its general wisdom, people seem as divided on that as on politics in Washington. So I would say, to each her own. Also, some people use a “short shot,” which is a quick enema with one of those bulb devices instead of using a bag and going the full nine yards. In any case, accidents are likely to happen at one time or another.


Q

What tests should people be getting if they practice anal?

A

There’s “should” and there’s reality. If I were on the receiving end of anal sex, I would want to be sure my partner did not have HIV before I’d even let him get close to my bum with his penis.


Q

Probably more people try anal today than in the past—are there ways to make a first experience a good one?

A

Both of you should read all you can about it first. Spend a few weeks helping the receiving partner train her/his anal sphincters to relax. Make sure you and your partner have great sexual communication, trust, and that you both want to do it, as opposed to one trying to pressure the other, or not wanting to do it but doing it because you are afraid your partner will find someone else who will. Do not do it drunk or stoned, and do not use lube that numbs your anus. If it doesn’t feel good when it’s happening, stop.


Q

Do people orgasm from anal stimulation? Is it common or uncommon?


A

Some women say they have amazing orgasms from anal, but usually they will be stimulating their clitoris at the same time.


Q

Does it usually take a few tries to enjoy anal? Are there positions that make it easiest?

A

It depends on how much you are willing to work on training the receptive partner’s anal sphincters to relax, how good your communication is, how much trust there is, and probably on the width or girth of the dude’s penis. Common sense would tell you it should go way better if a guy is normal-sized as opposed to porn-sized.


Q

What should we be telling our kids about anal?

A

We don’t tell them about the clitoris, about women’s orgasms, about masturbation, about the importance of exploring a partner’s body, and learning from each other. We don’t tell them that much of what they see in porn is unreal, and we don’t talk to them about the importance of mutual consent. So I don’t see anal being at the top of most parents’ “should talk to our kids about” lists. There are more important things we need to be talking about first.

Paul Joannides, Psy.D. is a psychoanalyst, researcher, and author of the acclaimed Guide to Getting it On!, which is now in its ninth edition and is used in college courses across the country. He’s also written for Psychology Today Magazine and authors his own sex-focused blog, Guide2Getting.com. Dr. Joannides has served on the editorial board of the Journal of Sexual Medicine and the American Journal of Sexuality Education, and was granted the Professional Standard of Excellence Award from The American Association of Sex Educators, Counselors and Therapists. Joannides also lectures widely about sex and sexuality on college campuses.

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Does Anal Sex Lead To Anal Cancer?

3 Facts And Myths For Sexual Partners

 

Anal sex is no longer quite the salacious taboo it once was.

Not only has society steadily become more accepting of sexual relationships between men, but more heterosexual people are trying it and trying it more often than ever before. Recent surveys  estimate that 40 percent of women between the ages of 20 to 24 have tried anal sex, and 20 percent of all women have tried it in the last year.

Our greater societal acceptance aside, you may have heard that anal sex can have some dangerous effects on our health, particularly as a leading cause of anal cancer. So let’s take a brief look at some basic facts and myths about anal sex and its connection to cancer.

The myths and facts behind the connection between anal sex and anal cancer.

The myths and facts behind the connection between anal sex and anal cancer.

1. It Can Cause Anal Cancer

The long and short of it is that yes, anal sex is a risk factor for anal cancer.

Anal sex can transmit the human papillomavirus (HPV), and HPV in turn leaves the cells around our rectum more vulnerable to mutating and becoming cancerous. A similar risk exists wherever HPV rears its ugly microscopic head, including the mouth, throat, and cervix. And because anal sex is generally more damaging to the inner lining of the rectrum than the stereotypical notion of heterosexual sex is to the vagina, HPV and other sexually transmitted infections are more easily spread between people who engage in anal sex. Similarly, the greater number of sexual partners, the greater the risk of cancer.

2. But It’s Rare

Close to 90 percent of anal cancer cases can be traced back to HPV. But the cancer itself is relatively rare.

According to The American Society of Colon and Rectal Surgeons, only 8,000 people will be newly diagnosed with anal cancer this year. And though cases have been slowly increasing in recent decades, only one of every 500 people will develop anal cancer in their lifetime, generally between the ages of 55 to 64 — a stark contrast to the one in every 22 people who will develop colorectal cancer.

3. And Preventable

Like other forms of cancer fueled by HPV, the available HPV vaccine can likely cut down the risk of developing anal cancer in both men and women.

While HPV vaccination rates still aren’t anywhere near as high as we’d like them to be, there is already evidence that the vaccine has lowered the risk of later cervical cancer in teen girls. And though we don’t have any concrete evidence that the same decline has occurred for anal cancer just yet, there is some showing the vaccine reduced the risk of cells in the anus becoming precancerous in young men who have sex with men.

Both teen boys and girls are now regularly encouraged to get the HPV vaccine, but when it comes to anal cancer, it may benefit women more — two-thirds of new cases are diagnosed in women.

Complete Article HERE!

Getting Behind America’s Anal Sex Fetish

By Mark Hay

Anal sex

On 18 May 2011 , the prolific dominatrix-turned-pornstar Asa Akira sent her Twitter followers one brief, but provocative message: “Ass is the new pussy.”

Although Akira was not the first to utter this smutty axiom, the tagline has been pegged to her name. That may have made it easy for many to dismiss the concept as nothing more than a shocking, perhaps self-promotional assertion by a savvy performer sometimes known as porn’s ” Ass Queen .” But the starlet wasn’t just blowing smoke out of her buttocks. She was channeling a growing and convincing body of data on the inexorable rise of heterosexual anal play in America.

We can actually track the rise of heterosexual anal sex over the past quarter century thanks to your tax dollars. The Centers for Disease Control and Prevention has released a series of studies in which they asked huge groups of people the same nosey questions about their sex lives— including whether men had ever put their penises “in a female’s rectum or butt” and if women had experienced a man putting his penis in their rectums (or butts) . In 1992, 20 percent of women and 26 percent of men aged 18 to 59 had reached fifth base with an opposite sex partner at least once. In 2005, the figure was 35 percent of women and 40 percent of men aged 25 to 44. In 2011, it was 39 percent of women and 44 percent of men aged 15 to 44. In some smaller age subgroups, the prevalence of anal experimentation was even more common.

The CDC didn’t ask whether people had heterosexual anal sex on the reg (probably because it’s hard to measure what “the reg” means), experimented with other forms of anal play, or tried male-recipient butt stuff. The best numbers we get regarding frequency are studies that look at what proportion of people had heterosexual anal sex in the last year, or the last time they had sex, which is a weak proxy at best. But it give us a sense that recurrent hetero butt sex is on the rise as well as one-off experiments.

A 2010 study also suggests that experimentation with wider forms of anal play may be even more common than experimentation with anal sex amongst heterosexual couplings. Among its subjects, 43 percent of women and 51 percent of men surveyed in heterosexual couples copped to testing out anilingus, anal fingering, or anal toy play at least once. A 2008 study suggests that at least some self-identified heterosexual men are receiving anal pleasure as well (mostly fingering, some anilingus). We have no good data to compare that to in terms of trends. But given the taboos against men receiving anal play, any male-receiver experimentation seems, anecdotally at least, like a pretty big sign of the times.

Pop culture’s gotten wise to this trend over the past few years, showcasing anal play in mainstream shows like Broad City , Girls, and How to Get Away with Murder and how-to guides in mainstream publications like Cosmo, Ebony , and GQ. An inevitable deluge of think pieces have followed, pinning this sexual trend on everything from anal sex’s overrepresentation in porn to widespread social liberalization . Some spill cartridges of ink, decrying heterosexual anal sex as a painful fetish foist upon women (especially those looking to keep their vaginal virginity intact, but still eager to be sexual or please a man), while others write tomes on how to have good heterosexual anal sex and play.

Yet for all that we’ve collectively bickered, raved, and railed about this widely acknowledged trend, almost no one’s investigated what America’s changing anal inclinations have meant for the sex market— namely brothel owners, pornographers, and toy manufacturers . To find out, I reached out to a few makers and shakers in the sex industry to get a quick look at how America’s smut mongers have responded to the rise of hetero anal sex.

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Art by Peter Johann Nepomuk Geiger

PORN IN THE HETERO ANAL-ERA

According to Pornhub, the king of dirty search data, the heterosexual anal revolution correlates with exactly the trends you’d imagine. Anal-related porn searches still represent less than 10 percent of all queries on their site. However, anal is a more common term among straight content searches than gay ones and its pervasiveness in hetero searches is rising rapidly. Pornhub crunched the numbers for VICE and found that between 2009 and 2015 , anal-related searches increased by 120 percent in America. That’s significantly higher than the 78 percent increase in anal-related searches globally. The increase was steeper among male than female users, but anal-related tags were still the 18th most searched most searched terms among the site’s female clientele.

(As a side note, Pornhub’s investigation found that users aged 18 to 24 are actually 33 percent less likely to look for anal content than users aged 35 to 44, which is unexpected given how often we talk about hetero-anal as a young person’s game. But that 18 to 24-year-old demographic is 290 percent more likely to search for My Little Pony porn than any other age bracket, which is certainly its own can of worms.)

mage by Paul Avril

Image by Paul Avril

Yet, despite this clear demand spike, and the excitement a first-time anal scene can generate for a female performer, anal-focused heterosexual videos make up a small portion of the market. A Pornhub investigation last year revealed that just 7 percent of their straight content has an “anal” tag on it. And it doesn’t seem like porn studios are making any notable move to increase the volume of anal-focused content they create.

“I don’t think the overall production has gone up,” says Holly Kingstown, the editor of Fleshbot and a fixture of the adult industry since 1999 who’s held every job possible save actress. “In your talent pool, there are still [only] a certain number of girls who will do [anal]. And how many of that scene can you do with that girl?”

“There are performers who are willing to do it,” possibly due to industry pressures and consumer demand. “But in terms of the quality, when you’re talking about DVD sales…” she adds, before pausing briefly. “You can get a crappy internet scene or two out of a girl, but if she’s not really good at it, you’re not going to get that too many times. And when you’re talking about a girl who does it just to get a scene, it’s usually not going to be a girl who loves it or does it very well. So she’s not going to get that much work.”

Kingstown does believe that there’s more consumption of the anal-focused content that already exists. But the absolute number of anal-focused titles available for consumers is fairly static.

What has changed, says Kingstown, is the tone and packaging of the anal porn that gets made. Towards the early 2000s, when Kingstown was still working at Buttman Magazine, she and a her colleagues realized that more couples, versus angry men looking for painal (grimacing girls , visibly suffering and un-lubed ass-ramming), were exploring their content. Adjusting to this mass market, pornographers shifted to portraying anal as pleasurable and normal versus painful and sick, which had apparently been the norm for the bulk of anal porn content up to that point.

“You still see the stuff where you’ll see a woman called an ‘anal whore.’ But you also see the tone overall to be a bit more… I want to say woman-positive,” says Kingstown. “For example, I’m looking at my desk and I’ve got James Deen Loves Butt here. This isn’t James Deen Loves Sodomizing Little Girls and Making Them Cry . That title would sell too, but to a whole different audience. There’s Anal Warriors, where women are shown as strong and powerful and in control of the sex that they’re having. There’s a whole ton of these kinds of movies where the women who enjoy anal are shown as strong and powerful.”

But even if movies today portray anal sex as pleasurable, they still don’t paint it realistically. They don’t focus on the time and preparation most (s)experts agree good anal requires . They often show a ramrod, angled experience that wouldn’t be pleasant for more than a few women in the world. Of course, a lack of realistic sexuality is a chronic problem in all niches of fantasy-driven porn.

We’re seeing a lot more prolapses. We’re seeing double anal. It used to be five anal scenes, done, not four anal scenes and a double penetration. They can go further, so they do. –Holly Kingstown

This pleasurable-looking anal, says Kingston, is now treated like a run-of-the-mill aspect of porn rather than a specialty act. Whereas in the past, you might stuff all your anal content into one niche film, nowadays directors think nothing of nonchalantly inserting an anal scene into a larger project. The overall amount of anal content remains the same—it’s just not as clustered into niche markets and individual movies. Yet, as anal becomes a normal part of heterosexual porn for a wider audience, a small audience craving painful or extreme porn, for whom anal is now too passé and mainstream, has started demanding more physically taxing and (Kingston believes) potentially dangerous ass play acrobatics from the limited actress pool.

“You see a lot more circus stuff than you used to,” says Kingstown. “We’re seeing a lot more prolapses. We’re seeing double anal. It used to be five anal scenes, done, not four anal scenes and a double penetration. They can go further, so they do. And physically, there’s only so far that you can go with your body [as a performer].”

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SEX TOYS IN THE HETERO-ANAL ERA

“Anal sex has always been a frequent topic of conversation with our [mostly heterosexual] customers,” Claire Cavanah, co-founder of Babeland, told VICE when we asked for data on anal-related sex toy sales. The Seattle-based outfit with three outlets in New York is often hailed as one of the most accessible and acclaimed sex toy shops in America—a profile that lends it a large consumer base. “The ‘How to Have Butt Sex’ content on Babeland.com is the number one viewed piece of our [editorial] content. It has almost double the number of eyes on it as the ‘How to Give a Blow Job’ article, which is the second most viewed [item]. We don’t have data before 2009, but it’s always been number one.”

A Babeland survey of 18,412 customer respondents in 2009 (not a reliable sample, due to self-reporting issues, but still one of the better pieces of data you can find on this subject matter) also found that, 60.5 percent of men and 40.1 percent of women had tried using a butt plug, 56.8 percent of men and 31.7 percent of women had tried using an anal dildo, 51.8 percent of men and 29.2 percent of women had tried using an anal vibrator, and 37.4 percent of men and 27.8 percent of women had tried using anal beads.

Yet even with a high baseline of anal interest, Babeland has seen an increase in anal-related sales. Between 2012 and 2015, the genre averaged about 5 percent growth per year. As of 2015, Cavenah estimates that such toys, specifically made with anal in mind, make up about 16 percent of Babeland’s sales.

hug in the butt

What’s more significant to Cavenah and company, they say, is how they’ve witnessed the tone and level of openness their customers use when talking to them about purchases and proclivities evolve. The hushed voices and seedy aura customers once took into transactions has faded away. And as people get more open, comfortable, and explicit with their anal sex toy needs, toy makers have responded to their feedback with a deluge of new, specifically anal-targeted sex toys , including smaller models marketed towards anal beginners. Babeland’s also noticed more luxury anal sex toys coming onto the market—products made of metal or glass, substances with higher price points—which suggests the emergence of a fair number of swankier, less bashful customers.

“We’ve definitely seen a shift in more interesting, innovative, and high-quality butt toys from some of the leading sex toy companies,” says Cavenah. “Je Joue debuted a remote-controlled vibrating prostate stimulator this spring. Anal toys come with vibrators, apps, and magnetic resistance that creates a pulsating sensation. There are also lubricants, such as Sliquid [Naturals] Sassy , that are marketed specifically for anal use.”

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Anal Time

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