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.
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.
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.
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.
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-relatedporn 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.)
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].”
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.
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-qualitybutt 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.”
Daily sex is good or bad? Know benefits of kissing and benefits of sex and sex education. Sex is good for health and learns sex benefits. Sex feels good because it stimulates oxytocin, a brain chemical that produces a calm, safe feeling. Oxytocin flows in apes when they groom each other’s fur. Sheep release oxytocin when they stand with their flock.
The act of intimate sex has been evolving over millions of years as an apparatus to deliver sperm to eggs and initiate pregnancy. Currently, we look at the social and mental aspects of health benefits that are a importance of consenting sexual relationships, or the pursuit of them.
Sex Brings People Together
Have you ever met big shot who is right for you “on paper”, but when push comes to push their scent seems wrong, or the stimulus isn’t there? Our bodies can tell our minds who we don’t want to be with. Similarly, our bodies can give us strong indications about whether we want to stay close to someone.
Such releases are mostly marked during sexual pleasure and orgasm. The release of these chemicals is thought to promote love and pledge between couples and increase the chance that they stay together. Some research secondary this comes from studies of rodents. For example, female voles have been found to bond to male voles when their copulation with them is paired with an infusion of oxytocin.
In individuals, those couples who have sex less regularly are at greater risk of relationship closure than are friskier couples. But oxytocin is not just good for pair bonding. It is released from the brain into the blood stream in many social conditions, including breastfeeding, singing and most actions that involve being “together” pleasurably. It appears oxytocin plays a role in a lot of group oriented and socially sweet activities, and is implicated in altruism.
Bonobos (a species of apes) appear to take full benefit of the link between harmony and sex, often resolving conflicts or heartening one another by rubbing genitals, copulating, masturbating or performing oral sex on one another. This isn’t somewhat to try during a tense board meeting, but such findings hint at the potential role lovemaking may play in settlement between couples.
Sex Is A Healthy Activity
Sex is a form of isometrics: a fun online calculator can help you analyze how much energy you burned during your last sex session.
People with poor physical or sensitive health are also more likely to have sexual problems. Here connection is hard to establish – healthier people will tend to be “up” for more sex, but it is also likely that the physical workout and bonding benefits conversed by satisfying sex lead to healthier, happier lives.
It’s also thinkable our long, energetic, and physically demanding style of sex evolved to help us evaluate the health of probable long-term partners.
Sex Can Make Us Creative
Some truth-seekers propose art forms such as poetry, music and painting result from our drive to get people in bed with us.
In a culture in which there’s at least some choice obtainable in whom we mate with, rivalry will be fierce. Therefore, we need to display features that will make us striking to those we are attracted to.
In humans, this is believed to result in modest and creative displays, as well as displays of humor. We certainly see indication of the success of this method: musicians, for example, are stereotyped as never lacking a possible mate. Picasso’s most creative and creative periods usually coincided with the arrival of a new mistress on the scene.
Science Says: Go For It
What then does science tell us? Simply put, non-reproductive sex is an motion that can bring natural rewards. It can bring people together, help drive creative endeavors, and pay to good health.
Sex between two people can provide a host of infections and diseases; sex among three people triples those odds. A threesome is riskier than sex in a mutually monogamous, long-term relationship where both people have been tested. For example, if you touch one person, and you get fluids on you, and you touch the other person, fluids have been exchanged.
There’s a risk of exposing the third partner to bodily fluids when two fluid-bonded partners engage in unprotected sexual acts. In the book The Ethical Slut, author Dossle Easton uses the term “fluid bonding” to describe when partners involved do not use condoms or other barriers during sex.
Barriers for all sexual activities can go overlooked in threesomes; all partners should use a new barrier every time they switch sexual acts. If one person goes from intercourse to fellatio, or vice versa, you change condoms. You also need to change condoms if you move from penetrating one partner to penetrating another. You need to pick up a new dental dam when performing oral sex on someone new.
As expected, men are more likely to initiate asking women for a ménage à trois . Women are more likely to be aware and concerned about the potential emotional pitfalls and hurts that can be detrimental to all relationships. This is why couples should discuss their physical and emotional limits before the third person becomes involved.
“I have seen some serious fall-out from threesomes gone badly. It can be hard to predict the intensity of jealousy and hurt when it comes to sexual experience and bringing another person in,” Dr. Gail Saltz, a psychiatrist and psychoanalyst, told Medical Daily .
Finally, remember that the “special guest” is a person, too. They need to be treated with respect. It’s important to ask them about, and listen to, their limits as well. As with any other sexual experience, everyone needs to feel safe and comfortable enough to say no as well as yes.
5. Should Threesomes Fantasies Just Stay Fantasies?
The threesome fantasy is a common one, whether we like to admit it or not, but should we act it out?
“… Not everybody wants to act out their fantasies,” Masini said, and some people have very good reasons for abstaining.
Many people keep their fantasies in their imaginations because they know if they acted on them, they’d lose their primary relationship. If we fantasize about sex with a neighbor or a colleague, acting out the fantasy could lead to rejection from the object of our fantasies, and a break-up with our significant other.
This is not to say threesomes can’t go well. Those who really know themselves and their partners can have successful trios.
Saltz advises: “It needs to be thoroughly talked through with openness to [discuss] concerns, fears; [couples should be willing] to listen to each other, and retreat if one needs to.”
Once we see our partner enjoying sex with someone else, we can’t unsee it. The potential vulnerability it introduces, and the potential desire for the third person could be detrimental to a relationship.
Before we start calling up friends, or putting “Special guest wanted” in classified ads, we should ask ourselves why we want one in the first place. To fulfill a fantasy? To feel more desired or wanted? Are we trying to fix our intimate relationship with our partner?
Threesomes can be a fun, adventurous sexual experiment, but can they replace true intimacy between two people?
The idea of a threesome is hot, but it doesn’t mean you should actually do it.
We’re in control of our bodies, and our sexual escapades, so whether that means a intimate twosome or a frisky threesome, it’s up to us.
Parents play a key role in shaping sexual decision-making among adolescents — especially for girls.
A 2016 review of more than three decades of research found that teenagers who communicated with their parents about sex used safer sexual practices. Likewise, new research from Dutch investigators who studied nearly 3,000 teenagers found that young adolescents who reported feeling close with a parent were unlikely to have had sex when surveyed again two years later.
Notably, both research teams found that daughters benefited more than sons, and that the effective conversations and relationships were typically had with mothers.
According to Laura Widman, lead author of the review study and an assistant professor of psychology at North Carolina State University, “parents tend to talk about sex more with daughters than with sons, and we can speculate that that’s what’s probably driving these findings. Boys may not get the messages as frequently or have the kind of in-depth conversations that parents are having with girls.”
Given the results of her research, Dr. Widman said that she “wouldn’t want parents to get the idea that they only need to talk to daughters. In fact, it may be the opposite. We need to find a way to help parents do a better job of communicating with both their sons and daughters so that all teens are making safer sexual decisions.”
That parents have more frequent conversations with their daughters about sex and sexual development may be prompted by biological realities. Menstruation, HPV vaccination (which remains more common in girls than boys), and the fact that birth control pills require a prescription might spur discussions that aren’t being had with sons.
Yet experts also agree that gender stereotypes play a powerful role in sidelining both fathers and sons when it comes to conversations about emotional and physical intimacy. Andrew Smiler, a psychologist who specializes in male sexual development, noted that women generally “have a better vocabulary for talking about feelings and relationships than boys and men do. Fathers may be a little more stoic, more reserved and more hands-off.” And, he added, “they may play to the stereotype of trusting boys to be independent and able to care for themselves.”
These same stereotypes can also tend to steer the conversation in one direction with daughters and another direction with sons. When parents do address sexual topics with their teenagers, they typically adopt a heterosexual frame with boys playing offense and girls playing defense.
“We usually view our girls as potential victims who need to be protected from pregnancy and rape,” says Sheryl Ziegler, a psychologist who provides mother-daughter seminars on puberty and sexual development, while boys are often cast as testosterone-fueled prowlers looking for nothing but sex. These assumptions often drive how parents approach the conversation. Dr. Mary Ott, an associate professor of pediatrics at Indiana University and the author of a research synopsis on sexual development in adolescent boys observed that, “when parents talk with boys, there’s an assumption that they’ll have sex and they are advised to use condoms. Whereas for girls, there’s more of a focus on abstinence and delaying sex.”
Parental concern about the negative consequences of adolescent sexual activity can reduce “the talk” to a laundry list of don’ts. Don’t get a sexually transmitted infection, don’t get pregnant or get a girl pregnant and don’t proceed without gaining consent. Critical as these topics are, Dr. Ziegler points out that they can “become the focus, so much more than having a quality conversation about why we are sexual beings, or talking about all of the ways we can express love.” And failing to acknowledge the pleasurable side of sex can, according to Dr. Smiler, hurt the credibility of adults. “When parents only acknowledge the scary side of the story,” he said, “teenagers can devalue everything else the parents have to say.”
So how might we do justice to conversations with both our daughters and sons about emotional and physical intimacy?
Over the years in my work as a clinician, I’ve come to a single tack that I take with adolescent girls and boys alike. First, I prompt teenagers to reflect on what they want out of the sexual side of their romantic life, whenever it begins. Why are they being physically intimate, what would they like to have happen, what would feel good?
Following that, I encourage each teenager to learn about what his or her partner wants. I urge them to secure not just consent, but enthusiastic agreement. Given that we also grant consent for root canals, gaining mere permission seems, to me, an awfully low bar for what should be the joys of physical sexuality. Dr. Smiler adds that any conversation about consent should avoid gender stereotypes and address the fact that boys experience sexual coercion and assault and “include the idea that boys can and do say no.”
Finally, if the parties are enthusiastically agreeing to sexual activity that comes with risks — pregnancy, infection, the potential for heartbreak, and so on — they need to work together to address those hazards.
Further, returning to the topic over time allows parents to account for the rapidly shifting landscape of adolescent sexual activity. We should probably be having one conversation with a 12-year-old, an age when intercourse is rare, and a different one with a 17-year-old, half of whose peers have had sex.
Is it better for mom or dad to handle these discussions? Teenagers “want to have the conversation with someone they trust and respect and who will show respect back to the teen,” Dr. Smiler said. “Those issues are more important than the sex of the person having the conversation.”
How families talk with teenagers about their developing sexuality will reflect the parents’ values and experiences but, Dr. Ott notes, we’re all in the business of raising sexually healthy adults.
“We want our teenagers to develop meaningful relationships and we want them to experience intimacy,” she said, “so we need to move our conversations about sex away from sex as a risk factor category and toward sex as part of healthy development.” And we need to do so with our sons as well as our daughters.