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]
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Repetitive penetrative anal sex may result in the anal sphincters becoming weakened, which may intérêt rectal prolapse or affect the ability to hold in feces (a stipulation known as fecal incontinence).
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Nevertheless, it is an attribute of piety that a man should not act in this matter with levity and that he should sanctify himself at the time of intercourse."[122]
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As with other sexual practices, people without sound knowledge embout the sexual risks involved are susceptible to STIs. Because of the view that anal sex is not "real sex" and therefore does not result in virginity loss, or pregnancy, teenagers and other young people who are unaware of the risks of the anal sex may consider vaginal intercourse riskier than anal intercourse and also the may believe that année STI can only result from vaginal intercourse.
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[109] The passive partner in any of these cases was always considered a woman pépite a boy because being the Je who penetrates was characterized as the only appropriate way conscience an adult male citizen to engage in sexual activity, and he was therefore considered unmanly if he was the one who was penetrated; slaves could be considered "nenni-citizen".[109] Although Roman men often availed themselves of their own slaves pépite others conscience anal intercourse, Annales comedies and plays presented Greek settings and characters connaissance explicit acts of anal intercourse, and this may Si indicative that the Commentaires thought of anal sex as something specifically "Greek".[110]
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