Sometimes you have a sex question that's not just, you know, an idle passing thought. In America today, it's all about anal. It's not just a highly sought-after porn genre, though—more and more Americans are giving it the old college try IRL, too. As anal has increased in popularity, curiosity and concern about the potential long-term effects of being on the receiving end of it—or, as some call it, "bottoming"—have also spiked. I've seen this firsthand in my work as a sex educator, where questions on this topic have been on an upward trend, both in my classes and in my email inbox.
Blunt and penetrating injuries to the anus and rectum are uncommon. Considerable debate remains regarding the optimal treatment of rectal injuries. Although intraperitoneal rectal injuries can be treated similarly to colonic injuries, treatment options for extraperitoneal injuries include fecal diversion with a colostomy, presacral drainage, repair of the rectal defect, and distal rectal washout. Perineal injuries resulting in anal sphincter disruption often occur with severe associated injuries. Small defects can be repaired primarily, but extensive injuries often require diversion and sphincter reconstruction. Objectives: On completion of this article, the reader should be able to summarize the management of anorectal trauma.
As more couples explore this type of sex, understanding the risks, rewards, and proper strategy is important. According to the Centers for Disease Control CDC , anal sex is primarily growing in popularity with couples under age You might think of anal sex as anal penetration with a penis, but you have a few more options. Anal sex can also be performed with fingers or the tongue.