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Urogynecology and Reconstructive Pelvic Surgery. In other projects Wikimedia Commons. Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum. There are a variety of factors that make male-to-female anal intercourse riskier than vaginal intercourse for women, including the risk of HIV transmission being higher for anal intercourse than for vaginal intercourse. Retrieved September 4, Anal sex can expose its participants to two principal dangers: infections due to the high number of infectious microorganisms not found elsewhere on the body, and physical damage to the anus and rectum due to their fragility.

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