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If one of the people involved has a vagina, bacteria can be spread to their vagina or urethra if a penis slips or if you have anal sex followed by vaginal sex. If you have both vaginal and anal sex, it is a good idea to use new condoms for each act to avoid spreading bacteria from the anus to the vagina. If the person involved with a vagina develops symptoms of a vaginal or urinary tract infection or if they are concerned about these things, it would be recommended they see a health care provider. Foreplay: It is okay to take your time and enjoy the foreplay. Foreplay can also allow people time to relax. Being genuinely relaxed is very important with anal sex, since there are rings of muscle around the opening of the anus and inside that need to relax to allow pain-free penetration.
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What Is Anal Cancer?

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The inner lining of the anal canal is the mucosa. Most anal cancers start from cells in the mucosa. Glands and ducts tubes leading from the glands are found under the mucosa. The glands make mucus, which acts as a lubricating fluid. Anal cancers that start from cells in the glands are called adenocarcinomas. The anal canal changes as it goes from the rectum to the anal verge: Cells above the anal canal in the rectum and in the part of the anal canal close to the rectum are shaped like tiny columns.
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Anal fissure This typically presents with pain on defecation and blood spotting on toilet paper. These symptoms are due to an ischaemic mucosal ulcer within a high-pressure sphincter. The fissure is usually visible at inspection of the gently distracted anus Fig. Digital examination is intolerable and should be avoided. Management requires laxatives, analgesia and internal sphincter relaxation, which can be achieved with a nitrate ointment or a limited internal sphincterotomy.
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What are risk factors for anal cancer? Only about 0. Anal cancer can occur in any person, but some people have a higher risk of developing it than others.
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