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Rectal gonorrhea, anal chlamydia, and hiv are all real risks. According to the united states centers for disease control and prevention, anal sex is the highest-risk sexual behavior for hiv. Penetrative anal sex has a higher risk of spreading stis than many other types of sexual activity. as more couples explore anal sex, understanding the risks, rewards, and proper strategy is important. having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids. anal sex is known to carry some potential health risks, so it is worth reading up on it before you experiment. before having anal sex for the first time, make sure you are prepared. Find out the anal sex health risks and dangers, as well as how to prevent painful anal sex. anal sex enthusiasts can relax (a good thing to do during anal sex!), because contrary to what you heard, anal sex does not loosen the anus or cause an inability to control bowel movements. However, there can be risks associated with anal sex other than sexually transmitted infections (stis), so its important to take steps to minimize these risks. anal sex is currently a hot topic of discussion for it is increasingly prevalent among young men and women, and older adults. 1 in 2007, a study based on the national survey of family growth (nsfg), found that one-third of u. 2 in the study, starting from the age 15, the percentage of participants reporting heterosexual anal sex. Anal sex safety everything you need to know medically reviewed by alana biggers, m. , mph as more couples explore anal sex, understanding the risks, rewards, and proper strategy is important.