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The anal and rectal tissues are delicate and do not provide lubrication like the vagina does, so they can easily tear and permit disease transmission, especially if a personal lubricant is not used. It is controversial in various cultures, especially with regard to religious prohibitions.

The review suggests that anal sex is exotic among the sexual practices of some heterosexuals and that "for a certain number of heterosexuals, anal intercourse is pleasurable, exciting, and perhaps considered more intimate than vaginal sex".sources sometimes use the term anal intercourse to refer exclusively to penile-anal penetration, and anal sex to refer to any form of anal sexual activity, especially between pairings as opposed to anal masturbation.People may experience pleasure from anal sex by stimulation of the anal nerve endings, and orgasm may be achieved through anal penetration – by indirect stimulation of the prostate in men, indirect stimulation of the clitoris or an area of the vagina (sometimes termed the G-spot) in women, and other sensory nerves (especially the pudendal nerve).The likelihood of pregnancy occurring during anal sex is greatly reduced, as anal sex alone cannot lead to pregnancy unless sperm is somehow transported to the vaginal opening.Because of this, some couples practice anal intercourse as a form of contraception, often in the absence of a condom.

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