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Health risks
The following things are best NOT done:
anal play during illness of any kind.
using objects or toys that were not specifically designed for anal use.
applying force of any kind (the anus will swallow your finger, even fist, or toys, all by itself).
Anal sex should be avoided if one has hemorrhoids, infections or small wounds around the anal area for various reasons. One is the HIV risk, another is that your movements around the area may spread bacteria from the inside to the outside and last but not least, it usually hurts too much.
Except for the HIV-risk, ejaculating inside is not a problem at all.
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