The gay bowel syndrome: a mon problem of homosexual patients the emergency partment - PubMed

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Unrstand health ncerns for gay men and other men who have sex wh men, and learn how to promote good health.

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THE GAY BOWEL SYNDROME: A MON PROBLEM OF HOMOSEXUAL PATIENTS THE EMERGENCY PARTMENT

Sexually transmted bowel and rectal diseas are mon gay men and are ed by a wi variety of fect agents. Each of the enti implited the gay bowel syndrome is nsired separately and epimlogic nsiratns rponsible for the appearance of such a syndrome are exam … * gay with ibs *

The gay bowel syndrome: a mon problem of homosexual patients the emergency partment.

GAY MEN ARE TWO TIM MORE LIKELY TO HAVE FLAMMATORY BOWEL DISEASE, ACRDG TO NEW REARCH

* gay with ibs *

Sexually transmted bowel and rectal diseas are mon gay men and are ed by a wi variety of fect agents. Each of the enti implited the gay bowel syndrome is nsired separately and epimlogic nsiratns rponsible for the appearance of such a syndrome are examed.

Gay bowel syndrome.

Clil approach to ttal fectns homosexual men. Enteric diseas of homosexual men. The gay bowel.

GAY MEN ARE TWO TIM MORE LIKELY TO HAVE INFLAMMATORY BOWEL DISEASE, ACRDG TO NEW REARCH

Gay men are more than twice as likely to velop flammatory bowel disease (IBD) than heterosexual men when both populatns engage high-risk sexual activy, acrdg to new rearch om the Digtive Health Rearch Instute at Case Wtern Rerve Universy and Universy Hospals Cleveland Medil Center (UH).

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GAY AND BISEXUAL MEN'S HEALTH ISSU

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AskGaybrosOver30 is a place for supportive and iendly nversatns between over 30 adults. Gay men are more than twice as likely to velop flammatory bowel disease (IBD) than heterosexual men when both populatns engage high-risk sexual activy, acrdg to new rearch om the Digtive Health Rearch Instute at Case Wtern Rerve Universy School of Medice and Universy Hospals Cleveland Medil Center (UH).

Unrstand important health issu for gay men and other men who have sex wh men, and get tips for matag good Mayo Clic Staff. However, there are some specific health ncerns that gay men and other men who have sex wh men need to be aware of.

*BEAR-MAGAZINE.COM* GAY WITH IBS

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data-ttid="ContentHearAccredatn"><div class="ContentHearDek-bIqFFZ gfsKfN">Hey, sh*t happens.</div><div class="ContentHearByle-kmPyCa emiglw"><div class="ContentHearByleContent-dpPmNn DRFq"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl ContentHearByl-cZqgyJ bHLeKI"><p class="ByleWrapper-jWHrLH gKcujo byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd fzZOZR gnILss byle__preamble">By </span><a class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM ByleLk-gEnFiw iUEiRd fPqUbj IWACp eErqIx byle__name-lk button" href="/ntributor/sophie-sat-thomas">Sophie Sat Thomas</a></span></span></p></div><time data-ttid="ContentHearPublishDate" dateTime="2018-09-29T08:00:00-04:00" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ ContentHearPublishDate-eIBicG iUEiRd danQKH MlCHH">September 29, 2018</time></div></div><div class="SocialInsWrapper-hKMEXV ffgPVr social-ins social-ins--standard ContentHearAccredatnSocialIns-jorO fPzfaa ntent-hear__social-share"><ul data-ttid="socialInslist" class="SocialInsList-cHVTIA ivmblD social-ins__list"></ul></div></div></div><div class="ContentHearLeadAsset-hGbumP cAlrhp lead-asset ContentHearLeadAssetWrapper-hfXHEc bjtV lead-asset--width-small" data-ttid="ContentHearLeadAsset"><figure class="ContentHearLeadAssetContent-kOfYSG dRGWbI"><div class="ContentHearLeadAssetContentMedia-bLEIpi jjhWdS lead-asset__ntent__photo"><span class="SpanWrapper-umhxW jvZaPI rponsive-asset ContentHearRponsiveAsset-bREgIb cZenhb"><div data-tt="aspect-rat-ntaer" class="AspectRatContaer-bJHpJz iqnk"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa ContentHearRponsiveAsset-bREgIb cZenhb rponsive-image"><source media="(max-width: 767px)" srcSet=" 120w, 240w, 320w, 640w, 960w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 120w, 240w, 320w, 640w, 960w, 1280w, 1600w, 1920w, 2240w" siz="100vw"/><img alt="Glowg pip reprentg gastro ttal issu" class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></picture></div></div></span><div class="CaptnWrapper-jSZdqE qDPBn ptn ContentHearLeadAssetCaptn-hPWmSN loMSDX"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ CaptnCred-ejegDm iUEiRd gVwuiM fNaHcW ptn__cred">Getty / Stefano Cipriani</span></div></div></figure><div data-ttid="ContentHearLeadRailAnchor" class="ContentHearLeadRailAnchor-jYVcDc djtEof"></div></div></div><asi class="PersistentAsiWrapper-VGrR oEIBz persistent-asi persistent-asi--align-left" style="posn:absolute;top:to;height:to" data-ttid="PersistentAsiWrapper"><div class="StickyBoxWrapper-jfYB jNgrSF sticky-box ContentHearPersistentAsi-fsnAmQ dFzKzm"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="SocialInsWrapper-hKMEXV ffgPVr social-ins social-ins--has-background ContentHearSocialIns-jzJiyg fgMkJI social-ins--share"><ul data-ttid="socialInslist" class="SocialInsList-cHVTIA ivmblD social-ins__list"></ul></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></asi></hear></div><div data-attribute-verso-pattern="article-body" class="ArticlePageContentBackGround-cNiFNN kJkLmH article-body__ntent"><div class="ArticlePageChunksContent-etcMtP bwyLBj"><div data-ttid="ArticlePageChunks" class="ArticlePageChunks-fLyCVG eOdfIs"><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa UJsCn body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>A few years ago, I found the perfect <a href=">butt plug</a>. Called <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">Cupid's Itty Bty Begner's Plug</a>, was small, a pretty pastel pk, ma wh soft siline, and plete wh an external rg to make sure didn’t get lost si me. (Yup, <a href=">that n happen</a>.) After verg the plug water-based lube (very necsary, as the an isn’t self-lubritg), my partner serted to my butt to warm me up for <a href=">anal sex</a>.</p><p>We fooled around for 30 mut or so, but when my partner took out the butt plug, ’t perfectly baby pk anymore. A few, er, brown spots dappled the smooth siline. This cint happened some years ago, before I was more fortable my body. I got so embarrassed I lled the whole thg off spe genuely enjoyg anal sex.</p><div role="headg" aria-level="3" class="headg-h3">I have <a href=">irrable bowel syndrome</a>, or IBS. I also happen to really like anal sex. As you n image, the two don’t always go together.</div><p>The e of IBS isn’t entirely known, although <a href=">potential factors</a> clu overly active or unractive ttal mcl, flammatn the GI tract, an off-kilter <a href=">gut microbme</a>, and more.</p><div class="Contaer-bkChBi byNLHx"></div><p>Not knowg the exact e don’t change IBS’s effect on my body. I often experience symptoms like diarrhea that on sudnly, stomach crampg, and nsea. I also need <a href=">lonospi</a> every five years as I have a fay history of <a href=">lon ncer</a> and am prone to polyps, or small growths along the lon that rry a <a href=">risk of beg ncero</a> if not ught early. My IBS n really throw a wrench to my life, cludg the whole anal sex thg.</p><div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--article-mid-ntent" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--article-mid-ntent nsumer-marketg-un__slot---ntent"></div><div class="journey-un"></div></div></div><p>I’m not the only person to crave receptive anal sex jt to have the mood ed by a gastrottal ndn. “I bottom signifintly ls then I would like. I love anal, but I'm aaid I'll sh on a sual enunter, which would be awkward as all hell,” LGBTQ wrer, speaker, and activist <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">Zachary Zane</a>, who also has IBS, tells SELF. “[It] mak more difficult for me to relax... It's tough to enjoy sex if you're worried you're gonna explo.”</p><div role="headg" aria-level="3" class="headg-h3">Many GI ndns bis IBS n e symptoms that might terfere wh anal sex.</div><p>Up to 70 ln people the Uned Stat are affected by digtive diseas, acrdg to the <a href=">Natnal Instut of Health</a>.</p><div class="AdWrapper-dQtivb fZrssQ ad ad---ntent"><div class="ad__slot ad__slot---ntent" data-no-id="z08soo"></div></div><p>One is <a href=">IBD</a>, or flammatory bowel disease. This umbrella term scrib disorrs volvg chronic flammatn of the digtive tract, such as <a href=">ulcerative lis</a> and <a href=">Crohn's disease</a>, the <a href=">Mayo Clic</a> explas. The ndns n e bilatg symptoms like severe diarrhea, tense abdomal crampg, and fatigue that mak difficult to get out of bed—never md have sex.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-1 viewport-monor-anchor"></div><p>Another possible issue is <a href=">chronic nstipatn</a>, which is when you have nsistent trouble poopg for at least three months, acrdg to the <a href=">Mayo Clic</a>. This is a symptom I sometim experience wh IBS. I n nfirm that when you are totally backed up, there’s no way you’re backg up to anythg.</p></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB kNleGZ sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="Contaer-bkChBi byNLHx"></div><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="mgt5tg"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div><div data-attr-viewport-monor="" class="RecircMostPopularWrapper-bRuGTi jkTTgR recirc-most-popular-wrapper viewport-monor-anchor"><div class="RecircMostPopularConter-jiViNn ktrplG recirc-most-popular-sparrow-trackg hi-asi-ad" data-most-popular-id="mod-most-popular-939"><div 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emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd fzZOZR gnILss byle__preamble">By </span>Melanie Rud</span></span></p></div></div></div></div></div></div></li><li><div class="AdWrapper-dQtivb fZrssQ RecircMostPopularSummaryItem-jQxxiw bGBSrw ad ad--asi"><div class="ad__slot ad__slot--asi" data-no-id="qyd1kc"></div></div></li></ul><div class="RecircMostPopularFooter-enPjgs fObDao"></div></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div><div class="RowWrapper-UmqTg HEhan full-bleed-ad row-mid-ntent-ad"><div class="StickyMidContentAdWrapper-fSBzwl drzyIa ad-stickymidntent"><div class="AdWrapper-dQtivb fZrssQ ad ad--mid-ntent should-hold-space"><div class="ad__slot ad__slot--mid-ntent" data-no-id="qqm4ss"></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa UJsCn body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>There’s a whole host of other GI troubl that might terpt your experimentatn wh anal sex, like <a href=">peptic ulcers</a> (which n e nsea, heartburn, and stomach pa), anal fissur (paful ltle cuts the lite tissue down there), and <a href=">hemorrhoids</a> (pil of swollen ves that n prompt anal bleedg, pa, irratn, and chg, among other symptoms). Not que a recipe for great butt sex!</p><p>“[Wh GI issu], is the unpredictabily of both equency and severy of symptoms that dispts one’s life,” <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">Elena Ivana</a>, D.O., M.P.H., a gastroenterologist and assistant profsor at Lenox Hill Hospal of Northwell Health, tells SELF. “[You] may not be able to gus when the stomach pa will h and have you doubled over, or the strong urge to poop mak you n to the neart bathroom.” Which brgs to our next pot...</p><div role="headg" aria-level="3" class="headg-h3">Real talk: If you have a GI ndn, do you need to worry about poopg durg anal sex?</div><p>Let’s chat about poopg durg anal, bee that’s probably why you clicked this story. It is a fact that sometim, as they say, sh happens. “Sex n be msy … and 's fely te wh anal sex, IBS or not,” licensed psychologist and certified sexologist <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">Denise Renye</a>, Psy.D., tells SELF.</p><p>There are two ma possibili when to GI ndns specifilly: that you will actively poop durg anal bee of, say, diarrhea, or that you might have extra stool your rectum (the <a href=">part of your large tte</a> clost to your an) due to somethg like nstipatn.</p><p>The thg is that some ridual fel matter n hang out your rectum even if you <em>don’t</em> have a GI ndn, so, yeah, anyone wh a functng butthole might see some poop durg anal, Dr. Ivana says. Havg persistent, somewhat unpredictable <a href=">poop problems</a> simply mak you a ltle more vulnerable to this.</p><p>That don’t, however, mean poop absolutely will crash your anal party. If do, wash your hands and the affected body parts and reasss how much you feel like gettg back to anal after that. If you’re gog to ntue wh peratn and you were g a ndom, you should grab a h one. If you were g a barrier method such as a <a href=">ntal dam</a> for analg, you’ll need a new one of those stead.</p><div role="headg" aria-level="3" class="headg-h3">Should you e an enema before anal sex to crease the chanc of poopg?</div><p>Enemas are jectns of fluid to the rectum to flh out any stool that’s there. In general, ’s OK to e enemas “refully and appropriately, but not on a equent basis,” Dr. Ivana says.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-2 viewport-monor-anchor"></div><p>The <a href=">mcl the rectum</a> typilly know what they’re dog when to keepg poop or phg out. You don’t want to e enemas so often that you ms wh your body’s natural fetn procs, pecially if you have a GI ndn that’s already screwg wh the way you poop. If you’ve never discsed enemas wh your doctor, n be smart to check wh them before addg an enema to your route.</p><div role="headg" aria-level="3" class="headg-h3">Next up: Are you more likely to experience pa durg anal sex if you have a GI issue?</div><p>“If someone has a GI disease volvg the an/rectum—for example, a flare of ulcerative lis, a rectal ulcer, or an anal fissure— may not be safe to have receptive anal sex,” Dr. Ivana says. First of all, might really hurt. But also, anythg that creas your chanc of exchangg fluids, like anal fissur that n leave bloody cracks your sk, may put you or your partner at creased risk of <a href=">sexually transmted fectns</a>.</p></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB jxBcTH sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="90wfab"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div><div data-attr-viewport-monor="" class="RecircMostPopularWrapper-bRuGTi jkTTgR recirc-most-popular-wrapper viewport-monor-anchor"><div class="RecircMostPopularConter-jiViNn ktrplG recirc-most-popular-sparrow-trackg hi-asi-ad" 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summary-em__byle-date-in"><div class="SummaryItemBaseByle-fFbXkY fOzHsm summary-em__byle"><div class="summary-em__byle__ntent"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl"><p class="ByleWrapper-jWHrLH ktuuhV byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd fzZOZR gnILss byle__preamble">By </span>Amy Marturana Wrl, C.P.T.</span></span></p></div></div></div></div></div></div></li><li><div class="SummaryItemWrapper-iwvBff iPbsZw summary-em summary-em--has-borr summary-em--ARTICLE summary-em--no-in summary-em--text-align-left summary-em--layout-placement-si-by-si summary-em--layout-posn-image-left summary-em--layout-proportns-33-66 summary-em--si-by-si-align-center summary-em--si-by-si-image-right-mobile-false summary-em--standard 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emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd fzZOZR gnILss byle__preamble">By </span>Melanie Rud</span></span></p></div></div></div></div></div></div></li><li><div class="AdWrapper-dQtivb fZrssQ RecircMostPopularSummaryItem-jQxxiw bGBSrw ad ad--asi"><div class="ad__slot ad__slot--asi" data-no-id="tstejd"></div></div></li></ul><div class="RecircMostPopularFooter-enPjgs fObDao"></div></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div><div class="RowWrapper-UmqTg HEhan full-bleed-ad row-mid-ntent-ad"><div class="StickyMidContentAdWrapper-fSBzwl drzyIa ad-stickymidntent"><div class="AdWrapper-dQtivb fZrssQ ad ad--mid-ntent should-hold-space"><div class="ad__slot ad__slot--mid-ntent" data-no-id="93gtbi"></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa UJsCn body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>This is why you should always e ndoms for peratn (cludg on toys) and barrier methods like ntal dams for analg. (The exceptn is if you and your partner are a mted monogamo sexual relatnship and have been tted recently.) If you are g a ndom, you should always get a new one when swchg between anal and vagal peratn, otherwise you n pos bacteria om your GI tract right to your vaga where may e an fectn.</p><div role="headg" aria-level="3" class="headg-h3">If you have a GI-related medil ndn, are terted anal sex, but are ncerned about the poop factor, Dr. Ivana suggts talkg to your doctor about your treatment plan.</div><p>The goal is to get on as regular a poopg schle as possible and crease flar of any symptoms. That might clu tweakg your diet by cuttg down on triggers such as spicy foods and beverag like <a href=">ffee and alhol</a>, exercisg more to <a href=">crease movement your lon</a>, and possibly gettg on (or changg) meditns for your specific suatn.</p><p>This might be tough to do, but an ial world you’d also let your <a href=">doctor</a> know that you’re terted tryg anal sex. This n help them tailor their remendatns, pl may be important for them to know for sexual health reasons.</p><div role="headg" aria-level="3" class="headg-h3">Wh the right preparatn, teamwork, and tons of lube, anal sex n be awome—even for those wh GI ndns.</div><p>Unls a medil profsnal has specifilly told you that ’s unsafe or you’re havg a flare of symptoms like pa, diarrhea, or nstipatn, ’s likely OK to try anal sex, Dr. Ivana says. But protectn is sential, pecially sce your ndn might crease the risk that your partner will enunter substanc like poop. And no matter how much lube you’ve slathered on, stop if you experience pa. Always listen to your body.</p><p>Also, would be great to give your partner a heads up about your GI ndn before tryg anal sex. Havg anal often volv some kd of nversatn anyway, so shouldn’t be that weird. Anyone who is worth havg sex wh shouldn’t eak out about this.</p><div role="headg" aria-level="3" class="headg-h3">If a possible partner is an asshole about discsg how your ndn may impact anal sex, they’re probably not worthy of entrance to your, well, asshole.</div><p>“At this pot, I only bottom for guys I'm datg or more ser about, so if [there is poop], 's not the end of the world,” Zane says. “We lgh, and then hop to the shower together. It wh the terrory, you know? If you're playg around the mud, you're bound to get dirty sometim.”</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-3 viewport-monor-anchor"></div><p>As someone who has pooped on dicks and farted durg <a href=">oral sex</a>, I uldn’t agree more. “Many tim, people are self-nsc, yet we are all humans, and any rg partner will unrstand any ms that may be prent,” Renye says.</p><p>That partner I mentned who saw poop on my butt plug? They’ve also rted me home om two lonospi, wnsed me high on sedativ after said lonospi, and enjoyed crazy hot anal sex wh me. Such is the only type of person who serv the potential light of venturg past your butthole.</p><p><strong>Related:</strong></p><ul><li><a href=">13 Qutns You Probably Have About Anal Sex, Answered by Actual Doctors</a></li><li><a href=">11 Sex Toys That Can Help You Try Anal for the First Time</a></li><li><a href=">How to Clean Your Sex Toys So You Can Use Them Safely</a></li></ul></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB jxBcTH sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="pb8bh"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 PaywallInleBarrierWhWrapperGrid-fyrGfS kLQIUk grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="body body__le-barrier article__body"><div class="ntaer ntaer--body"><div class="ntaer--body-ner"><asi class="PaywallInleBarrierWrapper-iBnuqk lfXXa-D" data-ttid="PaywallInleBarrierWrapper"><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--paywall-le-barrier" role="prentatn" aria-live="pole" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--paywall-le-barrier"></div><div class="journey-un"></div></div></asi></div></div></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ContentWrapperGrid-fvkmBv brYtrA grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="body body__ntaer"><div class="ntaer ntaer--body"><div class="ntaer--body-ner"></div></div></div></div></div></div></article><div class="ContentFooterWrapper-jVNdRG dTJkpP ArticlePageContentFooterGrid-ccsXYy eMZRHU article-body__footer"><div class="RowWrapper-UmqTg HEhan"><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"></div></div></div><div class="RowWrapper-UmqTg HEhan"><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="ContributorsWrapper-eNpWFu hEUvfU ntributors" data-ttid="Contributors"><div class="ContributorBWrapper-bnVHbt fTIPSP"><div class="ContributorBAvatar-bIGTqf kRLWCa"><a href="/ntributor/sophie-sat-thomas"><span class="SpanWrapper-umhxW jvZaPI rponsive-asset"><picture class="RponsiveImagePicture-cWuUZO dUOtEa rponsive-image"><source media="(max-width: 767px)" srcSet=" 80w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 90w" siz="100vw"/><img alt="" class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></picture></span></a></div><div class="ContributorBContent-ubQdr jZTSSi"><div class="ContributorBHear-ledood XOIEx"></div><div class="ContributorBB-fBolsO wPiP"><a href="/ntributor/sophie-sat-thomas">Sophie Sat Thomas</a> is a wrer based Brooklyn origally om the U.S. Virg Islands. Along wh SELF, her wrg is published <em>GQ</em>, <em>Playboy</em>, <em>VICE</em>, <em>Cosmopolan</em>, <em>Forb</em>, <em>Allure</em>, <em>Glamour</em>, <em>Marie Claire</em>, <em>High Tim</em>, <em>Nylon</em>, <em>Harper’s Bazaar</em>, <em>Refery29</em>, and more. <em>Brooklyn Magaze</em> clud her on their annual 2016 30 Unr... <a href="/ntributor/sophie-sat-thomas">Read more</a></div><div class="ContributorBFooter-brqDlv ezUmSv"><div class="SocialInsWrapper-hKMEXV ffgPVr social-ins social-ins--standard"><ul data-ttid="socialInslist" class="SocialInsList-cHVTIA ivmblD social-ins__list"><li class="SocialInsListItem-mbhR fxaFQj social-ins__list-em social-ins__list-em--twter social-ins__list-em--standard"><a aria-label="Follow Sophie Sat Thomas on Twter" class="external-lk SocialInExternalLk-huuzOU cLGRzS social-ins__lk social-ins__lk--twter" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank"><div class="SocialInContaer-huXzUC pMzVC 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gjCHLu summary-em summary-em--ARTICLE summary-em--no-in summary-em--text-align-left summary-em--layout-placement-text-below summary-em--layout-posn-image-left summary-em--layout-proportns-50-50 summary-em--si-by-si-align-center summary-em--si-by-si-image-right-mobile-false summary-em--standard SummaryCollectnGridSummaryItem-WColm hhZYuH" role="button" tabx="0"><div class="SummaryItemAssetContaer-gwhFFH VOyg summary-em__asset-ntaer"><a class="SummaryItemImageLk-dshqxb cPpCwE summary-em__image-lk summary-em-trackg__image-lk" href=" aria-hidn="te" tabx="-1" data-ponent-type="recirc-river" data-recirc-id="em-image-8" data-recirc-pattern="summary-em" target="_self"><span class="SpanWrapper-umhxW kGxnNB rponsive-asset SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image"><div data-tt="aspect-rat-ntaer" class="AspectRatContaer-bJHpJz jTnDXj"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image 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