Health issu for gay men and other men who have sex wh men - Mayo Clic

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cJdXjE bric ContentHearRubricContaer-eTudtt iRsSlw"><span class="RubricName-fVtemz cLxcNi">Health</span></div></div></div><div class="CategoriWrapper-eMCIFk cpVCog"><div class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ CategoriTle-cMBOtj iUEiRd dvcCNx kGAcPq">Related Condn Centers</div><ul class="CategoriItemList-dxlBtg dfKhbi"><li class="CategoriItem-koxRoi izXxEa"><a href="/health-ndns/pa-management" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM CategoriLk-gvtVYn iUEiRd fPqUbj kWQQCL fyQJtX">Pa Management</a></li></ul></div><h1 data-ttid="ContentHearHed" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ ContentHearHed-NCyCC iUEiRd bjcNOB gydgrM">Can Anal Sex Cse Hemorrhoids?</h1></div><div class="ContentHearAccredatn-lfctVB etVsnJ ntent-hear__accredatn" data-ttid="ContentHearAccredatn"><div class="ContentHearDek-bIqFFZ bZgCVT">What? It’s a valid qutn.</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/jsi-tosno">Jsi Tosno</a></span></span></p></div><time data-ttid="ContentHearPublishDate" dateTime="2019-05-11T08:00:00-04:00" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ ContentHearPublishDate-eIBicG iUEiRd danQKH MlCHH">May 11, 2019</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 jgsWEn"><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="image of a balloon flatg and flatg" 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">Ted + Chelsea Cavangh. Prop Stylg by Amy Elise Wilson.</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>Maybe you’re new to <a href=">butt play</a> and exced to see if helps you have really great <a href=">sex</a>. Or perhaps anal activi are a nsistent part of your sexual repertoire, and you don’t plan on changg that anytime soon. Eher way, ’s worth discsg whether anal sex n e hemorrhoids. It’s not that we want to be plete anal buzzkills. We jt want you to know the potential pros and ns of anal peratn so you n prepare as much as possible to have an excellent time.</p><p>When to the anal sex and hemorrhoid qutn, however, the answer is a ltle plited.</p><h2>What even are hemorrhoids?</h2><p>They’re basilly pil of ves si your rectum (ternal hemorrhoids) and around your an (external hemorrhoids), acrdg to the <a href=">Cleveland Clic</a>.</p><div class="Contaer-bkChBi byNLHx"></div><p>You may have only heard of hemorrhoids as some annoyg health ndn, but as the <a href=">Cleveland Clic</a> explas, they happen to be a pletely normal physil feature. The ternal on actually serve a purpose. They sentially <a href=">act as chns</a> to help “prevent stool or anal leakage when [you] ugh, sneeze, or crease abdomal prsure,” Alexis Gcela, M.D., an assistant profsor of the partment of surgery, and director of the lon and rectal surgery fellowship program at NYU Langone Medil Center, tells SELF.</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>External hemorrhoids don’t really have a job like that—they’re jt hangg out unrneath the sk surroundg your an.</p><div class="AdWrapper-dQtivb fZrssQ ad ad---ntent"><div class="ad__slot ad__slot---ntent" data-no-id="loidaj"></div></div><p>You and your hemorrhoids n exist peacefully whout you even beg aware of them. The only time you should really notice eher ternal or external hemorrhoids is when they e symptoms, acrdg to the <a href=">Cleveland Clic</a>.</p><h2>Let’s talk about those hemorrhoid symptoms.</h2><p>You might never experience a sign of hemorrhoids your life. In a 2012 <a href="><em>Internatnal Journal of Colorectal Disease</em></a> study, 55 percent of the 380 participants wh hemorrhoids had never experienced symptoms.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-1 viewport-monor-anchor"></div><p>The pil of ves tend to only make themselv known when they’re irrated or swollen, says Dr. Gcela. This often happens if there’s too much prsure on the area, like if you regularly <a href=">stra</a> a lot when you poop. Another example is if you’re pregnant, bee the add weight puts more prsure on your lower body. (And pregnancy hormon n often <a href=">make you nstipated</a>, too, so that’s a nice double whammy.) Symptoms n also happen due to a thrombosed hemorrhoid, which is basilly when a blood clot forms one of the external pil of ves.</p><p>Per the <a href=">Natnal Instute of Diabet and Digtive and Kidney Diseas</a> (NIDDK), mon hemorrhoid symptoms clu:</p><ul><li><a href=">Bright red bleedg</a> when you poop</li><li>Anal chg</li><li>Anal tenrns</li><li>An actual lump around your an, which may hurt</li><li>A lump protdg om your an</li></ul><p>If you have the symptoms, Dr. Gcela remends you nsult someone like your primary re doctor, gastroenterologist, or gynelogist. The issu don’t always happen due to hemorrhoids; ndns like <a href=">anal fissur</a> (small tears the anal tissue) and <a href=">genal warts</a> (ed by the sexually transmted fectn HPV) are other possible culprs. It’s smart to get a formal diagnosis so you n bt treat whatever’s makg your butt misbehave.</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="3dzano"></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 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="9gp7qs"></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>For what ’s worth, treatg symptomatic hemorrhoids ually down to at-home remedi, such as <a href=">sz baths</a>, pa relievers, and over-the-unter hemorrhoid meditns, acrdg to the <a href=">NIDDK</a>. Addnally, if your hemorrhoids are due to nstipatn, your doctor may remend liftyle chang like eatg more fiber ( <a href=">mak your poop softer</a> and easier to pass) and drkg more water (so the fiber n more easily do s job). Only rarely and severe s is somethg tensive like surgery necsary for hemorrhoids, Alex Ky-Miyasaka, M.D., a lon and rectal surgeon and associate profsor of surgery at the Ihn School of Medice at Mount Sai Medil Center New York Cy, tells SELF.</p><h2>So, n anal sex e hemorrhoids?</h2><p>Sce hemorrhoids are natural parts of your anatomy, the short answer is no, anal sex should not e new hemorrhoids to pop up, says Dr. Ky-Miyasaka. However, the peratn <em>uld</em> theoretilly irrate hemorrhoids you already have, leadg to symptoms like <a href=">bleedg</a> and tenrns, Suneeta Krishnareddy, M.D., a gastroenterologist and assistant profsor of medice at Columbia Universy Irvg Medil Center Manhattan, tells SELF.</p><p>Anal sex n also irrate or tear the lg of your an, g anal fissur, acrdg to the <a href=">Mayo Clic</a>. It’s important to do what you n to prevent this type of oute, says Dr. Ky-Miyasaka.</p><p>That brgs to the key topic of how to have the bt and saft anal sex possible. If you’re experiencg hemorrhoid symptoms, you may want to hold off on anal sex to avoid creasg disfort, says Dr. Krishnareddy. Otherwise, you n follow the tips om Jennifer Gunsll, Ph.D., a soclogist and sexologist San Diego and thor of the forthg book <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="sponsored" target="_blank"><em>From Madns to Mdfulns: Reventg Sex for Women</em></a>.</p><ul><li><strong>Rearch any health ndns you have that uld impact anal sex.</strong> Whether ’s ocsnally symptomatic hemorrhoids or a <a href=">GI issue</a>, faiarize yourself wh important rmatn that may make you feel more at ease.</li><li><strong>Explore on your own first.</strong> Usg your pky fger and a lot of lubrint (particularly one that’s thick and siline-based for stayg power), slowly and gently explore what kd of anal stimulatn feels good to you. Beg faiar wh what you like may help you feel more relaxed if you ci to try anal play wh a partner.</li><li><strong>Establish boundari.</strong> Before you even beg to explore wh your partner, state up-ont what’s OK and what isn’t. Also mentn at what pot you may want to stop (like if you beg to feel pa or start to bleed) or that you may need to pse to give your body time to adjt to sensatns.</li><li><strong>Engage a lot of</strong> <a href="><strong>foreplay</strong></a><strong>.</strong> If you’re jt startg out and super-nervo, ’s really important that you’re already aroed before you dive . This way, your body is more likely to rpond posively when you start any anal play, rather than beg like: <em>um exce me what is that dog there?</em></li><li><strong>Use a ton of lube and go slowly.</strong> When you try anal wh a partner, you n sentially do exactly what you did when tryg wh yourself. Basilly, doe your an and whatever will be peratg wh a ton of lube, start small, and go as slowly as necsary.</li><li><strong>Wear a ndom to rce the risk of ntractg STIs.</strong> Unls you’ve both been tted and are sexually monogamo, safe sex is a mt durg anal peratn. That might mean puttg a <a href=">ndom</a> on a penis or on a sex toy that your partner is also gog to take for a whirl (or that’s gog to touch any part of you bis your an). This is another reason why siline-based lube is excellent for anal play; the oil-based stuff n gra the latex ndoms.</li></ul><p>Most of all, when alg wh anal play, try not to be embarrassed about anythg that feels like might be “weird,” such as the fact that, hey, hemorrhoids are jt part of beg human. Sex <em>is</em> weird and great and msy. That’s how ’s supposed to be. Tryg to remember that will make a lot easier to foc on the important stuff, like <a href=">havg a really, really great time bed</a>.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-2 viewport-monor-anchor"></div><p><strong>Related:</strong></p><ul><li><a href=">Is Bleedg Normal After Anal Sex?</a></li><li><a href=">Here's Everythg You Need to Know About Anal Beads</a></li><li><a href=">What to Know About Anal Sex If You Have a GI Issue</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="3yfvht"></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></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="TextBlockWrapper-bNZsMC dTomOc StyledTextblock-SJflO kHgSzz disclaimer grid-layout__ntent"><p class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TextBlockText-gtrMkY iUEiRd Pbwma kQegaj">SELF do not provi medil advice, diagnosis, or treatment. Any rmatn published on this webse or by this brand is not tend as a substute for medil advice, and you should not take any actn before nsultg wh a healthre profsnal.</p></div></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 data-ttid="TagCloudWrapper" class="TagCloudWrapper-gGgndx iPNP ContentFooterTagCloud-krQmRG ZLGh"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudSectnHear-cOforY iUEiRd kgktQt kQQRmu">Topics</span><a href="/topic/anal-sex" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd fPqUbj iAqPKp hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd hJhJHy bUkXwu">anal sex</span></a><a href="/topic/pa-management" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd fPqUbj iAqPKp hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd hJhJHy bUkXwu">pa management</span></a><a href="/topic/self-origals" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd fPqUbj iAqPKp hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd hJhJHy bUkXwu">SELF origals</span></a><a href="/topic/hemorrhoids" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd fPqUbj iAqPKp hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd hJhJHy bUkXwu">Hemorrhoids</span></a></div></div></div></div><div data-ttid="ContentFooterBottom" class="ContentFooterBottom-jwWZfC kcbyiW"><div class="ntent-bottom-anchor"></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--article-footer" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--article-footer"></div><div class="journey-un"></div></div><div data-attr-viewport-monor="" class="recirc-list-wrapper viewport-monor-anchor"><div class="RowWrapper-UmqTg HEhan ContentFooterRelated-kEBiFe kVUuwq"><div class="GridWrapper-cAzTTK eRggVV grid grid-margs grid-ems-0 SummaryCollectnGridComponent-ktyEog bdTTVU summary-llectn-grid RecircListDefltOverlaySummaryCollectnGrid-AHJhY bEaXiL recirc-list__ems summary-llectn-grid--four-lumns summary-llectn-grid--TextBelowLeft"><div class="GridItem-buujkM kHPPIF grid--em"><div class="SummaryCollectnGridContent-eVUpRm gOErDJ"><div class="SectnTleRoot-dBGvdq fxVSsn SummaryCollectnGridSectnTle-fCmYwG izjbVn" data-ttid="SectnTle"><hear class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ SectnTleHed-dKqZet dxqEAa iuxgWr jttyjJ">More om Self</hear></div><div class="SummaryCollectnGridItems-DZShR iJAxgH hi-read-more-ad" data-ttid="SummaryCollectnGridItems"><div class="SummaryItemWrapper-iwvBff 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 qQT" 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-1" 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 gKnDpj"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image rponsive-image"><noscript><source media="(max-width: 767px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><img alt="Everyone Has Relatnship Deal-Breakers. 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Ignore</div></div></div></a><div class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ SummaryItemDek-CRfsi iUEiRd bsvuBj jDyfzW summary-em__k">There are some not-so-obv thgs a mental health profsnal should never do.</div></div></div><div class="SummaryItemWrapper-iwvBff 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 qQT" 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-6" data-recirc-pattern="summary-em" target="_self"><span class="SpanWrapper-umhxW kGxnNB rponsive-asset 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data-ttid="SummaryItemHed">Demi Lovato’s 2018 Dg Overdose Csed Complitns She Still Liv Wh Today</div></div></div></a><div class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ SummaryItemDek-CRfsi iUEiRd bsvuBj jDyfzW summary-em__k">The long-term effects serve as a “nstant remr to stay on the right path.”</div></div></div><div class="SummaryItemWrapper-iwvBff 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 qQT" 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" 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