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Anal sex can lead to orgasm, but that doesnt have to be the intended outcome.   preventing anal sex problems the only way to completely avoid anal sex risks is to abstain from anal sex. Ive heard that it can cause anal leakage later in life, and anal prolapse. Is this true? Anal sex is perfectly healthy and safe in both the long and short term. As with vaginal sex (penis-in-vagina sex), theres a very small risk of leakage and prolapse (when your pelvic muscles weaken and cause organs to slip down) over the course of a lifetime. How can i make anal sex safer? Use condoms to help protect you against stis when you have penetrative anal sex. Use a water-based lubricant, which is available from pharmacies. Oil-based lubricants (such as lotion and moisturiser) can cause latex condoms to break or fail. Ive been engaging in anal sex for 17 years and nothing has changed or caused me any problems. As long as he uses lots of lube and is careful to go at a pace you are comfortable with there wouldnt be any problems. What are the possible causes of what im experiencing? Could i have damaged my prostate, torn a. Having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids.