Notes

Along with anal sex, the risk of HIV infection will be 30 times higher

Anal sex creates a new particularly higher threat of transmission involving various infections when compared with other types of sexual intercourse.




The primary risks in this specific act come coming from the peculiarities in the anorectal mucosa -- in principle it does not have good wetness and the width of the mucosa does not provide large resistance. Anal making love is easily disturbed and contact using the actual tissues in addition to blood creates situations for easier indication of infections within both partners.





Relating to some resources, the risk regarding contracting HIV during anal sex is usually 30 times larger. In addition, the particular rich microbiota in the anorectal mucosa should be taken into consideration, which when swallowed into the male urethra can trigger various infections ( E. coli, Enterococcus faecalis - prostatitis, urethritis, etc. ). In men, a new longer length of the harnröhre is linked to far better flushing of bacteria when urinating, plus yet anal love-making poses a high likelihood of colonization regarding the urinary system.



Among the physically transmitted infections inside anal sex are typical: chlamydia, genital the herpes virus, papilloma, gonorrhea, hepatitis B, HIV, syphilis and others. There are usually also various infections during oral intercourse - E. coli, hepatitis A, hepatitis E and other folks. The transition coming from anal to vaginal and oral sex is incredibly dangerous, that may direct to the advancement of serious bacterial infections.



Other risks associated with anal sex are associated with bleeding due to break of hemorrhoids, split of the mucosa and very rarely perforation. Over time, using frequent anal love-making, loosening of the external anal muscle and fecal incontinence are observed. This kind of can be corrected to some extent with Kegel workout routines to improve sphincter tone. Mechanical discomfort of the mucous membrane creates a new risk of motility disorders (diarrhea, stubborn abdominal pain, flatulence, flatulence).



Anal sex can result in urethritis, prostatitis and other urogenital infections throughout men, which throughout complications can lead to orchitis, epididymitis plus infertility. The instrumental agents may be extra often commensals, that happen to be part of typically the intestinal microbiota, nevertheless gonorrhea, chlamydia and others. Infectious agents can also result in prostatitis and urethritis. There could be pain plus burning when urinating, frequent urge to urinate, difficulty initiating urination, impaired stream, rectal pain in addition to more.



Anal illness with human papilloma virus (HPV) is more common inside immunocompromised patients (HIV) who have perineal sex. 비아그라 associated with vulvar warts within the perianal place may also be observed. The employ of a condom drastically reduces the risk of transmission, but does not completely eliminate this - infection is usually possible by skin contact. Elevated lesions are observed, which might be accompanied by anal bleeding and release, itching, etc. Upon anoscopy, lesions may also be observed in the anal business model.



Gonorrhea is caused by the gram-negative diplococci Neisseria gonorrhoeae. It truly is traditionally manifested simply by burning when peeing, pain, purulent release, but up in order to half women have no symptoms. Rectal gonorrhea is usually asymptomatic. According to a study among male homosexual couples, 84% regarding patients had not any symptoms. Perianal itching, tenesmus, constipation, purulent and bloody secretions, etc. may be observed.



Proctitis, stubborn abdominal pain, purulent in addition to bloody secretion, perianal and rectal ulcerations, and so forth can become observed in anal chlamydia. The scientific picture may mimic Crohn's due to be able to the presence involving chronic diarrhea and perianal fistulas.



Throughout the first stage of anorectal syphilis, anorectal ulceration is definitely observed, which will be very painful in addition to recovers within a new few weeks without treatment. In secondary anal syphilis, rectal creation, condylomata lata, areas of the mucous membrane in the waste, generalized rash, temperature, lymphadenopathy may get observed. With no treatment, the particular symptoms disappear in 3-12 weeks. Tertiary rectal syphilis is usually manifested by serious ulcerative gums.



Perineal sex poses several risks to equally partners and is characterized by an increased threat of transmission associated with various bacterial, viral and fungal infections. The anatomy in addition to physiology of the anorectal mucosa, its weakened wall, insufficient lube, and many residual bacteria all give rise to this. Lubrication, good hygiene and typically the usage of condoms drastically reduces the risk of various bacterial infections, but does not necessarily completely eliminate it

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