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Description:This may be because of the taboo nature of anal sex and that teenagers and caregivers subsequently avoid talking to one another about the topic. Anal sex alone does not cause anal cancer; the risk of anal cancer through anal sex is attributed to HPV infection, which is often contracted through unprotected anal sex. McBride's clinical review on heterosexual anal intercourse and other forms of anal sexual activity, it is suggested that changing norms may affect the frequency of heterosexual anal sex. When asked what techniques they used in their last ten sexual encounters, lesbians in their 30s were twice as likely as other age groups to engage in anal stimulation with a finger or dildo. Anecdotally, it is a substantial number. In some people, ASA may cause autoimmune infertility.

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