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Male-to-female anal sex is commonly viewed as a way of preserving female virginity because it is non-procreative and does not tear the hymen; a person, especially a teenage girl or woman, who engages in anal sex or other sexual activity with no history of having engaged in vaginal intercourse is often regarded among heterosexuals and researchers as not having yet experienced virginity loss. Heterosexuals may view anal sex as "fooling around" or as foreplay; scholar Laura M.Carpenter stated that this view "dates to the late 1600s, with explicit 'rules' appearing around the turn of the twentieth century, as in marriage manuals defining petting as 'literally every caress known to married couples but does not include complete sexual intercourse.'" In Kimberly R.Prostate stimulation can produce a "deeper" orgasm, sometimes described by men as more widespread and intense, longer-lasting, and allowing for greater feelings of ecstasy than orgasm elicited by penile stimulation only.

In a male receptive partner, being anally penetrated can produce a pleasurable sensation due to the inserted penis rubbing or brushing against the prostate (also known as the "male G-spot") through the anal wall.

The anal and rectal tissues are delicate and do not provide lubrication like the vagina does, so they can easily tear and permit disease transmission, especially if a personal lubricant is not used. It is controversial in various cultures, especially with regard to religious prohibitions.

This is commonly due to prohibitions against anal sex among males or teachings about the procreative purpose of sexual activity.

As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections (STIs/STDs).

Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum.

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