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if you have anal sex, use a condom to protect against the spread of infections and diseases. The following are more tips to help with anal sex safety clean well. a rare but dangerous complication of anal sex is rupture of the rectum, which can cause severe injury and result in a severe bacterial infection. Infections and diseases that are shared during sexual intercourse such as hiv, gonorrhea, chlamydia, and herpes can be shared through anal sex. See also the full list of diseases contagious from sex and anal sex. Like most sexual activities, anal sex carries the risk of passing on sexually transmitted infections (stis). What is anal sex? Anal sex is any type of sexual activity that involves the anal area (bottom). Sexually transmitted infections (stis), also referred to as sexually transmitted diseases (stds), are infections that are commonly spread by sexual activity, especially vaginal intercourse, anal sex and oral sex. Stis often do not initially cause symptoms, which results in a greater risk of passing the disease on to others. Symptoms and signs of stis may include vaginal discharge, penile. Anal sex is the highest-risk sexual behavior for hiv transmission. Vaginal sex has a lower risk, and activities like oral sex, touching, and kissing carry little to no risk for getting or transmitting hiv. The vast majority of men who get hiv get it through anal sex. Chlamydia, gonorrhea, and syphilis can be transmitted to the rectum if you have anal sex with an infected partner, karen brodman, md, a gynecologist in new york city, tells health. anal sex is the practice of inserting the penis, fingers, or a foreign object such as a vibrator into the anus for sexual pleasure. anal sex is currently a hot topic of discussion for it is increasingly prevalent among young men and women, and older adults. 1 in 2007, a study based on the national survey of family growth (nsfg), found that one-third of u. 2 in the study, starting from the age 15, the percentage of.