What is a common health hazard associated with anal sex?

Anal sex can lead to a range of health hazards due to the sensitivity and different structure of the anal region compared to vaginal intercourse. One common issue that can arise is the development of anal fissures. These are small tears in the lining of the anus that can occur due to trauma, such as vigorous anal penetration without adequate lubrication or preparation. Such tears may be painful and can potentially lead to bleeding.

While hemorrhoids and infections are also concerns associated with anal sex, fissures specifically stand out as direct, immediate damage that can happen during the act. Furthermore, infections are a broader category that may arise from various practices but are not as uniquely tied to anal sex as fissures are. Pelvic inflammatory disease is primarily a concern in vaginal intercourse where bacteria can ascend into the reproductive tract. Thus, while there are several risks associated with anal sex, the distinct likelihood of causing anal fissures due to the anatomy and mechanics involved emphasizes why this risk is particularly noteworthy.