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Yeah, they can! In cisgender men and people assigned male at birth, anal sex can stimulate the prostate and lead to an orgasm. Prostate orgasms are intense enough to send waves of orgasmic pleasure from head to toe. For cisgender women and people assigned female at birth, anal sex can hit two hot spots: the G-spot and A-spot.
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How to Have an Anal Orgasm: 35 Tips for You and Your Partner

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Anal Orgasms: 35 Tips, Techniques, Positions, Benefits, and More

Anal intercourse is a highly efficient mode of HIV transmission. Nevertheless, there is evidence to suggest that anal intercourse is also widely practiced by women in the US 1 — 4. Given that anal intercourse is associated with higher rates of heterosexual HIV transmission than vaginal intercourse 10 — 13 , women who engage in unprotected anal intercourse with sexual partners of unknown or seropositive status may be at greater risk for acquiring HIV than women who do not practice anal intercourse or who use protection while doing so. Additionally, Halperin 1 found that women who engaged in anal intercourse were less likely to use condoms during anal intercourse than during vaginal intercourse. Most studies of heterosexual HIV transmission fail to distinguish between vaginal and anal intercourse in their assessments of coital acts, thus continuing to overlook anal intercourse as a potential source of HIV transmission. This oversight may be due to cultural taboos surrounding anal intercourse, including its association with homosexuality and its perceived lack of hygiene 1. A number of researchers have already pointed to the need for increased attention to anal intercourse as an understudied source of HIV transmission from seropositive men to their seronegative female partners 1 , 3 , 6 ,
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Women who have anal sex: Pleasure or pressure? Implications for HIV prevention

Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus , or anus and rectum , for sexual pleasure. While anal sex is commonly associated with male homosexuality , research shows that not all gay men engage in anal sex and that it is not uncommon in heterosexual relationships. As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections STIs.
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If it feels good, anything goes! Cisgender men and people assigned male at birth have a prostate , so in these cases a butt orgasm results from stimulating the prostate. You can stimulate the P-spot through the perineum, which is the runway of skin between the balls and the anus.
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