Input: Write a chapter for a book about anal health, anal ailments, and sexually transmitted diseases (STDs). Address the importance of maintaining good anal health, including proper hygiene, regular bowel movements, drinking plenty of water, eating a fiber-rich diet, exercising, and reducing stress. Address common anal ailments, including constipation, diarrhea, hemorrhoids, anal fissures, and irritable bowel syndrome (IBS). Discuss the symptoms, causes, and treatments for each ailment. Address the importance of seeing a health care professional if symptoms persist or if anything seems out of the ordinary. Address common sexually transmitted diseases (STDs), including human papillomavirus (HPV), genital herpes, chlamydia, gonorrhea, syphilis, hepatitis A, hepatitis B, hepatitis C, and HIV/AIDS. Discuss the symptoms, causes, and treatments for each STD. Address the importance of using safer sex barriers, such as condoms and gloves, to prevent the transmission of STDs. Address the importance of getting tested for STDs before engaging in unprotected anal play. Address the importance of finding a health care provider with whom you feel comfortable discussing your anal health and practices.

Response:
CHAPTER 17

Anal Health, Anal Ailments, and STDs

Anal Health

A healthy ass is a happy ass, and a happy ass is one ready to receive anal pleasure. There are a few simple but important things you can do to keep your butt in tip-top shape, and most of them are commonsense tips for living a healthy life. Good bathroom habits are critical to your anal health, including proper hygiene and always wiping front to back. Listen to your body when it sends the signal that it's time for a bowel movement; holding it in can only lead to problems. Drink plenty of water (8-10 full glasses are recommended) and eat a balanced, fiber-rich diet. Fruits, green leafy vegetables, whole grain breads and cereals, and bran are good sources of fiber. Exercising and reducing your stress level both have positive benefits for your overall health, as well as the health of your butt. During sex, treat your behind with love and respect, follow the steps outlined in this book, and always stop any activity if it hurts. All of these things will contribute to the good health of your ass.

It's equally important to arm yourself with information about anal maladies and sexually transmitted diseases (STDs, also known as sexually transmitted infections or STIs) so you can be aware when something may be wrong. The most important thing you can do is pay attention to your body. If you experience a change in bowel movements, any of the symptoms discussed in this chapter, or anything out of the ordinary, you should see a health care professional immediately. The information in this chapter should be used only as a guideline and not a substitute for the advice of a doctor.

It is also crucial that you have a doctor with whom you feel absolutely comfortable. Lots of people feel embarrassed talking about certain health concerns, especially when it comes to their asses. Talk honestly about your symptoms as well as your anal sex practices so your health care provider has all the information he or she needs to make a proper diagnosis. This may not be the sexiest chapter in the book, but it's a necessary one. Plus, fucking without anxiety is sexy.

Sexually Transmitted Diseases

Part of maintaining our anal health is learning about sexually transmitted diseases and taking proper precautions to protect ourselves and our partners. In this section, I cover the most common STDs in America, their symptoms, and their treatments. Since this book is primarily concerned with anal sex and health, I specifically discuss STDs that can be transmitted through anal sex and how the STDs affect your anus and rectum. You should never attempt to self-diagnose an STD; if you suspect you may have one, see a doctor as soon as possible. I encourage you and your partner (s) to be tested for all STDs before engaging in unprotected anal play. If you don't know your own status or that of your partner's, you should use safer sex barriers, like those discussed in chapter 6, to decrease the risk of infection transmission.

As women, we are the best source of information about our bodies, including our vaginas, clitorises, breasts, and butts. You know your body and its uniqueness better than anyone else. When you experience anything unusual—including bumps, rashes or sores, persistent itching, irritation, abdominal or pelvic pain, burning or pain during urination, any unusual discharge, irregular bleeding or cramping, or discomfort or pain during sex—you should see a gynecologist or other physician promptly. For many women, STDs may occur without any symptoms at all, so the only way they can be detected is through medical exams and laboratory tests. Therefore, all sexually active women should have checkups, pelvic exams, and pap smears on a yearly basis.

It is equally important to find a gynecologist or other physician you respect, trust, and feel comfortable talking to about your sexual health and practices. I've been to gynecologists who assume I'm heterosexual and ask me the requisite "What form of birth control do you use?" I've been to others who don't ask me anything about my sexual practices, partners, or concerns. Your gynecological visit is no time to play Don't Ask, Don't Tell. If they don't ask, it's your responsibility to tell. While a regular exam at the gynecologist can include a pelvic exam, pap smear, breast exam, and rectal exam, many doctors do not perform rectal exams unless patients specifically complain of symptoms related to their asses. If you regularly engage in anal sex of any kind, you should inform your doctor, be frank about your practices, and request a rectal exam, even if you feel fine. Sexually transmitted infections can be rectal as well as vaginal. If you are diagnosed with an STD in your pussy and have engaged in unprotected anal sex, make sure to get your ass tested as well. Because of the close proximity of our vaginas to our anuses, it is easy for women to spread infections from one orifice to the other. Most STDs can be treated and cured fairly easily with antibiotics or managed with other medications if they are caught in their early stages. Untreated STDs can lead to more serious complications, including sterility, cancer, and, in some cases, death. So please take care of yourself.

As in chapter 6, I will use the following terms and corresponding definitions, each of which assumes the unprotected form of sex (i.e., no safer sex barrier).

RUBBING: manual external stimulation with fingers, without penetration, without a glove.

FINGERING: anal penetration with a finger or fingers without a glove.

LICKING: analingus or rimming without a barrier.

ANAL INTERCOURSE: anal penetration with a penis, without a condom, with or without ejaculation.

SHARING SEX TOYS: transferring a sex toy from an infected person's orifice to another person's orifice without putting a condom on it or disinfecting it first.

Human Papillomavirus (HPV)

There are more than one hundred types of the human papillomavirus (HPV), and more than thirty different strains affect the genitals, including the ass. HPV is a virus most closely associated with genital or anal warts, although not all forms of HPV cause warts. Some of the strains are potentially cancerous including several that have been directly linked to cervical cancer. It is estimated that as many as one in ten people in the United States has HPV. You can spread HPV through anal intercourse, rubbing, fingering, licking, or sharing sex toys.

HPV often manifests itself as genital warts; however, in many cases, there are no external symptoms at all. Anal warts begin as small pink bumps that look like cauliflower florets around the anus and in the anal canal; they tend to spread rapidly, forming clumps of bumps that may be itchy. The bumps could be painful if they are irritated. Their incubation period is usually one to six months, but they can grow more rapidly if you are pregnant or have a compromised immune system.

HPV in the vagina can cause precancerous lesions on the cervix that can be detected through a pelvic exam and PAP test. If you have HPV in your ass, it's less common to have treatable precancerous lesions present since there is no cervix or cervix-like place for them to develop, though it's still possible to have pre-cancerous cells. If you have anal warts, a physician will be able to see them during a rectal exam with an anoscope. Anal warts are treated by removing them from the skin either through applying chemicals to them (usually acids), burning them with an electric needle (electrocautery), freezing them with liquid nitrogen (cryotherapy), or with laser treatment. Even after visible warts are removed, HPV remains in your body, and the anal warts can recur.

To test for the presence of HPV in the ass when there are no warts, a physician takes a swab of the rectum and sends it for laboratory analysis (similar to a vaginal PAP test). If you regularly engage in unprotected anal penetration and think you have been exposed to HPV, you can request a rectal exam and an anal papilloma screening (also known as an anal PAP test). The test can identify if there is HPV in and around the anus and anal canal; some people with HPV will never develop any symptoms, others may show precancerous cells which precede rectal cancer. You can spread HPV from your anus to your vagina and vice versa, so if it has been discovered in one place, it's advisable to get the other place checked. People diagnosed with HPV should have regular exams to monitor recurrences and prevent complications.

Genital Herpes

More than forty-five million people in the United States have been diagnosed with genital herpes. Most often genital herpes is caused by herpes simplex virus type 2 (HSV-2), as opposed to herpes simplex virus type 1 (HSV-1), the virus that causes oral herpes. Genital herpes is transmitted through sexual contact, including licking, anal intercourse, and, less commonly, rubbing or fingering with cuts in the skin and sharing sex toys.

Within a week of exposure, people with herpes usually first experience a tingly or burning sensation in the genital area; then they develop bumps, blisters, or open sores in the affected area, which can be itchy, sore, and/or painful. Women can also experience flu-like symptoms, swollen glands or lymph nodes, a vaginal discharge or yeast infection, and painful urination. Initial sores usually heal in one to three weeks without treatment.

> > ASK THE ANAL ADVISOR: Genital Herpes

> > Q: My husband and I both already have genital herpes and were told not to bother with condoms now. He has recently become enamored with anal sex, but I want to know, can he spread the herpes virus there? Can you catch herpes when you already have it?

> >
>

> > A: Once you have the herpes virus, you have the antibodies in your system and cannot be reinfected. However, you didn't specify if you currently only have outbreaks in or around your vagina. You can spread genital herpes to other parts of the body. If your husband had an outbreak or was contagious but without symptoms and you had unprotected anal sex with him, he could pass the herpes virus to you rectally and cause you to have an outbreak in and around your ass. Then, you'd be prone to recurrent anal outbreaks. My guess is, if you've never had an outbreak anally, you don't want to start now, so a condom would be wise.

There is no cure for herpes, and symptoms can recur during outbreaks. These outbreaks can be brought on by stress, a compromised immune system, or prolonged exposure to the sun; they can last for up to three weeks. Although a person is most contagious during an outbreak, transmission of the virus can happen during nonactive periods as well (especially the two weeks after an outbreak) and with or without visible blisters or other symptoms. Doctors prescribe medications like acyclovir, famiciclovir, or valacyclovir to both treat and prevent outbreaks, but there is no cure for genital herpes.1

Chlamydia

Chlamydia is a sexually transmitted bacterial infection and the most common STD in the United States. Seventy-five percent of women and fifty percent of men with chlamydia have no symptoms. It can be spread through anal intercourse, more rarely through sharing sex toys, rubbing or fingering if there are cuts in the skin, and very rarely (if ever) from licking. Common symptoms—if they do occur—can begin anywhere from five days to a few weeks after infection, and may include painful anal penetration, bowel movement discomfort, anal burning, soreness, and discharge; women may also experience swelling and soreness of the lymph nodes and rectal bleeding. Chlamydia is diagnosed through a rectal exam and treated with antibiotics like doxycycline and azithromycin.2

Gonorrhea

Rectal gonorrhea is a bacterial infection transmitted through different types of sexual contact including anal intercourse and licking, and less frequently, sharing sex toys, and rubbing or fingering if there are cuts in the skin. Symptoms appear within three to seven days of exposure and include soreness or burning during bowel movements and an anal discharge. Gonorrhea affects about 650,000 Americans every year. Up to 80 percent of women and about 10 percent of men who have gonorrhea have no symptoms; for women, this is even more true in cases of rectal gonorrhea than in those of vaginal gonorrhea. Rectal gonorrhea is treated with antibiotics, including penicillin, tetracycline, and ceftriaxone.

Syphilis

Much less common today than in the past—there are less than forty thousand reported cases in the United States—syphilis is a bacterial infection. Syphilis is transmitted by touching a sore on an infected person; sores can be on someone's mouth, penis, vagina, anus, or skin. You can spread it through anal intercourse, licking, rubbing or fingering (especially but not exclusively if there are cuts in the skin), and very rarely, sharing sex toys. Syphilis can have an incubation period of two to eight weeks. Ten to ninety days after exposure, people with syphilis experience the primary stage of the virus. A round ulcer (called a chancre) erupts in the affected area. The area in and around the chancre may ache or burn—or not. People may also have swollen lymph nodes. After the chancre hardens, heals, and disappears, the secondary stage begins. The secondary stage is marked by a general skin rash of sores the size of pennies that may be itchy and painful. You may also experience fever, swollen glands, aching joints, headaches, nausea, and/or constipation. This stage is when people are most contagious. The third and fourth stages, latent and tertiary, are very serious and can be deadly if untreated. Syphilis is treated with antibiotics, usually penicillin, doxycycline, or tetracycline.

Hepatitis A

Hepatitis A is an inflammation of the liver caused by the hepatitis A virus (HAV); the virus is transmitted when infected fecal matter gets into the mouth. A person who practices unprotected oral-anal sex with an infected person and comes into contact with that person's fecal matter is at risk. There are conflicting studies about how many cases of HAV are spread through sexual contact.

On average, the incubation period is thirty days, but can be anywhere from fourteen to sixty days. An individual is most infectious two weeks before and one week after he or she develops symptoms. Symptoms include fatigue, nausea, vomiting, abdominal pain, dark urine, light stools, fever, and jaundice (yellowing of the skin and eyes). You may become ill with several of these symptoms suddenly. Doctors can diagnose hepatitis A with a blood test. There is no treatment for hepatitis A, and it usually clears up on its own in weeks or months, depending on a person's immune system; the liver repairs itself and there is no permanent damage. Once you've had it, you develop antibodies for it and cannot have it again. In the United States, nearly one-hundred thousand new people contract HAV every year; there is a vaccine for the virus.3

Hepatitis B

The type of hepatitis most likely to be sexually transmitted is hepatitis B, an inflammatory liver disease caused by the hepatitis B virus (HBV). The virus is present in all bodily fluids of an infected person, including semen, saliva, vaginal secretions, blood, feces, menstrual blood, and sweat, although it can only be transmitted through blood, semen, and possibly saliva. It can be spread through anal intercourse and licking, and manual penetration if there is a cut on the skin and a tear in rectal tissue or rectal bleeding. HBV is one hundred times easier to transmit sexually than HIV. About eighty thousand Americans become infected with HBV each year. One out of twenty people in the United States will become infected with HBV sometime during their lives. Most of these infections occur among people who are twenty to forty-nine years old. There is an HBV vaccine to prevent hepatitis B that is given in multiple scheduled doses over four to six months.

About 50 percent of adults with HBV never have symptoms. When symptoms do occur, they appear between six weeks and six months after infection and may mimic flu symptoms: fatigue, nausea, vomiting, loss of appetite, headache, fever, tenderness and pain in the lower abdomen or joints, and possibly jaundice; more severe symptoms could be hives, severe abdominal pain, dark urine, and pale-colored bowel movements. Hepatitis B is diagnosed by a blood test.

About 95 percent of adults with hepatitis B develop antibodies to the virus and recover within two to six months without medication or treatment. While their blood will always test positive to the virus, they are immune and not infectious. The other 5 percent become chronically infected. They may or may not continue to show symptoms, but they will always be a carrier of the virus and can infect other people; they are at risk of developing cirrhosis, liver failure, and liver cancer. There are about 1.25 million HBV carriers in the United States. There is no treatment or cure for acute hepatitis B, but people with chronic hepatitis are prescribed different medications to eradicate or suppress the replication of the virus.4

Hepatitis C

Hepatitis C, also an inflammation of the liver, is caused by the hepatitis C virus (HCV). It is passed from person to person through direct contact with an infected person's blood. It is primarily spread through unsafe IV drug use, including sharing needles. Researchers disagree on the number of cases transmitted through sexual contact, and some studies "failed to detect the presence of HCV in either saliva, semen, or urine of HCVINFECTED people—except when those body fluids have been contaminated by the person's blood."5 It may be spread through anal intercourse, but only when there are tears in the rectum or rectal bleeding and through finger-fucking with rectal bleeding and cuts on the skin of the finger. HCV is more likely to be spread during sex if either of the sex partners also has HIV or another sexually transmitted disease.

Most infected people are asymptomatic or may have mild symptoms that resemble the flu: nausea, fatigue, loss of appetite, fever, headaches, and abdominal pain. Doctors do blood tests to determine if someone has HCV. Twenty to thirty percent of people can become disease-free with medication that contains the viral activity and reproduction and decreases inflammation in the liver. About 70-80 percent of people have chronic hepatitis C, and many of this group develop cirrhosis (scarring of the liver) or liver failure. There is no vaccine for HCV.6

HIV and AIDS

HIV, the virus that causes AIDS, is carried in and transmitted through bodily fluids and most concentrated in blood, semen, menstrual blood, breast milk, and vaginal secretions. HIV is transmitted in several ways: through unprotected sexual contact with the bodily fluids of an infected person, by sharing needles with an infected person (through intravenous drug use), by receiving infected blood (through a transfusion), or from mother to baby via amniotic fluid, during delivery or breast-feeding. It's easier for women to get AIDS from men through sexual intercourse than vice versa. The tissue of the vagina is more susceptible than the tissue of the penis to trauma, tears, and minute sores, which provide infected semen a direct route to the bloodstream. This is even more true of the tissue of the rectum, which is more delicate than that of the vagina. Plus, semen has a higher viral load than vaginal fluid, so infected semen is more infectious than infected vaginal secretions. Women and men can get the virus from anal intercourse, licking, and sharing toys, as well as from rubbing and fingering if there are cuts on the skin and in rectal tissue.

There is no cure for AIDS; however, there have been many advances in the treatment of the disease. With various combinations of prescription medications, people with HIV and AIDS are living longer, healthier lives now than in the past.

Anal Ailments

Many people assume that if you regularly engage in anal sex as the receptive partner, you are more likely to develop an anal ailment or disease. Myths abound about people having their rectums "stretched out" to the point of incontinence. As long as you practice safe, gradual anal penetration, you will not lose control of your bowels, no matter how often you do it. In fact, the opposite can be true: people who get buttfucked can have healthier asses than those who don't! It may sound surprising, but consider the facts: as you learn to relax and use your pelvic and sphincter muscles, you are exercising and toning them, just like any other muscle. Plus, the more awareness you have of those muscles and the more you practice relaxing them, the less likely you are to have recurring anal tension, difficult bowel movements, or problems like straining. During anal play, blood rushes to the area during arousal; this increases circulation, which is an important component for good anal health. The more you pay attention to your butt, the less alienated and anxious you will feel about it, so if something doesn't feel right, you'll be more likely to seek treatment sooner. With all that said, it is important to know about some of the common symptoms and ailments that involve your ass.

Constipation

After the food you eat passes through the digestive tract and your body has absorbed almost all the nutrients, what's left over enters the colon from the small intestine. The colon contracts to move the matter through as it absorbs nearly all the water from it; these contractions are controlled by nerves, hormones, and electrical activity in the colon muscle. After the water has been absorbed, what remains is the stool, which separates into segments, moves into the descending colon, then moves into the lower colon and rectum. The walls of the rectum expand, signaling to your brain that it's time to go to the bathroom. If you don't have a bowel movement right away or if the colon's contractions are slow, the colon continues to absorb more water from the stool. If it absorbs too much water, the stool becomes hard and compact and splits into smaller pieces. This causes constipation: difficult or painful bowel movements that may be accompanied by bloating and discomfort. The most common causes of constipation are not enough fiber in your diet, dehydration, lack of exercise, and stress; it can also be caused by pregnancy, certain medications, and old age. Mild constipation usually rectifies itself or can be alleviated by the use of natural remedies or over-the-counter laxatives. Chronic constipation may be a sign of a more serious problem.

If you are constipated, chances are you don't feel like having something in your ass, but know that anal penetration does not cause, nor should it exacerbate, constipation. In fact, some medical professionals admit that anal play may in fact help to "move things along." Remember that the contractions of the pelvic muscles experienced during anal sex are similar to the contractions during a bowel movement (that's why sometimes when you're penetrated you feel like you have to go). Anal stimulation may help the rectum relax, and repeated anal sessions may improve circulation and decrease tension in the entire area.

Diarrhea

As waste moves through the colon, if the colon does not absorb the majority of the water, you have the opposite of constipation, which is diarrhea: loose or runny stools. They may be accompanied by cramping, bloating, nausea, fatigue, and fever. Acute diarrhea (diarrhea that lasts for a short time) is most often caused by a bacteria, virus, or parasite getting into your digestive tract and inhibiting the colon's ability to absorb water. Most people come into contact with it from uncooked, undercooked, or spoiled food. You can be exposed to it through food that has been contaminated with fecal matter by food handlers who didn't properly wash their hands after going to the bathroom. You can also come into contact with a bacteria, virus, or parasite in someone's fecal matter through anal contact, specifically rimming or ass-to-mouth play: transferring a cock that's been in someone's ass directly to his or her mouth. Intestinal disease or conditions like Irritable Bowel Syndrome can also cause chronic diarrhea, which is not related to an infection and therefore cannot be passed person to person. If you have diarrhea, it's important to drink plenty of fluids to keep your body hydrated. Diarrhea should go away on its own without special treatment, although you can use over the counter products to treat symptoms. If it lasts for more than three days and is accompanied by a high fever or bloody stools, you should see a doctor.

While anal penetration doesn't cause diarrhea, it can sometimes make your body more susceptible to loose or runny bowel movements. After a vigorous round of anal penetration complete with plenty of lube, some of the lube will be absorbed by the body, but the rest of it will come out in the toilet. Rarely, but for some people, anal penetration can stimulate an early bowel movement; by early, I don't mean right there in the middle of things. But soon after sex, you'll feel the need to expel. Since the bowel movement is premature, the colon has not had a chance to absorb all the water before the stool moves into the rectum, and this will cause diarrhea. In both cases, you should be back to normal within twenty-four hours.

Hemorrhoids

Hemorrhoids are the most common of all anal ailments, and it is estimated that nearly half of all adults have them by the age of fifty. Hemorrhoids occur when blood vessels in the anal canal or around the anus fill with blood and form tiny sacs that become swollen and inflamed. This engorgement is caused by pressure on the vessels, which can happen as a result of constipation, straining, or diarrhea. Hemorrhoids can also be caused by pregnancy, sitting or standing for long periods of time, and even heavy lifting. Hemorrhoids can be internal or external, and may cause itching, swelling, discomfort, bleeding, and pain. External hemorrhoids are those found just inside the anal opening; as the blood vessels swell, they can actually protrude during bowel movements or become so large that they protrude all the time. If a blood clot forms, a hard bump can be created and be very painful. The most common symptom of an internal hemorrhoid is bleeding: bright red blood in your stool or on the toilet paper when you wipe.

The treatment for hemorrhoids depends on their severity. In mild cases, the body heals itself, symptoms go away in a few days, and the hemorrhoid shrinks. If the hemorrhoid is a result of the diet, adding more fiber helps regulate bowel movements. Most people use over-the-counter creams and ointments and take warm baths to relieve symptoms. There are also many herbal and homeopathic remedies, including aloe vera and slippery elm (taken orally or used topically). If you have chronic or painful hemorrhoids, you should see a doctor. There are several kinds of treatments to shrink or remove more serious hemorrhoids. In rubber band ligation, a band is placed around the base of the hemorrhoid, it is deprived of blood, and it dies and falls off. Chemical injections and laser treatments are used to shrink hemorrhoids. Hemorrhoids may also be surgically removed, but that is only recommended in very severe cases.

Anal penetration does not cause hemorrhoids; however, it may irritate them, especially if you don't use enough lube or you rupture a blood-filled vessel. The general rule is to listen to your body—if you are having a flare-up and experience itching or discomfort, you may want to take a break from anal play until symptoms subside. Going in is often fine, but coming out can be much more irritating , especially to external hemorrhoids. If that's the case, you may want to opt for a butt plug or more gentle motion rather than lots of in-and-out action. I'd also recommend using smooth toys versus those with balls, ridges, bumps, and other stimulating textures.

Anal Fissures

An anal fissure is a cut in the tissue of the anus, anal canal, or rectum. Fissures are usually the result of some kind of trauma to the ass—like penetration without lubrication or proper warm-up. Penetration with a sex toy with rough edges or seams (common in cheaply made toys), digital penetration with a jagged fingernail, or severe constipation can also cause a fissure. The lining of the anal canal and rectum is delicate and even with the most gentle touch, sometimes we can tear the tissue slightly and not even know it or feel any pain. Most fissures are internal and therefore not visible; the symptoms are pain and minor bleeding. If you suspect you have a fissure, you should give your ass a vacation from penetration and other play until your symptoms subside, both to help it heal and because lube will likely irritate it. Your body should heal itself without treatment, although you may want to take warm baths or use witch hazel wipes if the cut is external. If your symptoms last for more than a few days, you should see a physician.

At the first sight of blood coming from their asses, most people become alarmed. It's only natural. If you see a small amount of bright red blood in the toilet after a postsex bowel movement or on the tissue when you wipe yourself, chances are there is no real cause for panic. If, however, there is more than just a little blood, the blood is dark red or brown, the bleeding persists for more than a few days, or you have other symptoms with the bleeding, then you should see a doctor. Bleeding and blood in the stool can be a symptom of more serious diseases, including ulcers, gastritis, ulcerative colitis, Crohn's disease, polyps, diverticulitis, anal fistula, an abscess, or a sexually transmitted infection.

Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS) is a disorder that affects how the colon works. As discussed previously in this chapter, in a healthy person, food is digested and nutrients are absorbed by the body, then the remaining matter enters the colon where most of the water is absorbed. For people with IBS, the colon seems to be more sensitive to food, stress, and other elements. As a result, it may contract (and move matter through it) too fast or too slow and thus absorb too much or too little water. People with IBS experience chronic bouts of constipation or diarrhea or both and have a range of symptoms associated with those conditions, including cramps, bloating, abdominal discomfort, nausea, and fatigue.

According to the National Institutes of Health, one in five Americans has IBS, and it affects women much more than men. IBS can be treated in several ways: with changes in diet, exercise, and stress reduction; with over-the-counter or prescription medications that treat constipation and diarrhea; or with a combination of these. There is no cure, nor one kind of treatment.

If you have IBS, chances are you're pretty in touch with the nuances of your bowel movements. When symptoms are at their worst, anal sex is probably the last thing on your mind. IBS does not prevent you from having a fulfilling anal sex life, it may just cause it to be a less frequent one. The guidelines for constipation and diarrhea apply to those with IBS as well. Listen to your body: if it feels okay, then you're not doing any harm. Also talk to your doctor about his or her recommendations.7

Anal Wellness

The better your ass feels, the more likely you'll want to engage in anal play; that's a no-brainer, right? Well, our asses can say a lot about our overall health, too. If we are overworked, tense, exhausted, nervous, tired, depressed, or sick, our butts will often manifest these states by being out of whack. Symptoms may disappear as we exercise, eat well, decrease stress, and achieve better balance in our lives. Or they may not go away on their own and be the sign of something serious. Listen to your body, use common sense, and see your doctor if you are concerned.

> > ASK THE ANAL ADVISOR: Urinary Tract Infections

> > Q: I develop a urinary tract infection almost every time I have anal sex, and it is really frustrating. I thought I was doing everything right. I have an enema beforehand. I make sure there is not too much fondling of my vagina during anal sex (although I hate that, as I always enjoy his fingers or a toy inside me during anal). We do not switch from tushy to pussy, and my ass is almost always very clean, although I realize that we can only be so clean, as there is microscopic bacteria in the rectum. I would appreciate any recommendations you have, so I can stop having urinary tract infections and keep having more anal sex.

> >
>

> > A: Many women get urinary tract infections (UTIs) after sex because bacteria from your partner's cock or your ass gets into the urethra, where it causes an infection. It sounds to me like you may be especially prone to UTIs if you are getting them so frequently. You have been doing all the right things (enema, no ass to pussy, no vaginal play during anal) to prevent a possible infection, but I do have some additional advice. First and foremost, make sure that lube from your ass isn't "migrating" to your pussy. This is a common problem, especially if you are doing it doggie-style. One way to prevent what I call "the drip down effect" is to switch to a different position, like missionary, where gravity is working in your favor. You should also try to keep some unscented baby wipes on hand to wipe excess lube away from your butt before it makes its way to your pussy. After sex, the first thing you should do is pee, even if you feel like you don't have to. The simple act of urinating can flush out any bacteria that may have gotten into your urethra. Then, shower to wash away lube, semen, and any other body fluids you've got in or on you. Use castile soap, which is gentler on the genitals than traditional bar soap or body wash. Make sure you drink plenty of water after anal sex, to help flush bacteria and other toxins from the body and clear out the urethra.

NOTES

1 "Genital Herpes," by Jon Knowles (1989), updated by Jennifer Johnsen and Jessica Davis (December 2004), www.plannedparenthood.org.

2 "Chlamydia," by Jon Knowles, revised by Jennifer Johnsen (March 2004), www.planned-parenthood.org.

3 Dr. Palmer's Guide to Hepatitis and Liver Disease, by Melissa Palmer, M.D. (Avery, 2004) 82; Hepatitis Foundation International, www.hepfi.org.

4 Palmer, 92, 93; "Hepatitis B," by Danielle Dimitrov (February 2004), www.plannedparenthood.org; Hepatitis Foundation International, www.hepfi.org.

5 Palmer, 114.

6 Palmer, 114; Hepatitis Foundation International, www.hepfi.org

7 "Irritable Bowel Syndrome," (April 2003), National Digestive Disease Information Clearinghouse (NDDIC), a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health, www.digestive.niddk.nih.gov.


Input: Write a concluding chapter for a book about anal sex for women. Address the importance of knowledge and communication in having safe and pleasurable anal erotic experiences. Discuss the positive response to the book and the desire for more information and research on the topic. Encourage readers to use the book as a resource for having hot and sexy anal play. Emphasize the importance of patience and practice in achieving pleasurable anal sex. Share personal experiences of anal erotic pleasure and the ongoing journey of exploration and discovery.

Response:
CHAPTER 18

The Ultimate Frontier

My goal for this book is to give people, especially women, knowledge about their bodies, so we may all have safe, pleasurable anal erotic experiences. Before I wrote the first edition, I came across plenty of women who really enjoy anal sex—the unique physical sensations, the emotional intensity, the complex psychological dynamics. These same women took a major step in breaking their silence to tell me that they love anal sex. Then they told me why they love to do it, how they love to do it, when they love do it, and with whom (or what) they love to do it. It felt great to finally hear other women's stories and not feel so alone with my own desires, fantasies, and experiences of anal sex. I hoped The Ultimate Guide to Anal Sex for Women would incite this kind of communication among its readers and the dialogue would continue. Boy did it ever.

I'm thrilled by the response to the book, and I'm excited that I had so much more to say the second time around. And I hope there's more to come—more scientific, medical, and anecdotal research; more surveys; more books. Just think: the more information we have, the more anal sex we can have!

If you picked up this book, you have some desire and curiosity to learn more about anal sexuality. If you've gotten this far, my desire is that you will now be armed with information, resources, ideas, and some answers to your questions. Use this book with love, understanding, desire, and trust; ideally, it will reward you with some hot, sexy anal play. Remember that patience and practice make perfect. In my anal erotic experiences, I've felt sheer bliss, absolute surrender, indescribable rapture, and overwhelming pleasure—and I haven't gotten anywhere near perfect yet. In fact, I don't really want to. For me, the ultimate thrill is in the voyage.


Input: Write a resource guide for a book about anal sex for women. Include a list of recommended books related to anal pleasure, health, and sexuality. Provide contact information for enema equipment and supplies, as well as sex toys and accessories. Include websites for sex-positive retailers and online stores that carry toys, books, videos, and safer sex supplies. List any relevant videos related to anal sex education and pleasure. Include any relevant websites for sex education, STD information, and safer sex resources.

Response:
CHAPTER 19

Resource Guide

Books

Anal Pleasure and Health by Jack Morin, Ph.D. (San Francisco: Down There Press, 1998).

Basic In-Home Colon Cleansing: An Illustrated Guide (CD-ROM) by Edith Webber (Health Management Research Institute, 2003).

The Clitoral Truth by Rebecca Chalker (New York: Seven Stories Press, 2000).

Dr. Jensen's Guide to Better Bowel Care by Bernard Jensen (New York: Avery Publishing Group, 1998).

The Enema as an Erotic Art and Its History by David Barton-Jay (David Barton-Jay Projects, 1984).

The Erotic Mind: Unlocking the Inner Sources of Sexual Passion and Fulfillment by Jack Morin (New York: HarperCollins, 1995).

Female Ejaculation and the G-Spot by Deborah Sundahl (Alameda, CA: Hunter House, 2003).

The First Year: Hepatitis B—An Essential Guide for the Newly Diagnosed by William Finley Green (New York: Marlowe & Company, 2002).

The First Year: Hepatitis C—An Essential Guide for the Newly Diagnosed by Cara Bruce and Lisa Montanarelli (New York: Marlowe & Company, 2002).

The Good Vibrations Guide to Sex by Cathy Winks and Anne Semans (San Francisco: Cleis Press, 2002).

Guide to Getting It On by Paul Joannides (Chicago: Goofy Foot Press, 2004).

Intimate Invasions: The Erotic Ins and Outs of Enema Play by M. R. Strict (Oakland, CA: Greenery Press, 2004).

Love Thine Enemas & Heal Thyself by Dr. Jerry Glenn Knox (Vancouver, WA: Lifeknox Publishing, 2002).

The Many Joys of Sex Toys by Anne Semans (New York: Broadway Books, 2004).

Orgasms for Two: The Joy of Partnersex by Betty Dodson, Ph.D. (New York: Harmony Books, 2002).

Screw the Roses, Send Me the Thorns: The Romance and Sexual Sorcery of Sadomasochism by Phillip Miller and Molly Devon (Fairfield, CT: Mystic Rose Books, 1995).

Sex for One: The Joy of Selfloving by Betty Dodson (New York: Three Rivers Press, 1996).

Sex Toys 101: A Playfully Uninhibited Guide by Rachel Venning and Claire Cavanah (New York: Fireside Books, 2003).

SM 101: A Realistic Introduction by Jay Wiseman (Oakland, CA: Greenery Press, 1998).

The Surrender: An Erotic Memoir by Toni Bentley (New York: ReganBooks, 2004).

Trust: The Hand Book—A Guide to the Sensual and Spiritual Art of Handballing by Bert Herrman (San Francisco: Alamo Square Press, 1991).

The Ultimate Guide to Anal Sex for Men by Bill Brent (San Francisco: Cleis Press, 2002).

The Ultimate Guide to Strap-on Sex by Karlyn Lotney (San Francisco: Cleis Press, 2000).

Enema Equipment and Information

Arthur Hamilton Inc., www.arthurhamilton.com, 888-783-6937

> > > In business since 1972 when he did mail-order catalogs, Arthur Hamilton is finally on the Web with a great selection of enema equipment, including double inflatable nozzles, the hard-to-find pumpkin bag, larger bags, the sit-on bag, and stands.

Beth Tyler Labs, www.bethtyler.com, 972-772-9393

> > > The best online selection of all things enema at reasonable prices, including double inflatable nozzles, silicone bags and tubing, and hard-to-find exclusive designs, plus there is a membership component to this site with message boards, stories, photos, and videos.

Enema Bag, www.enemabag.com

> > > Large selection of enema supplies plus good enema education and health information.

Enema Lovers Guide, www.enemaloversguide.com

> > > Great resource with lots of links to other enema websites.

Klystra, www.klystra.com

> > > Manufacturer and retailer of enema supplies including rectal dilators.

Shopping Guide

665 Leather and Fetish Company, www.665leather.com, 310-854-7276 722 Santa Monica Blvd., West Hollywood, CA 90069

> > > Retail and online store specializing in leather that carries anal toys, butt plug harnesses, enema equipment, inflatable toys, J-Lube, shower attachment equipment, and slings.

Adam and Eve, www.adameve.com, 800-274-0333

> > > Mail-order and online store with toys, videos, and lingerie.

Aneros, www.aneros.com

> > > Makers of the unique prostate massage toy.

Astroglide/Paradise Marketing, www.paradisemarketing.com

> > > Makers of Astroglide Gel and Astroglide Gel Shooters.

A Woman's Touch, www.a-womans-touch.com, 888-621-8880

> > > 600 Williamson St., Madison, WI 53703 Women-owned and -run retail and online store with toys, books, videos, and safer sex supplies.

Babeland, www.babeland.com, 800-658-9119

> > > 707 E. Pike St., Seattle, WA 98122
>  94 Rivington St., New York, NY 10002
>  43 Mercer St., New York, NY 10013
>  7007 Melrose Ave., Los Angeles, CA 90038
>  Sex-positive, women-owned retail and online store with toys, books,
>  videos, and safer sex supplies.

Blowfish, www.blowfish.com, 800-325-2569

> > > Sex-positive mail-order and online store with toys, books, videos, and a small selection of enema equipment, including anodized aluminum butt plug nozzles and shower shot kit.

Bungee Sexperience, www.bungeesex.com, 702-260-7475 Makers of the Bungee Sexperience sex swing.

Come As You Are, www.comeasyouare.com, 877-858-3160

> > > 701 Queen St. W, Toronto, Ontario, Canada M6J 1E6 Sex-positive retail and online store with toys, books, videos, and safer sex supplies.

Cottonballs.com

> > > Online drugstore that carries lube, Fleet enemas, as well as latex, vinyl, nitrile, and neoprene/chloroprene gloves.

Early 2 Bed, www.early2bed.com, 773-271-1219

> > > 5232 N. Sheridan, Chicago, IL 60640 Sex-positive retail and online store with toys, books, videos, and safer sex supplies.

Eros Boutique, www.erosboutique.com, 866-425-0345 581A Tremont St., Boston, MA 02118

> > > Retail and online store; carries anal toys, butt plug harnesses, chrome syringes, enema equipment, inflatable enema nozzles, Liberator Shapes, unique anal toys, and swings.

Eveʹs Garden, www.evesgarden.com, 800-848-3837 119 W. 57th St., 12th Floor, New York, NY 10019

> > > Established in 1972, a sex-positive retail and online store that caters to women and carries toys, books, videos, and safer sex supplies.

EQ+, www.eqplus.com, 800-771-1218

> > > Medical supply website that carries latex, nitrile, and vinyl gloves.

Extreme Restraints, www.extremerestraints.com, 866-4MY-BDSM

> > > Online store specializing in BDSM toys that carries enema equipment, inflatable toys, J-Lube, slings, swings, and unique anal toys.

Fisher Scientific, www.fishersci.com, 800-766-7000

> > > Medical supply website that carries latex (regular and extra long), nitrile (regular and extra long), vinyl, neoprene/chloroprene (regular and extra long), polyethylene (regular and extra long) and other nonlatex gloves; U.S. orders only.

Forbidden Fruit, www.forbiddenfruit.com, 800-315-2029 512 Neches, Austin, TX 78701

> > > Sex-positive retail and online store with toys, books, videos, and safer sex supplies.

Good for Her, www.goodforher.com, 416-588-0900 175 Harbord St., Toronto, Ontario, Canada M5S 1H3

> > > Sex-positive, women-owned and -run retail and online store that carries toys, books, videos, and safer sex supplies.

Good Vibrations, www.goodvibes.com, 800-289-8423

> > > 603 Valencia St., San Francisco, CA 94110
>  1620 Polk St., San Francisco, CA 94109
>  2504 San Pablo Ave., Berkeley, CA 94702
>  Sex-positive, worker-owned retail and online stores with toys, books,
>  videos, and safer sex supplies.

Grand Opening! Sexuality Boutique, www.grandopening.com, 877-731-262 308A Harvard St., Brookline, MA 02446

> > > Sex-positive, women-owned retail and online store with toys, books,
>  videos, and safer sex supplies.

Grogans, www.grogans.com, 800-365-1020

> > > Medical supply website that carries latex (regular and extra long), nitrile, and neoprene/chloroprene gloves (regular and extra long).

Innerspace, www.innerspace1.com

> > > Online home of Ray Cirino, designer and manufacturer of unique acrylic and metal toys, including clear acrylic butt plugs.

It's My Pleasure, 503-236-0505

> > > 4258 SE Hawthorne Blvd., Portland, OR 97215

> > > Sex-positive, women-owned retail store with toys, books, videos, and safer sex supplies.

J-Lube, www.jlube.net

> > > Comprehensive information about J-Lube.

JTʹs Stockroom, www.stockroom.com, 800-755-TOYS

> > > Sex-positive mail-order and online store with toys, books, videos, safer sex supplies, slings, swings, BDSM gear, enema supplies, anal speculums, and butt plug harnesses.

Kinky Medical, www.kinkymedical.net

> > > Online store that carries latex and nitrile gloves, extra-long latex gloves, J-Lube and J-Jelly, stainless steel syringes, enema supplies, and other medical equipment.

Liberator Shapes, www.liberatorshapes.com

> > > Makers of a unique brand of firm, supportive shapes that help to angle the body better for sex.

Libida, www.libida.com

> > > Sex-positive online store that caters to women and carries toys, books, videos, and safer sex supplies.

Love Swing, www.loveswing.com, 541-261-6656

> > > Makers of the Love Swing.

Lube Shooter, www.lubeshooter.com

> > > Makers of plastic disposable lube shooters.

Medical Toys, www.medicaltoys.com, 800-791-3931

> > > Online store that carries anal toys, stainless steel enema/lube syringes, enema equipment, and anal speculums.

MFASCO Health & Safety, www.mfasco.com, 800-221-9222

> > > Medical supply website that carries latex (regular and extra long), nitrile, and vinyl gloves.

Midnight Blue's, www.midnight-blues.net

> > > Online store specializing in BDSM toys that carries a good selection of unique inflatable rubber toys.

Miko Exoticwear, www.mikoexoticwear.com, 800-421-6646 653 N. Main St., Providence, RI 02904

> > > Retail and online store with toys, books, videos, and safer sex supplies, including good selection of anal toys and the chrome syringe.

Mr. S Leather, www.mr-s-leather.com, 800-SHOP-MRS 310 Seventh St., San Francisco, CA 94103

> > > Retail and online store specializing in BDSM toys that carries butt plug harnesses, enema equipment, inflatable toys, unique anal toys, and slings.

Purple Passion, www.purplepassion.com, 212-807-0486 211 W. 20th St., New York, NY 10011

> > > Retail and online store specializing in BDSM toys and clothing that carries anal toys, butt plug harnesses, and inflatable toys.

Rainbow Rope, www.rainbowrope.com

> > > Online store specializing in BDSM toys that carries latex and nitrile gloves, stainless steel syringes, enema equipment, rubber and silicone double balloon nozzles, latex tubing in a rainbow of colors, plastic irrigation syringes, anal scopes and speculums.

Shop in Private, www.shopinprivate.com

> > > Online store that carries enemas, some enema equipment, condoms, lube, and anal bleaching cream.

The Smitten Kitten, www.smittenkittenonline.com, 888-751-0523 3010 Lyndale Ave. S, Minneapolis, MN 55408

> > > Sex-positive, women-owned retail and online store with toys, books, videos, and safer sex supplies.

Stormy Leather, www.stormyleather.com, 800-486-9650 1158 Howard St., San Francisco, CA 94103

> > > Sex-positive retail and online store that specializes in leather and latex fetishwear, manufactures some of the best dildo harnesses, and also carries some toys, books, videos, and safer sex supplies.

The Toy Bag, www.toybag.com

> > > Online store specializing in BDSM toys that carries hand-tooled hardwood dildos and bead toys.

Venus Envy, www.venusenvy.ca, 877-370-9288

> > > 1598 Barrington St., Halifax, Nova Scotia, Canada B3J 1Z6 110 Parent Ave., Ottawa, Ontario, Canada K1N 7B4 Sex-positive retail and online store with toys, books, videos, and safer sex supplies.

Vixen Creations, www.vixencreations.com

> > > Women-owned and run sex toy manufacturer and retailer.

Whirlwind, www.brownbottle.com, 866-744-8697

> > > Online store that carries anal toys, lube, stainless steel enema/lube syringes, enema equipment, anal spreaders, anal scopes, slings, other BDSM products.

Womyns' Ware, www.womynsware.com, 888-WYM-WARE 896 Commercial Dr., Vancouver, BC Canada V5L 3Y5

> > > Sex-positive retail and online store that caters to women and carries toys, books, videos, and safer sex supplies.

Videos

Anal Massage for Lovers directed and produced by Joseph Kramer and EROSpirit Institute, 2005, 130 minutes. Available at www.eroticmassage.com and sex-positive stores.

Anal Massage for Relaxation and Pleasure directed and produced by Joseph Kramer and EROSpirit Institute, 2004, 160 minutes. Available at www.eroticmassage.com and sex-positive stores.

Bend Over Boyfriend directed by Shar Rednour, produced by Fatale Video, 1998, 60 minutes. Available at www.fatalemedia.com, 888-5-FATALE, and most sex-positive stores.

Bend Over Boyfriend 2: More Rockin', Less Talkin' directed by Shar Rednour and Jackie Strano, produced by S.I.R. Video, 1999, 70 minutes. Available at sirvideo.com and most sex-positive stores.

College Guide to Anal Sex, produced by Shane's World Productions, 2004. Available at videos stores.

Handball Loving directed by Gene Hubris, produced by Bert Herrman's Alamo Square, 35 minutes. Available at www.bijouworld.com and other websites (hard to find).

Nina Hartley's Guide to Anal Sex directed by Nina Hartley, produced by Adam & Eve, 1996, 70 minutes. Available at www.adameve.com and most sex-positive stores.

Tristan Taormino's House of Ass directed by Tristan Taormino, produced by Adam & Eve, 2006, 140 minutes. Available at www.puckerup.com and most sex-positive stores.

Tristan Taormino's Ultimate Guide to Anal Sex for Women directed and produced by Tristan Taormino, Ernest Greene, and John Stagliano, 1999, 238 minutes. Available at www.puckerup.com and most sex-positive stores.

Tristan Taormino's Ultimate Guide to Anal Sex for Women 2 directed and produced by Tristan Taormino and Ernest Greene, 2001, 135 minutes. Available at www.puckerup.com and most sex-positive stores.

Websites

Betty Dodson, www.bettydodson.com

> > > Author, masturbation guru, sex educator, producer of self-loving videos.

Planned Parenthood, www.ppfa.org

> > > STD and safer sex information.

Red Right, www.winternet.com/%7Eredright/redright.html

> > > Anal fisting information and resources.

San Francisco Sex Information, www.sfsi.org, 415-989-SFSI

> > > Free information and referral switchboard providing anonymous, accurate, nonjudgmental information about sex.

Susie Bright, www.susiebright.com

> > > Author, sexpert.

Violet Blue, www.tinynibbles.com

> > > Author, oral sex expert, sex educator.


Input: Write an index for a comprehensive guide on anal sex for women. Include topics related to anal health, hygiene, and sexual practices. List any relevant books, videos, and products related to anal sex. Include any relevant medical terms, STDs, and sexual activities. Mention any relevant materials, toys, and accessories used in anal sex. Include any relevant websites, resources, and support groups related to anal sex and sexual health.

Response:
Index

A

acyclovir

advice columns

AIDS

Albert, Eric

Alcohol dehydrogenase (ADH)

alcohol use in enemas

allergies, benzocaine food glycerin latex lube nonoxynol-9 ragweed

Amelong, Kristina

ampallang piercing

amyl nitrate, see poppers

anal bead toys

anal bleaching

anal canal

Anal Ease

Anal-Eze

anal fissure

anal fistula

anal health

anal papilloma screening

Anal Pleasure and Health

anal probe

anal taboo

anal training

anal warts

analingus

anemia

Aneros

antibacterial soaps

anus

Aqua Lube

Ask the Anal Advisor

Aslan Leather

Astroglide

Astroglide Gel

Astroglide Shooter

Astroglide Warming Liquid

azithromycin

B

baby oil

baby wipes

bacteria

Bakos, Susan Crain

bathhouses

BDSM and fisting support groups

Bear Lube

ben wa balls

Bend Over Boyfriend

Bentley, Toni

benzocaine

Bergman, S. Bear

bleach

bleeding menstrual

blood pressure

Blue, Violet

bondage butt

bowel control

bowel movement

bowels

Boy Butter

breathing

Bright, Susie

bulb syringe

Bungee Sexperience Sex Swing

butt plug ejaculating inflatable wearing in public weighted

Buzz Me

C

Califia, Pat

California Exotics

cancer cervical liver and phthalates prostate rectal

castile soap

castor oil

Catacombs

ceftriaxone

chancre

chlamydia

Chloe

chloroprene

chucks

Cialis

Cirino, Ray

cirrhosis

Claiming of Sleeping Beauty

climax, see orgasm

clitoral stimulation

cock and ball play

colitis

colon

colonic, see enemas

communication

Compleat Spanker, The

condoms female

consciousness-raising

consensual force

constipation

Crisco

Crohn's disease

cryotherapy

cunnilingus

CyberSkin

cytomegalovirus (CMV)

D

dental dam

Desensitizing Lube

desire

diarrhea

diet

dildo ejaculating realistic strap-on vibrating

discipline

diverticulitis

Doc Johnson

Dodson, Betty

dominance

douching

doxycycline

drug use

Durex Avanti

Durex XXL

E

E. coli bacteria

ejaculation female

Elbow Grease

electrocautery

electrolysis

electrolytes

Embrace

emotional safety

endurance

enema bag

enema nozzle

enemas eroticized and fisting frequency ingredients

erection

Eros Cream

Eros Gel

Eros Original

erotic enema play, see enemas

erotica

Exotica Snugger Fit

expectations

F

famiciclovir

fantasy

fasting

fear eroticizing

feces

fellatio see also oral sex

fiber

figging

fingernails see also manicure

fisting and poppers self

Fleet

Fleshlight

flogging

Food and Drug Administration (FDA)

forced feminization

foreplay

G

gape

gastritis

gastrointestinal tract

gender roles play

genital herpes

genital warts

gloves double extra-long

glycerin

Glyde

gonorrhea

Good Vibrations

Grafenberg, Ernest

Grandes, Almudena

G-spot

Guide to Getting It On!

H

hair removal

handballing, see fisting

hanky code

harnesses, bondage tape butt plug leather butt plug rope strap-on two-strap triangle

Hartley, Nina

health care professionals

hemorrhoidal wipes

hemorrhoids

hepatitis

herpes

Herrman, Bert

HIV

homophobia

Hot Dam

Howard Stern Show, The

human papillomavirus (HPV)

humiliation

Hydra-Smooth

hydroquinone

hygiene

I

ID Cream

ID Glide

ID Millennium

ID Sensation

immune system

Innerspace

InSpiral

Irritable Bowel Syndrome (IBS)

J

Jane

J-Gel

J-Lube

Joannides, Paul

JT's Stockroom

K

Kegel exercises

Kimberly Clark SafeSkin Nitrile XTRA

Kimono Maxx

Knox, Dr. Jerry Glenn

kojic acid

K-Y

K-Y Brand UltraGel

K-Y Jelly

K-Y Liquid

K-Y Warming Liquid

K-Y Warming UltraGel

L

latex

Lawrence v. Texas

laxatives

LifeStyles Snugger Fit

LifeStyles XL

Liquid Silk

Lixx

Love Swing

Lube Shooter

lubricants allergy to creamy desensitizing glycerin-free oil-based silicone and toy materials warming water-based

M

Magnum XL

mandelic acid

manicure

masochism, see BDSM

massage prostate self

masturbation

Maximus

Maxxim SensiCare XP

media

mineral oil

mouthwash

Mr. S

MSNBC

mucous

mucous membranes

N

National Institutes of Health (NIH)

Naughty Spanking Stories From A to Z

negotiation see also communication

neoprene

Nerve's Guide to Sex Etiquette for Ladies and Gentlemen

New Republic, The

New York Times

Nexus

nonoxynol-9

O

O'My

oral-anal contact, see analingus

oral sex see also analingus, cunnilingus, fellatio

orgasm

P

pain eroticizing and fear and anal ailments and STDs

pap smear

parasites

paraurethral glands

patience

PC muscles

penicillin

penis

perineal muscles

perineum

phthalates

Pink Cheeks Salon

piss play

plastic wrap

polyps

polyurethane

poppers

porn

positions for analingus doggie-style for enema for fisting hand for masturbation missionary, pain-free receptive partner on top reverse cowgirl/cowboy for spanking spooning

power exchange

pregnancy

Preparation H

presence

Probe Silky Light

Probe Thick and Rich

prostate gland stimulation

prostatic fluid

psychological play

psychology

pubococcygeus muscles see PC muscles

pumping

punishment

PVC

Pyrex

R

Rabbit Pearl

rash

Réage, Pauline

Reality Female Condom

rectal exam

rectum absorption of liquid bacteria in and bowel movement curves delicate tissue and feces and lube mucous lining relaxing and positions and toys see also enemas

Redbook

relationships

relaxation

Religious Right

research

Rice, Anne

rimming, see analingus,

role-playing

S

S.I.R. Video

S/M, see BDSM

sadomasochism, see BDSM

safer sex

saliva

Saran Wrap

Screw the Roses, Send Me the Thorns

"second wave,"

Seductive Art of Japanese Bondage, The

semen

seminal vesicle

SemperCare CRX

Sensua Organics

Sex and the City

sex education

sex manuals

sex toys acrylic Cyberskin ejaculating flexible glass hardwood hypoallergenic jelly large latex manufacturers metal nonporous porous rubber sharing silicone small smooth thermal plastic vinyl see also anal bead toys, butt plug, dildo, vibrator

sexually transmitted disease (STD)

sexually transmitted infection (STI), see sexually-transmitted disease (STD)

shame eroticizing

Sharkey, Lorelei

shaving

shower attachment

shower diverter

Shower Shot

Shur Shot

silicone, see lubricant, sex toys

sit-on enema

Slicks

slings

Slippery Stuff

Slippery Stuff Gel

Sliquid Sizzle

SM

sodomy laws

SoftSkin

spanking

spanking bench

sperm

spermicide

sphincter muscles

Sprinkle, Annie

STD see sexually transmitted disease

Steele, Valerie

Stormy Leather

stress

Strict, M. R.

submission

surrender

Surrender, The

swings

syphilis

T

tampons

Taylor, Emma

Terra Firma

tetracycline

thermal plastic

Toxic Shock Syndrome

Toy Bag

Tristan plug

Tristan Taormino's Ultimate Guide to Anal Sex for Women (video)

Trojan Magnum

Trojan Naturalambs

Trojan Supra

Trojan Twisted

trust

tucks

Tushy Tamer

U

U.S. Supreme Court

ulcers

Ultimate Guide to Anal Sex for Men, The

Ultimate Guide to Anal Sex for Women, The (first ed.)

Ultimate Guide to Cunnilingus, The

UltraSkin

urethra

urethral sponge see also G-spot

urinary tract infection (UTI)

urination

V

vagina

vaginal penetration

valacyclovir

Vaseline

Viagra

Vibratex

vibrator

videos

vitamin A & D ointment

Vixen Creations

W

waxing

Wet

Wet Light

Wet Ones

Wet Platinum

Wet Warming Lubricant

White, Rose

witch hazel wipes

workshops

Y

yeast infection


Input: Write a brief biography of the author, Tristan Taormino. Include information about her past and current work, awards, publications, media appearances, and lectures. Mention her official website and any personal details relevant to her public persona.

Response:
About the Author

TRISTAN TAORMINO is the author of True Lust: Adventures in Sex, Porn and Perversion and Down and Dirty Sex Secrets. She is series editor of all thirteen volumes of Best Lesbian Erotica, two of which have won Lambda Literary Awards. She is director, producer, and star of two videos based on her book, Tristan Taormino's Ultimate Guide to Anal Sex for Women 1 and 2, the first of which won two Adult Video News Awards in 2000. She returns to the world of adult video in 2006 as director and producer of Tristan Taormino's House of Ass, which will be released by Adam & Eve Pictures. She is the sex columnist for the Village Voice, a columnist for Taboo and Velvetpark, and the former editor of On Our Backs. Tristan has been featured in over two hundred publications including the New York Times, Redbook, Cosmopolitan, Glamour, New York Magazine, Men's Health, and Playboy. She has been named to several media lists, including Out Magazine's "100 Gay Success Stories of the Year" and The Advocateʹs "Best and Brightest Gay & Lesbian People Under 30." She has appeared on CNN, MSNBC, HBO's Real Sex, NBC's The Other Half, The Howard Stern Show, Loveline, Ricki Lake, MTV, Oxygen, Fox News, The Discovery Channel, and on dozens of radio shows. She lectures at top colleges and universities including Yale, Brown, Columbia, Smith, Vassar, and NYU, where she speaks on gay and lesbian issues, sexuality and gender, and feminism. She teaches sex and relationship workshops around the world and does private coaching sessions for individuals and couples. She lives with her partner and their three dogs in New York City. Her official website is www.puckerup.com.


Input: Write a brief biography of the illustrator, Fish. Include information about her interests, hobbies, current educational pursuits, and any relevant online presence. Mention specific details that reflect her unique personality and artistic style.

Response:
About the Illustrator

FISH likes drawing, bicycling, tattooing, fucking, crafting, and queering up the world. Right now she's in the sculpture program at the California College of the Arts, finally finishing an undergrad degree after twenty years of the above. Her tattoo portfolio and art projects are online at www.devilfish.com.


Input: Compose a copyright notice for the book "The Ultimate Guide to Anal Sex for Women" by Tristan Taormino, including the copyright year, the rights holder for the text and illustrations, and a statement about the restrictions on reproduction of the material. Also, provide the Library of Congress Cataloging-in-Publication Data, which should include the author's name, publication year, ISBN, subject categories, and Dewey Decimal Classification number.

Response:
Copyright © 1998, 2006 by Tristan Taormino.

Illustrations copyright © 2006 by Fish.

All rights reserved. Except for brief passages quoted in newspaper, magazine, radio, or television reviews, no part of this book may be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording, or information storage or retrieval system, without permission in writing from the publisher.

Library of Congress Cataloging-in-Publication Data

Taormino, Tristan, 1971-

The ultimate guide to anal sex for women / by Tristan Taormino;

p. cm.

Includes bibliographical references and index.

eISBN : 978-1-573-44522-1

1\. Sex instruction for women. 2. Anal sex. 3. Anus (Psychology) I. Title.

HQ46.T24 2006

613.9'6—dc22 2005034243