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You can't get pregnant from anal sex. But there's a bigger chance of getting STDs, including HIV, from unprotected anal sex (without a condom). So it's important to always use condoms AND lube to lower your chances of getting an STD.

You can get pregnant and pass STDs from unprotected vaginal sex. But there are a lot of different birth control methods that help prevent pregnancy. Just like with oral and anal sex, condoms can help prevent STDs.

The anal canal is the end part of the intestinal tract. It includes the rectum and anus. Sometimes an abnormal passage forms from the anal canal to the skin near the anus. This is called an anal fistula. Anal fistulas can also form from the anal canal to other organs, such as the vagina or urinary tract.

If you have symptoms that seem like an anal fistula, your healthcare provider may refer you to a specialist for colon and rectal diseases. The specialist will ask about your symptoms and your health history. During your physical exam, the doctor will look for a fistula opening near your anal opening. He or she may press on the area to see if it is sore and if pus comes out. Sometimes, you will need to have a special exam under anesthesia so the doctor can get more information while not causing you pain. Different methods may be used to help with the diagnosis. These include:

Imaging tests. These may include an ultrasound, which creates an image of the anal area using sound waves. Or they may include an MRI, which makes images of the area by using special magnets and a computer.

Complications of an anal fistula include a fistula that returns after treatment. Another complication is an inability to control bowel movements (fecal incontinence). This is most likely if some of the muscle around the anal opening, called the anal sphincter, is removed.

Call your healthcare provider if you have symptoms of an anal fistula, especially if you have had an anal abscess in the past. If you have been treated for an abscess or fistula, call your provider right away if any of these occur:

HPV is the most common STI. There were about 43 million HPV infections in 2018, many among people in their late teens and early 20s. There are many different types of HPV. Some types can cause health problems, including genital warts and cancers. But there are vaccines that can stop these health problems from happening. HPV is a different virus than HIV and HSV (herpes).

You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. It also spreads through close skin-to-skin touching during sex. A person with HPV can pass the infection to someone even when they have no signs or symptoms.

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The study released Thursday is based on interviews of about 5,300 young people, ages 15 to 24. It shows that the proportion in that age group who said they had never had oral, vaginal or anal sex rose in the past decade from 22 percent to about 28 percent.

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At six months, intervention youth were significantly less likely than controls to report some HIV risk behaviors. For example, intervention youth were 39% less likely than controls to report inconsistent condom use during vaginal sex and 60% less likely to report it during anal sex in the past 90 days; they were 76% less likely to report unprotected anal sex at last intercourse. Compared with controls, adolescents in the intervention had half the mean number of days of unprotected sex while high on drugs or alcohol (1.7 vs. 3.5, respectively), and significantly fewer partners (4.7 vs. 6.6). Seventeen percent of youth in the family-centered program, compared with 69% of controls, reported unprotected anal sex at last intercourse. Finally, family functioning increased from moderate to moderate-to-high for the intervention group, but remained moderate for controls. 041b061a72

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