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Vaginal intercourse was practiced more than insertive anal intercourse among men, but 13% to 15% of men aged 25 to 49 practiced insertive anal intercourse.With regard to adolescents, limited data also exists.The likelihood of pregnancy occurring during anal sex is greatly reduced, as anal sex alone cannot lead to pregnancy unless sperm is somehow transported to the vaginal opening.Because of this, some couples practice anal intercourse as a form of contraception, often in the absence of a condom.sources sometimes use the term anal intercourse to refer exclusively to penile-anal penetration, and anal sex to refer to any form of anal sexual activity, especially between pairings as opposed to anal masturbation.People may experience pleasure from anal sex by stimulation of the anal nerve endings, and orgasm may be achieved through anal penetration – by indirect stimulation of the prostate in men, indirect stimulation of the clitoris or an area of the vagina (sometimes termed the G-spot) in women, and other sensory nerves (especially the pudendal nerve).

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Carpenter stated that this view "dates to the late 1600s, with explicit 'rules' appearing around the turn of the twentieth century, as in marriage manuals defining petting as 'literally every caress known to married couples but does not include complete sexual intercourse.'" In Kimberly R.Indirect stimulation of the clitoris through anal penetration may also be caused by the shared sensory nerves, especially the pudendal nerve, which gives off the inferior anal nerves and divides into two terminal branches: the perineal nerve and the dorsal nerve of the clitoris.but it is typically described as being located behind the female pubic bone surrounding the urethra and accessible through the anterior wall of the vagina; it and other areas of the vagina are considered to have tissue and nerves that are related to the clitoris.Besides the shared anatomy of the aforementioned sensory nerves, orgasm by indirect stimulation of the clitoris or G-spot area through anal penetration may be aided by the close proximity between the vaginal cavity and the rectal cavity.Stimulation from anal sex can additionally be affected by popular perception or portrayals of the activity, such as erotica or pornography.

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