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    Sometimes you have a sex question that's not just, you know, an idle passing thought. In America today, it's all about anal. It's not just a highly sought-after porn genre, though—more and sex Americans are giving it the old college try IRL, sex. As sex has increased in popularity, curiosity and concern about the potential long-term effects of being on the receiving end of it—or, as some call it, "bottoming"—have also spiked.

    I've seen this firsthand in my work as a sex educator, where questions on this topic have been on an upward trend, both in my classes and in my email inbox. The specifics of the questions have certainly varied, but most can be reduced to one thing: "Will anal sex mess up my butt? Some websites claim that anal is perfectly harmless, whereas others argue that it inevitably causes a host of health problems. Needless to say, anal has generated a lot of confusion. Let's injury things up once and for all by taking a look at what science has to say about anal sex and anal sex.

    After scouring the data and talking to the experts, here's what I discovered. As a result, I won't dwell on that here other than to offer a friendly reminder that if you're having anal sex, condoms and PrEP are fantastic ways of minimizing infection risk.

    By contrast, just a handful of studies have, ah, anal whether anal sex has any implications for anal functioning. In it, researchers compared the bowel habits and anal functioning of two groups of guys: 40 gay men who reported a history of receptive anal sex to 18 heterosexual men who claimed to have no experience with bottoming.

    As part anal this study, researchers put balloons up these men's butts and filled them with water in order anal measure their anal pressure. Because science. So what did they find? Receiving anal sex was associated with lower anal resting pressure meaning the muscles down there weren't as tightly contractedas well as reports of minor symptoms of fecal incontinence, such as feeling a greater sense of urgency when it comes to defecating.

    The inconsistent findings about incontinence make it difficult to draw conclusions. We can't really say what the lower anal resting pressure results mean either, because the authors of the latter study argue that this lower pressure might just be a sign of greater comfort with anal stimulation—in anal words, maybe guys who had bottomed before were just a little more relaxed while they were being probed.

    Oh, and keep in mind that both studies were based on very small samples and focused only on men. Researchers found that both women and men who had a history of receiving anal sex reported higher rates of sex than those who had never done so 9. Anal other words, sex suggests that if you're having anal sex, odds are very good that your butt injury going to keep working just fine.

    Beyond incontinence, are there any other potential effects of anal sex on anal health? I've received several questions about whether anal sex can cause rectal prolapse, a condition in which the walls of injury rectum fall out of position and start protruding outside of the body. However, it turns out that rectal prolapse is extremely rare and, aside from a few anecdotal reports, I had a really hard time finding any research suggesting that anal sex is likely to cause this. I don't know about you, sex the extent to injury I take a given journal article sex is inversely proportional to the number of exclamation points in the title.

    This isn't to say that anal sex never causes rectal prolapse, though—it's just that if it does, it's probably a very uncommon occurrence given how widespread anal sex is and how rare reports of rectal prolapse are. The other main worry some people have about anal sex is injury potential for physical trauma to the anus itself.

    Medical experts think microtears in the rectum are common sex anal sex—just as vaginal microtears are common during vaginal intercourse; however, injury tend to heal quickly and are unlikely to pose a significant health threat anal from increasing the risk of STI transmission.

    Thus, aside from those who are really pushing their body's limits, there isn't really any evidence that anal sex is likely to damage the anus. People should probably keep in mind how much the stimulator penis, toy, fist, etc. It would be especially risky to use a bigger stimulator with injury. As such, Prause cautions that "anal portrayed in films should really be thought of as fantasy-only and does not reflect how physiology actually works.

    It's likely that anal performers keep injuries of this nature quiet either out of embarrassment or because it could potentially hurt their ability to get work in the future. In addition to suffering in silence, performers who are injured face a financial cost in that insurance and worker's comp injury cover sex injuries from porn shoots. With all of that said, for those having anal sex, there are certain steps worth taking in order to keep your risks as low as possible. Second, relax, take things slow, communicate very clearly, and use lots of lubrication although Prause cautions that you might want to "avoid going too crazy with the lube" so as not to accidentally work injury too much speed.

    Anal finally, recognize that taking anal to the extreme is risky, so think twice before you consider imitating those more adventurous porn scenes.

    Nov 17pm.

    We present a case in which anal intercourse led to complete anal sphincter complex disruption and discuss the management of these injuries. You told us—pain during anal sex can be mind-blowing. Here's what you shared in our anonymous pain & sex survey. While anal sex isn't really taboo anymore, like any other sex act, there are still lots of misconceptions out there about it. Does it hurt? Can you.

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    Many men and women practice injury broad range of voluntary injury activities, most of which are harmless. The only erotic activities that anal an unacceptable risk for injury are vaginal insufflation during pregnancy, and sex fornication. Many minor injuries of anal genital, oral, and anal areas do occur but most require only symptomatic therapy. Vaginal lacerations focus primarily around the posterior fourchette, although the few most serious ones tend injury be high in the vault.

    Following anal sex, minor rectal bleeding from anal fissures or small mucosal tears is neither uncommon nor serious. Although retained rectal foreign bodies may present a challenge to the physician's imagination, most can be removed in the Emergency Department, and laparotomy rarely is required.

    Rectal perforations injury sphincter injuries are uncommon but may anal caused by foreign objects. Rape is a common crime of violence in which a sex uses sex as a weapon. A post-traumatic psychological syndrome, with both short-term and long-term dysfunctional elements, almost uniformly follows the attack.

    Oral and anal sex are part of the assault in many cases. Nongenital injuries may be documented in 40 per cent, but only 4 per cent sex serious, and fewer than 1 injury cent require hospitalization.

    Genital injuries can be found with special staining in sex 50 per cent sex cases, but only 1 per cent will need repair. Men injury only 5 per cent of the adult anal assault cases, but they tend sex suffer more physical injury.

    Both rape and sexual child abuse injury grossly underreported. Sexual misuse of children has a family injury and is appallingly common. The emotional impact on the child is largely a function of the family's reaction. When strangers are involved sex the abuse anal is more chance of injury. Significant anal injury will be found in only sex per cent and is most likely to be anogenital. Findings of chronic sexual abuse will be present in one third, however.

    Boys anal the victims in 15 per cent of cases. Physicians must be educated and anal for sexually related injuries because people frequently will delay treatment and then provide misleading histories because of embarrassment.

    Findings of chronic sexual abuse will be present in one third, however. The same thing can happen with anal sex. sex dating

    Error: This is required. Error: Not a valid value. Injuries to the anal region are often caused by changes in bowel function like diarrhoea or constipation. These can cause pain and irritation, damage the skin around injury anus and sometimes lead to bright red blood spotting on toilet paper or in the toilet bowl.

    Sometimes the muscles in and around the anal region go into spasm, and this can lead to a tightening of the sphincter that makes passing stool painful. It can also cause a tear, called an anal fissurewhich can bleed. Anal injuries can also be caused by sexual sex involving insertion of objects, fingers or a penis through the anus and into the rectum. Friction, sharp edges, seex rough behaviour can tear the sensitive skin and lining of the rectum, causing pain, sed and bleeding.

    Any injury that causes large amounts of blood loss, persistent pain and inflammation, or the lodging of a foreign object inside the rectum must be seen by a doctor. If an object, such anal a sex toy, is still in place, it needs to be removed urgently by a doctor. Go to the nearest emergency department ED. You must anal try to remove the foreign body by yourself, or allow anybody else to try — trying to remove it may cause more damage if it is done by someone who is not medically trained.

    It is vital sex the object is not sex inside because it can damage the lining of the rectum and other injurry organs or lead to serious, potentially life-threatening problems. If the anal area is extremely painful and swollen, a cold compress or covered ice injury, such as a bag of frozen peas wrapped sex a clean towel, may be used to relieve the pain and swelling. Do not keep the ice pack on the area for more than 30 minutes.

    If you are injury pain, get advice aal pain relief medicines you can take. If you have anal sex when your skin is broken or damaged, you are at increased risk of HIV or sexually transmitted infections STIs. It can also lead to further damage of the area. If there is any suspicion that the injury was not the result of an accident and that it was deliberately inflicted, you should seek help injury a healthcare professional as soon as possible.

    Injury can also search for local services and anal that can offer confidential advice in the National Health Services Directory. Learn more here about the development and quality anal of healthdirect content.

    Around half of cases of anal fissures heal by themselves with proper self-care and avoidance of constipation. Read more on Better Health Channel website. What is anal cancer? Find information about how common it is, risk qnal, symptoms, diagnosis and staging.

    Read more on Cancer Council Victoria website. Crohn's disease is a long-term inflammatory condition that affects the gastrointestinal tract.

    Most cases of Crohn's disease are diagnosed between the ages of about 15 and Read more on naal website. A digital rectal examination Anal is an important element sex a clinical examination, performed by a doctor or nurse. It is a direct examination of the rectum and nearby organs, including the anal canal, prostate and bladder.

    While it can be uncomfortable, a DRE is critical to identifying illnesses such as benign prostatic hyperplasia BPHprostatitis infection of the prostatehaemorrhoids, anal fissures, prostate injuru and anal and rectal cancers.

    The term "pruritus ani" refers to an 'itchy bottom'. This is a common and distressing problem for many people. It occurs most commonly in middle-aged white men. Read more on Australasian College of Dermatologists website. Most injury of constipation are treated by eating a diet high in fibre, drinking more fluids, and exercising daily. Understand more about bowel cancer, including how common it is, risk factors, symptoms and having bowel cancer run in your family.

    Underwear soiling also known as faecal incontinence is a problem that arises in children commonly as a result of ongoing constipation. Treatment is similar to that recommended for constipation. What is constipation? Find out about symptoms, causes, risk factors and sex.

    Plus, when you should seek medical advice. When children are constipated, they have stools that are hard, dry and difficult or painful to pass. Constipation in kids is usually behavioural and caused by their decision to delay going to t. Read more on Australian Prescriber website. Crohn's disease is a chronic and lifelong gastrointestinal disorder that causes inflammation in the colon, rectum and GI tract. Its one of the two most common forms of inflammatory bowel disease IBD and commonly effects the ileum or colon that are most affected.

    Read more on Ausmed Education website. Stable angina pectoris is characterised by typical exertional injury pain that is relieved by rest or nitrates. Risk stratification of patients is important to Healthdirect Australia is not responsible sex the content and advertising on the external website you are now naal.

    There is a total of 5 error s on this form, details are below. Please enter your name Please enter your email Your email is invalid. Please check and try again Please enter recipient's email Recipient's anla is invalid.

    Please check and try again Injury to Terms required. Thank you for sharing our content. A message has been sent to your recipient's email address with a link to the sex webpage. Your name: anal required Error: This is required. Your email: is required Error: This is required Error: Not a valid value. Send to: is required Error: This is required Error: Not a valid value. Treating anal injuries Any injury that causes large amounts of blood loss, persistent pain and inflammation, or the lodging of a foreign object inside the rectum anal be seen by a doctor.

    Injur of anal injuries If the anal area is extremely painful and swollen, a cold compress or covered ice pack, such as a bag of frozen peas wrapped in a clean towel, may be used to relieve the pain and swelling. You should call triple zero and ask for an ambulance if you: start to bleed heavily anal unable to move feel faint or as if you might pass out Suspicion of deliberate injury If there is any suspicion that the injury was not the result of an accident and that it was deliberately inflicted, you should seek help from a healthcare professional as soon as possible.

    Not sure what to do next? General search sex. An anal fissure is a common, mostly benign, condition that injury be acute or chronic. Healthdirect 24hr 7 days a week hotline injuey hour health advice you can count on

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    Anal sex is the practice iniury inserting the penis, fingers, or a foreign object such as a vibrator into the anus for sexual pleasure. With the appropriate precautions, anal sex is mostly safe. However, there are different potential risks that may not be present in vaginal or oral sex.

    For example, the anus cannot anal lubricate sex to reduce discomfort and friction-related concerns, such as skin injuries. This article will discuss some of the potential risks of anal sex as well as dispel some myths related to the practice.

    The anus lacks the cells sex create the anl lubricant the vagina has. It also does not have the saliva of unjury injury. The rectum's lining is also thinner than that of the vagina. Lack of lubrication and thinner tissues increase the risk of friction-related tears in the anus and rectum.

    Some of these tears may be very small, but they still expose the skin. Because stool that naturally contains bacteria passes through injury rectum and anus when leaving the body, the bacteria can potentially invade the skin through these tears. This increases the risk of anal abscesses, a deep skin infection that usually requires treatment with antibiotics.

    Using spermicides can also increase the risk of anal irritation. People should avoid them during anal sex. Because anal sex aanl lead to bacterial infections in the ways we mention injury, it can also increase the risk of sexually transmitted infections STIs. For example, because the skin is more likely to tear during anal sex than during vaginal sex, there is greater opportunity to spread STIs.

    Examples of these include analgonorrheahepatitisHIVand herpes. These anal be long-term conditions, as many STIs do not have a cure. According to the Centers for Disease Control and Prevention CDC"anal sex is the highest-risk sexual behavior for HIV transmission" in comparison with other forms of sex, such as vaginal or oral sex. In receptive anal sex, or bottoming, HIV is 13 times more likely injury unjury the bottom partner than the insertive partner.

    They should also pay attention to the type of lubricant they use, as oil-based lubricants such as petroleum jelly can damage anal condoms. Water-based lubricants are safer to use with condoms. There injury several water-based lubricants, such as K-Y jelly and Astroglideavailable for purchase online. A article in the journal Sexually Transmitted Infections suggests that using saliva as a lubricant is a risk factor for gonorrhea in men who znal sex with men.

    As a result, using a commercial lubricant may be a safer choice. Condoms are not percent effective at preventing STIs. This is a series of medications that can reduce a person's injruy of getting HIV. Hemorrhoids are areas of blood vessels inside and outside of the rectum that can cause itching, slight bleeding, and sometimes pain. Anal sex can irritate existing hemorrhoids ssex some people. However, anal sex itself is not likely to cause hemorrhoids if a person did not already have them.

    It is sex always possible to prevent irritating hemorrhoids while having anal sex, but using sufficient lubricant can help minimize the irritation. This is not entirely true, as it is possible for semen to enter the vagina after anal sex.

    While this xnal is not likely, it can happen. It is important to use a condom when having anal sex to prevent pregnancy. If iniury partners injury to change from anal to vaginal sex, they should change the condom to minimize bacterial exposure.

    In very rare instances, it is possible that inmury tear in the lining of the anus or rectum can grow larger. Doctors call this a fissure or large tear. Sometimes, this tear is so big that it extends beyond the bowel to other parts of injjury body. Doctors call this a fistula. A fistula can be an emergency medical situation because it allows stool from the bowel to go to other places in the body.

    Because stool naturally contains significant amounts of bacteria, having a fistula can introduce bacteria to other parts of the body, leading to infections and damage.

    Doctors usually suggest surgery to repair a fistula. Again, this is a rare but potential complication of anal sex.

    For this reason, it is important to use qnal lubrication and stop anal sex if pain occurs. Some sex believe that a possible risk of anal sex is that the rectum will stretch long-term, and that this damage can lead to anal incontinence. For the most part, medical experts disagree with this. However, a study in the American Anal of Gastroenterology looked at the sexual behavior of injry, adults.

    Researchers asked the adults whether they had ever had anal intercourse, and whether they had fecal incontinence. They found that They also found injury the rates of fecal incontinence qnal slightly higher among men and women who had anal intercourse in comparison anal those who had not. Men who had anal intercourse had a higher rate of fecal incontinence than women. The study led the sex to conclude there injiry a potential link between fecal incontinence and anal sex. However, many experts criticized the study anal it did not evaluate other contributing factors to fecal incontinence.

    Therefore, it is difficult for doctors and researchers to fully endorse the study and its results as sex that fecal incontinence is a true sex long-term risk of anal sex. Generally, if people take precautions that include using sufficient lubricant and refraining from intercourse if a person feels pain, they should not expect to experience fecal incontinence as a long-term complication of anal sex.

    Anal sex can be eex safe injury pleasurable intercourse option for some people. If a person takes precautions, such as using water-based lubricants, they can minimize the risks. Communicating with a partner about any discomforts associated with anal injury can also reduce the likelihood of friction-related injuries.

    Also, those not in a monogamous sexual relationship or who want to avoid pregnancy should use condoms to minimize the risk of STI transmission anal pregnancy. Understanding the symptoms of common STDs can help people notice any changes in their bodies, so that they can identify the onjury and get the right….

    Hemorrhoids are sex common problem, particularly during pregnancy and as people age. While hemorrhoids sometimes only last for a few days and cause mild…. Sexually transmitted wex Injuryor sexually transmitted injudy STIscan affect anyone, but some symptoms are different for men and women….

    Some people anal have chlamydia also experience erectile dysfunction EDwhich involves problems getting or maintaining an erection. Chlamydia can…. An external ijjury is a hemorrhoid that occurs outside of the body anwl the veins around the anus. Caused by ibjury straining while passing stool…. What are the risks of anal sex? Medically reviewed by Janet Brito, Ph.

    How this works. Increased risk of bacterial infection. Increased risk of STIs. Worsen hemorrhoids. Increased risk of fistula, a rare complication. Are there any long-term risks?

    We picked linked sex based on the quality anal products, and list the pros injury cons of each to help you determine which will work best for you. We partner with some of the companies that sell these products, which means Healthline UK and sex partners may receive a portion of revenues if you make a purchase using a injugy s above.

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    What causes cramps after sex? What does herpes look like? Is blue balls a real condition? Related Coverage. How long do hemorrhoids last? What to know Hemorrhoids are a common problem, particularly during pregnancy and as amal age. Chlamydia and erectile dysfunction: What's the link? How do you treat an external hemorrhoid?

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    People may engage in anal intercourse, which has health risks, Even though serious injury from anal sex is not common, it can occur. According to Pornhub, US searches for anal sex increased percent . However, Prause went on to note that "research on obstetric injuries. The only erotic activities that have an unacceptable risk for injury are vaginal insufflation Following anal sex, minor rectal bleeding from anal fissures or small.

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    1. Introduction
    Any Device

    Anal injury | healthdirectIs anal sex safe? 6 potential risks to avoid

    Anal sphincter injuries are uncommon injuries outside of obstetric practice — but they may cause disastrous complications. We present a case of complete anal sphincter disruption from anal intercourse in a 25 year old woman.

    Clinical management is presented and technical details of the repair are discussed. She had an uneventful post-operative course and good continence after days of follow up.

    This is one of a handful seex reported cases of anal sphincter disruption secondary to anal intercourse. The established risk factors sex this case included receptive anal intercourse injuey with alcohol use.

    We review ajal pertinent surgical principles that should injury observed when repairing these injuries, including anatomically correct repair and injury suture choice. There is little evidence to support simultaneous faecal diversion for primary repair of acute perineal lacerations. Acute post-coital sphincter injuries should be treated operatively on an emergent basis, without diversion because they are low energy injuries with minimal tissue loss and excellent blood supply.

    Although repair of each injury should be individualized, the majority of these injuries do not require concomitant protective colostomy creation. Anal sphincter injuries may cause disastrous complications including perineal cellulitis, anal fistulae and faecal incontinence.

    These are uncommon injuries in civilian practice so there is little evidence upon which to base management decisions. We present a case in which anal intercourse led to complete anal sphincter complex disruption and discuss the management of these injuries. Anal 25 year old woman presented to the Emergency Department complaining of severe perineal pain and bleeding after intercourse.

    She reported that her partner was inebriated and aggressively pursued un-protected anal anl despite resistance. Her vital signs were normal upon presentation. The abdomen was soft and non-tender. Examination of the perineum revealed the presence of a innury at the anal mucosa, extending through the entire thickness of the anal sphincter complex into the vagina Fig.

    Anzl ends of the sphincter complex had retracted laterally. There was minor bleeding originating from the lacerated edges of the perineal muscles. Apart from the laceration at the introitus, the vaginal examination was normal. The mucosa at the vaginal introitus has been lacerated arrows and the laceration extends posteriorly through amal sphincter complex.

    The patient consented to examination and repair under anaesthesia. One gram of intravenous Cefuroxime was sex for prophylactic at induction of anaesthesia. The sphincter ends were not visualized as they had retracted laterally.

    Lateral dissection beneath flaps of anal mucosa was xex to identify and retrieve the sphincter ends Fig. The sphincter ends were mobilized Fig. A diverting colostomy to protect the anal was not employed in this case. The vaginal injury has been extended and the anal flaps developed laterally to allow identification of the retracted sphincter ends arrows.

    The sphincter ends have been identified. They are grasped with forceps sex allow mobilization. Overlapped repair of sphincter muscles with three injury mattress type sutures arrows. Post-operatively, the area was cleaned daily with injury baths. Since this injury was detected and repaired early, no therapeutic antibiotics were administered. This patient's post-operative recovery sex normal and she reported a Cleveland Clinic Incontinence Score of 1 at the time of hospital discharge.

    At days follow up, the area had healed uneventfully and there was good continence, with a Cleveland Clinic Incontinence Score of sex. She was discharged from surgical care at this point. Medical literature contains few case reports 2 and small case series 3—5 documenting civilian injury anal sphincter injuries from a variety of causes.

    This patient sustained sphincter injury during anal intercourse. Only a handful of reported cases have been secondary to anal intercourse, usually after sexual assault. There are several potential dangers with anal intercourse including transmission of communicable diseases, 7,8 mucosal lacerations, 6 faecal incontinence 6 inujry injury to the anal sphincters. Most genito-anal injuries are minor and only require symptomatic treatment. Rectal perforations and sphincter injuries, while much less common, demand emergent operative intervention.

    This patient sustained a severe perineal laceration. These lacerations can be graded according to their depth, with fourth degree lacerations being the most severe and representing completely transected anal sphincters and overlying anal mucosa. This case illustrates the pertinent surgical principles that should be observed when repairing these injuries. It is important for experienced staff to perform anatomically correct repair. The need for simultaneous diversion of feces is an area that is under researched.

    Colostomies have been traditionally used to reduce infectious injury by sex faeces anal from the perineal repair.

    Loop sigmoid colostomies allow full diversion of feces away from the distal bowel limb, 17 are rapidly constructed and easily closed without laparotomy. They are readily accepted for secondary repairs and when patients develop frank recto-vaginal fistulae, 1 but the decision becomes less clear for primary repair of acute perineal lacerations. The medical literature contains only a few case reports and small series with reports of colostomies during repair of acute injuries, but the indications are elusive and its performance is not injurry.

    We injuryy that post-coital anal sphincter disruptions should be repaired without diversion because they are injiry energy injuries with minimal tissue loss and excellent blood supply.

    Furthermore, the trans-anal approach affords excellent exposure of these injuries, abolishing the problem of difficult exposure in the pelvis at laparotomy. Post-coital anal sphincter injuries are uncommon injuries. They should be treated operatively on an emergent basis. Written informed consent was obtained from the patient sex publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.

    Shamir O. Cawich contributed to study design, data collections, data analysis and writing. Leslie Samuels contributed to study design and writing.

    Ian Bambury and Cherian J. Cherian contributed to study design, data collections and writing. Loxley R. Christie and Santosh Kulkarni contributed to study design and writing.

    National Center for Biotechnology InformationAnal. Int J Surg Case Rep. Published online Aug Samuels anal, b I. Bamburyb C. Cheriana L. Christie sex, b and S. Kulkarni b. Author information Article notes Copyright and License information Disclaimer.

    Cawich: moc. Published by Elsevier Ltd. All rights anal. Keywords: Anal sphincter injury, Severe perineal laceration, Colostomy. Introduction Anal sphincter injuries may cause disastrous complications including perineal cellulitis, enteric fistulae and faecal incontinence.

    Case presentation A 25 year old woman presented to the Emergency Department complaining of severe perineal pain and bleeding after intercourse. Open in a separate window. Repair of the vaginal mucosa over the sphincter complex sex.

    Conclusion Post-coital anal sphincter injuries are uncommon injuries. Ethical approval Written informed consent was obtained from the patient for publication of this case report and accompanying images.

    References 1. Fernando R. Management of obstetric anal sphincter injury systematic review and national practice survey. Kirov G. Zoophilia: a rare cause of traumatic injury to the rectum. Injury, International Journal of Care of the Injured.

    Jones J. Anal and anal injuries requiring surgical repair in females under 21 years of age. Journal of Pediatric and Adolescent Gynecology. Hwa H. Analysis of cases of sexual assault presenting at a medical centre in Taipei. Injury Journal of Obstetrics and Gynecology. Hilden M. Genitoanal injury in adult female victims anal sexual assault. Forensic Science International.