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What that means is if someone goes beyond their capacity (i.e., their hole is opened up too wide or with too much force), any of these components can tear or develop other complications.” “The anal cavity encompasses skin, muscles, and blood vessels, each of which can be restrictive and limiting.

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“Anal sex is a high-pressured act with significant forces at play, all of which can be quite traumatic,” Evan Goldstein, D.O., CEO of Bespoke Surgical, a medical and wellness practice for queer men, tells TheBody.

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