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Sex should be fun, but it can also be complicated. Welcome to Sexual Resolution , a biweekly column by sex therapist Vanessa Marin to answer your most confidential questions and help you achieve a healthy, joyful sex life. In this edition, she answers a reader who wants to have anal sex but whose partner has a big penis. She's nervous about the potential for pain, but Vanessa has some helpful tips. Have your own question?
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What can cause rectal pain?

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Anal swelling can occur for a variety of reasons. Most causes of a swollen anus are temporary and harmless, but some require medical attention. The anus is at the end of the rectum, and muscle surrounds it. Depending on the cause of the swelling, people may have additional symptoms, such as pain, itching, burning, or bleeding around the anus. In this article, we discuss the possible causes of a swollen anus and explain how doctors diagnose and treat these conditions. An anal fissure is a small rip or tear that occurs in the lining of the anus. Damage to the lining of the anus or overstretching it, possibly during a bowel movement, can cause an anal fissure.
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A patient presents with severe anal pain, lasting hours after each bowel movement. She notices some intermittent bleeding with defecation. She comes to the office with the presumed diagnosis of hemorrhoids.
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How many answers do you know? And, the answers to the quiz will be at the end. Being informed about your anatomy—knowing where things are located in your body—is an important first step for anyone having anal sex.
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