But like most things involving sex, many people are loath to talk about the mechanics of it. Just look at how freaked out folks got when Teen Vogue published an explainer on the ins and outs of anal sex in An anal fissure is a small cut in the thin, sensitive tissue that lines the anus. That said, sometimes a fissure is the result of anal play gone wrong, said Evan Goldstein , a surgeon and the owner Bespoke Surgical in New York and Los Angeles. If this occurs, then a tear is almost definitely going to take place. The good news is, knowledge is key and can prevent these types of injuries. Below, experts give the low down on anal fissures, how to avoid them, and some general advice on how to have safe, consensual anal sex. As for how painful they are, one expert said it feels a bit like a paper cut, only down there.
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