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Some gay men, especially those who are hiv positive, might have a higher risk of anal cancer. Knowing about these cancers and what you can do to help prevent them or find them early (when the cancer is small and might be easier to treat) may help save your life. You may miss the more serious precancerous dysplasia inside the anal rectal canal. Goldstone, assistant clinical professor, mount sinai school of medicine, new york, and medical director of gayhealth. Com, said that he sees many gay men in his general surgery practice.   there is a rising trend in high risk sexual behaviour among men who have sex with men (msm), with concomitant use of recreational drugs. Activities include fisting and unprotected anal intercourse with a partner who is hiv serodiscordant or of unknown status. Rectal douching is a hygienic practice to clean the rectum in preparation for anal sex or hydrating the rectum to void hardened stools as opposed to a pharmaceutical method to soften the stool. Rectal douching is distinguished from anal cleansing, which is the routine cleaning of the anus after defecation, and enema, which is the rinsing of part of the large intestine.

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