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5. Pain and bleeding may indicate tissue injury. The anal lining is delicate and can develop small tears when exposed to excessive friction or force. Pay attention to these warning signs: * Persistent or sharp pain during or after penetration. * Bleeding, which may indicate a tear or other injury. * Increasing swelling, fever, or unusual discharge, which may signal a complication.

4. Never move from anal to vaginal penetration without changing protection. Bacteria from the anus can cause vaginal or urinary infections if transferred to the vagina or urinary opening. If switching from anal to vaginal sex: • Put on a new condom. • Wash hands and clean any shared toys before changing activities. • Never use the same uncleaned toy in both areas.

3. The risk of STIs can be higher than many people realize. The delicate lining of the anus can tear easily, making it easier for infections to spread during unprotected anal sex. Possible infections include HIV, gonorrhea, chlamydia, syphilis, and HPV. To reduce risk: • Use a condom correctly. • Use plenty of compatible lubricant. • Consider HIV prevention options such as PrEP if appropriate.

2. Start slowly and never force it. The anal sphincter muscles need time to relax. Rushing or forcing penetration can cause injury. • Begin gently and communicate throughout. • Stop if there is sharp pain, significant discomfort, or bleeding. • Both partners should feel comfortable and free to change their minds.

Unlike the vagina, the anus does not naturally produce lubrication for penetration. Without enough lubricant, friction can cause pain, small tears, and bleeding. • Use plenty of water-based or silicone-based lubricant. • Reapply whenever needed. • Avoid oil-based products with latex condoms because they can weaken the material.

5 Important Things to Understand Before Trying Anal Intimacy Anal intimacy is something many couples are curious about, but going in without understanding the risks can lead to pain, injury, or infection. Here are 5 important things you should know; 1. Lubrication is essential.

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5. Avoid pushing through severe breathing symptoms during exercise Exercise can trigger temporary airway narrowing in some people with asthma, particularly when their condition is poorly controlled or the air is cold and dry Make physical activity safer for your lungs; • Follow your prescribed asthma action plan • Warm up before exercising • Use pre-exercise medication if prescribed • Stop immediately if significant breathing symptoms develop

4. Avoid ignoring your prescribed asthma medication Asthma involves ongoing airway inflammation, and stopping prescribed controller medication because you feel better can allow symptoms and flare-up risk to return Stay consistent with your treatment plan; • Use prescribed preventer inhalers as directed • Learn the correct inhaler technique • Keep track of worsening symptoms • Ask your clinician before changing your medication

3. Avoid strong perfumes and irritating cleaning sprays Fragrances, aerosols, and cleaning fumes can irritate sensitive airways and trigger coughing, chest tightness, or breathing difficulties in some people with asthma Be careful with the products you use; • Choose fragrance-free cleaning products • Avoid spraying aerosols near your face • Never mix household cleaning chemicals • Leave poorly ventilated areas when fumes build up

2. Avoid dust and mold buildup Dust mites, mold, and their particles can trigger allergic reactions in susceptible people, worsening airway inflammation and asthma symptoms Keep your surroundings as trigger-free as possible; • Clean dusty surfaces with a damp cloth • Wash bedding regularly • Fix leaks and address damp areas • Improve ventilation when outdoor air quality allows