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Oral contact with the anus can put both partners at risk for hepatitis, herpes, hpv, and other infections. Genital warts is a common sexually transmitted infection (sti) passed on through vaginal, anal and, rarely, oral sex. They start as small bumps that may be no larger than the head of a pin. sexually transmitted diseases (stds) have been rising among gay and bisexual men, with increases in syphilis being seen across the country. In 2014, gay, bisexual, and other men who have sex with men accounted for 83 of primary and secondary syphilis cases where sex of sex partner was known in the united states. Having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids. genital warts are spread from sexual skin-to-skin contact with someone who has it including vaginal, anal, and oral sex. So the only surefire way to avoid getting genital warts and other stds is to not have any contact with another persons mouth or genitals. What are the main risks of anal sex? Penetrative anal sex has a higher risk of spreading stis than many other types of sexual activity. This is because the lining of the anus is thin and can be easily damaged, which makes it more vulnerable to infection.