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Some anal stimulators are purposely ribbed or have a wave pattern in order to enhance pleasure and simulate intercourse.
Pleasure can be derived from anal masturbation due to the nerve endings in the anal and rectal areas.
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Apart from the volume of blood that is lost into the rectum, other easily observable indications that medical intervention is urgently needed as a result of blood loss are an elevated heart rate, a general feeling of faintness or weakness, and a loss of pleasure from the act.
Description: Sexual Behavior: Problems and Management.