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• Lateral Internal Sphincterotomy (LIS): A minor surgical procedure where a small cut is made in the internal anal sphincter to relax the muscle and promote healing of the fissure.
• Anal Dilation: A procedure where the anal sphincter is gently stretched to reduce muscle spasm. This can be done manually or with the help of instruments.

Kafka, M. P. (2010). Hypersexuality: A review of the literature. Archives of Sexual Behavior, 39(2), 327-340. Anal Videos: Understanding the Concept of Anal Double

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• Communication: Discuss boundaries, desires, and concerns with your partner(s) before engaging in anal double penetration.
• Lubrication: Use plenty of lubricant to reduce friction and prevent discomfort.
• Preparation: Ensure the anus is relaxed and prepared for penetration.
• Hygiene: Maintain proper hygiene to prevent the risk of infection.