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Feedback from young people reveals an oppressive culture Doctors’ reluctance to discuss anal sex is letting down young women, warn researchers Open conversations and better public health education will help women make informed choices Clinicians’ Readers of the Journal may have come across the recent study into teenage attitudes towards anal sex in heterosexual couples by the London School of Hygiene and Tropical Medicine, What causes pain during anal sex? And will it ever go away? Unlike the vagina, the anus doesn’t usually produce enough lubrication for comfortable penetration, so it’s important to use plenty Conclusions Young people's narratives normalised coercive, painful and unsafe anal heterosex. He lifted me up by my armpits, sat me on the kitchen counter, leaned over me and slid his My Anal School Girl (2012). 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