{"componentChunkName":"component---src-components-article-page-article-page-gatsby-container-tsx","path":"/pt/artigos/anatomia/sexo-anal-recomendacoes-para-uma-pratica-segura-e-prazerosa","result":{"data":{"articleNode":{"id":"6HrRtTexn7IRKIHhn4wD54","title":"Sexo anal: recomendações para uma prática segura e prazerosa","subtitle":"How to have anal sex safely","seoMetaTitle":"Sexo anal: recomendações para uma prática segura e prazerosa","seoMetaDescription":"Um pouco de história sobre o sexo anal, algumas recomendações e os riscos que existem para esta prática  sexual.","openGraphTitle":"Sexo anal: recomendações para uma prática segura e prazerosa","openGraphDescription":"Um pouco de história sobre o sexo anal, algumas recomendações e os riscos que existem para esta prática  sexual.","slug":"anatomia/sexo-anal-recomendacoes-para-uma-pratica-segura-e-prazerosa","artCredits":"Ilustração: Emma 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você\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Comece devagar, inserindo um dedo e vá expandindo para um objeto maior\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Tente evitar comer logo antes de fazer sexo anal\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"}],\"nodeType\":\"unordered-list\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"As formas de viver e experimentar a sexualidade humana são amplas e diversas. Para usufruir de práticas sexuais seguras e prazerosas é essencial ter acesso a informação confiável, que nos permita tomar decisões baseadas em informação—e ciência. Neste sentido, toda prática sexual deve estar baseada no \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"16xyaXxhLU1vv4sl51Y0CV\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"consentimento das pessoas envolvidas\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\".\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Neste artigo falaremos sobre as relações sexuais anais: um pouco de história, algumas recomendações para a prática e os riscos que existem.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"O sexo anal na história\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Nos anais da história, há diversas encontradas evidências de que o sexo anal é de fato uma prática antiga. Na América Latina há diversas descobertas de esculturas de pequenas figuras humanas em atos sexuais vaginais, orais e anais. Estas figuras pertenciam a sociedades pré-hispânicas que habitavam o continente americano antes da conquista e colonização pelos espanhóis (1).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Por exemplo, foram encontradas à noroeste da Cidade do México, onde vivia a cultura Tlatilco, pequenas representações de figuras humanas tendo relações sexuais, datadas do ano 1000 A.C. (1). Também se descobriu na costa norte peruana esculturas de figuras humanas em relações sexuais orais, vaginais e/ou anais. Tais figuras pertenciam à cultura Mochica, datadas do ano 700 D.C. (1). Na Colômbia foi encontrada uma pequena escultura em cerâmica da cultura Tumaco-La Tolita que representava um homem com dilatação anal (1).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Na Europa, há registro de práticas sexuais anais na Roma Antiga. Apesar de os historiadores afirmarem que os romanos eram abertos a diversas práticas sexuais, havia restrições para para a prática anal de acordo com o status que cada pessoa tinha na sociedade. Em Roma, a passividade nos homens (ser penetrado analmente por outro homem) era considerado um ato feminino e, portanto, condenável (2).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Na Idade Média, devido à influência da igreja católica, a prática anal era condenada porque se considerava que o sexo devia ser entre homens e mulheres, apenas para fins reprodutivos. No entanto, especula-se que integrantes do clero, que se supunham celibatários, praticavam relações sexuais anais.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"2pgG3eEGJ6tPa9w8ubOOJy\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[],\"nodeType\":\"embedded-entry-block\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Na atualidade a prática anal não se considera mais condenável, mas ainda há tabus que estigmatizam este tipo de relação sexual. Por exemplo, acredita-se que apenas homens homossexuais usufruem deste tipo de sexo, desconsiderando a experiência para heterossexuais ou \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"1GFA97NGca4M4ce9REUXwq\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"lésbicas\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\".\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Vale registrar que a massificação da pornografia contribuiu para a popularização da prática sexual anal.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"blockquote\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"A anatomia do sexo anal\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"É importante conhecer e nomear as partes do corpo relacionadas às funções e características do sexo anal. Estas partes são:\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Ânus: \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\"orifício ao final do tubo digestivo, por onde é evacuado o material da defecação. O ânus é composto pelo intestino e por capas de pele (de terminações nervosas que o fazem especialmente sensível) (3).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Reto: \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\"a parte final do tubo digestivo, revestido por mucosa e está localizado acima do ânus; é uma zona menos sensível (3).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Esfíncter anal: \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\"anel muscular que mantém o ânus fechado, controlado por um sistema nervoso autônomo—mas é possível contrair-lo ou relaxá-lo voluntariamente (3).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"}],\"nodeType\":\"unordered-list\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Como fazer sexo anal de forma segura?\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Após saber as partes do corpo diretamente relacionadas ao sexo anal, é importante mencionar alguns pontos que ajudam você a ter uma prática sexual anal segura e prazerosa.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Nas relações sexuais anais há maior risco de transmissão de HIV, em comparação às relações sexuais vaginais ou orais (4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"blockquote\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"As zonas do ânus e do reto são particularmente sensíveis a fissuras e feridas, através das quais as infecções sexualmente transmissíveis (IST) podem ser transmitidas mais facilmente, razão pela qual o sexo anal traz maiores riscos do que outras atividades sexuais. Por isso é importante \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"53cXMPpBXyiaiWqaSckwK2\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"usar preservativos\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" do início ao fim da penetração anal (4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Três etapas para uma relação sexual anal satisfatória\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-3\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"1izGBpveFRlSoiCK2Mf2bv\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[],\"nodeType\":\"embedded-entry-block\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Para desfrutar do sexo anal, são necessários os seguintes passos:\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Lubrificação:\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" o ânus e o reto não soltam fluidos que facilitem a penetração, por isso a lubrificação é essencial para o sexo anal. Recomenda-se o uso de lubrificantes à base de água para que a qualidade do preservativo não seja afetada; também recomenda-se o lubrificante para evitar rupturas no tecido interno do reto. O lubrificante se utiliza antes da penetração com o pênis ereto ou o brinquedo sexual no ânus (4, 5).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Distensão:\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" o relaxamento da musculatura anal (esfíncter anal). Recomenda-se introduzir levemente um dedo ou a ponta do pênis ou brinquedo sexual para relaxar de maneira gradual esta parte do corpo (5).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"A \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"penetração inicial\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\" deve ser lenta para permitir o relaxamento dos músculos anais e evitar fissuras anais (5).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"}],\"nodeType\":\"unordered-list\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"6pEP3TpJkezphKDVRqmLNy\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[],\"nodeType\":\"embedded-entry-block\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"O \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"53cXMPpBXyiaiWqaSckwK2\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"uso adequado de camisinhas\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" é fundamental para uma prática sexual anal segura, assim como o uso de lubrificantes. Nos últimos anos, houve um crescimento de diferentes tipos de lubrificantes, incluindo alguns com sabor e outros com aditivos, como o \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"3fThbjMjgtZBtfYRqAsp0x\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"óleo de CBC\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\", um dos principais componentes da cannabis (6).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Para o caso de sexo oral-anal (\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"cunilíngua/cunete\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\"), recomenda-se usar uma barreira de látex e também a higienização externa do ânus. É desaconselhável levar os dedos à boca caso eles tenham sido usados para penetração anal. Caso queira compartilhar seus brinquedos sexuais com outras pessoas, é importante colocar novos preservativos neles entre os usos (7).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Preparando-se para o sexo anal: a limpeza\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-3\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Muitas pessoas preferem usar enemas ou duchas anais (ou \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"italic\"}],\"value\":\"chucas\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"—\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\"\\\"\",\"nodeType\":\"text\"},{\"data\":{\"uri\":\"https://www.youtube.com/watch?v=bDCFeRIaIC8\"},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"fazer a chuca\",\"nodeType\":\"text\"}],\"nodeType\":\"hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\"\\\", um jargão brasileiro) antes das relações sexuais para sentirem-se mais cômodas e evitarem sensações (e surpresas!) indesejadas. O enema é feito introduzindo-se líquidos no reto, através do ânus, com o fim de esvaziar o conteúdo intestinal e limpar o reto próximo ao ânus. De todo modo, evite o uso excessivo de duchas anais. O uso constante de duchas e enemas pode causar lesões nas mucosas e criar um ambiente que possibilita a transmissão de IST (8).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Outras medidas simples de higiene que você pode tomar para limpar antes do sexo anal:\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Tente evitar comer logo antes da transa, assim como ingerir café, bebidas com cafeína ou grandes quantidades de álcool.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"No geral, alimentos ricos em fibras ajudam a manter a área ao redor do ânus limpa. O mesmo vale para dietas ricas em proteínas, que endurecem a matéria fecal.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Vá ao banheiro e esvazie seus intestinos cerca de 30 a 60 minutos antes do sexo.\\nUma pequena quantidade de água morna e sabão, ou um lenço umedecido (sem perfume, hipoalergênico), é eficaz na limpeza da região anal.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"}],\"nodeType\":\"unordered-list\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Tenha em mente que o sexo sempre envolve fluidos corporais e algumas pessoas podem ter medo de ficarem “sujas”. Isso também se aplica ao sexo anal, mesmo com as medidas de precaução. Tente criar um ambiente confortável conversando com sua parceria e se familiarizando com o que esperar. Algumas maneiras de aumentar o conforto incluem deitar-se sobre uma toalha, usar luvas de látex ou limpar-se durante o processo.\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Riscos das relações sexuais anais\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"A zona do ânus e do reto são sensíveis e podem produzir fissuras no momento da penetração e que podem favorecer a entrada de germes e ocasionar hemorragias. A mucosa do reto tem ainda uma alta capacidade de absorção, o que pode aumentar a propagação de infecções (4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Deste modo, além do HIV pode haver o contágio de outras infecções sexualmente transmissíveis (ISTs) como \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"3p2c8Mz7a8SAE0KCEyii28\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"gonorreia\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\", hepatites (A, B e c), sífilis e \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"1Ea7wWnq20o42ikwgGc2aI\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"herpes genital\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\"—estas duas últimas são transmitidas através do contato pele com pele. Somado a tudo isto, a prática de relações anais sem preservativo pode levar à propagação de parasitas como a Giardia, amebas intestinais e a bactéria E. Coli através dos restos de material fecal. A Giardia pode provocar infecções no intestino delgado e tem como principal sintoma a diarreia. (5, 4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Reduzindo os riscos de HIV\",\"nodeType\":\"text\"}],\"nodeType\":\"heading-2\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Além do uso adequado de preservativos como principal recomendação para as relações sexuais anais seguras, você também pode contar com os seguintes tratamentos e medicamentos para evitar o \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"J0bKEBAV4OieYgMaU0gIi\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"contágio do HIV\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\":\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Profilaxia Pré-Exposição de risco (PrEP): \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\"tratamento indicado para pessoas HIV negativas com risco maior de contrair o HIV. A redução do risco pode ser de até 90%. Adicionalmente, é recomendado o uso conjunto de outros métodos de prevenção, como a \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"y1Zqy9w2b4h6vayHvkMK4\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"camisinha\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" (4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"Profilaxia Pós-Exposição (PEP)\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\": medicamento utilizado em situações de emergência que deve ser tomado dentro de 72 horas após a relação sexual. Neste tratamento tomam-se pílulas antirretrovirais para previnir uma infecção depois de uma possível exposição ao vírus (4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"},{\"data\":{},\"content\":[{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"Também há tratamentos como a \",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[{\"type\":\"bold\"}],\"value\":\"terapia antirretroviral (TARV)\",\"nodeType\":\"text\"},{\"data\":{},\"marks\":[],\"value\":\", utilizada quando há a infecção por HIV e que reduz a carga viral no sangue. O TARV pode diminuir em até 96% o risco de contágio a uma pessoa HIV negativa (4).\",\"nodeType\":\"text\"}],\"nodeType\":\"paragraph\"}],\"nodeType\":\"list-item\"}],\"nodeType\":\"unordered-list\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"5FzJsm5n8dmDvSQkri33DC\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[],\"nodeType\":\"embedded-entry-block\"},{\"data\":{},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"A \",\"nodeType\":\"text\"},{\"data\":{\"target\":{\"sys\":{\"id\":\"1J8PWeXuZ2cySMsqKUGesm\",\"type\":\"Link\",\"linkType\":\"Entry\"}}},\"content\":[{\"data\":{},\"marks\":[],\"value\":\"sexualidade humana é um amplo espectro de experiências\",\"nodeType\":\"text\"}],\"nodeType\":\"entry-hyperlink\"},{\"data\":{},\"marks\":[],\"value\":\" que pode variar segundo as preferências e escolhas de cada pessoa. 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Introducción al ano y al recto [Internet]. En: Manual MSD versión para público general. Nuevo York; 2018 [Consultado 16 Diciembre 2019]. Disponible en: https://www.msdmanuals.com/es-co/hogar/trastornos-gastrointestinales/trastornos-anales-y-rectales/introducci%C3%B3n-al-ano-y-el-recto\n4. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention. Centers for Disease Control and Prevention (CDC). Relaciones sexuales anales y el riesgo de VIH [Internet]. 2016 [Consultado 16 Diciembre 2019]. Disponible en: https://www.cdc.gov/hiv/spanish/pdf/risk/cdc-hiv-anal-sex-spanish.pdf\n5. World Health Organization. Use and procurement of additional lubricants for male and female condoms: WHO/UNFPA/FHI360: advisory note [Internet]. 2012. [cited 2022 Feb 22]. Available from https://apps.who.int/iris/bitstream/handle/10665/76580/WHO_RHR_12.33_eng.pdf;jsessionid=3C44121D39376213FA44459F38B247FD?sequence=1  \n6.Hatcher RA, Nelson AL, Trussell J, et al. Contraceptive Technology (21st edition). New York :Ayer Company Publishers. 2018. P. 391-408\n7. Recchi J, Santamaría C, Betti L, D´Elio F, La Rosa L, Sotelo J. Relaciones sexuales anales. Conceptos y recomendaciones para equipos de salud [Internet]. Argentina: Área de Comunicación de la Dirección de Sida y ETS, Ministerio de Salud de la Nación; 2016 [Consultado 16 Diciembre 2019]. Disponible en: http://www.msal.gob.ar/images/stories/bes/graficos/0000000111cnt-2016-09_cuadernillo-anal.pdf\n8. Carballo-Diéguez A, Lentz C, Giguere R, Fuchs EJ, Hendrix CW. Rectal Douching Associated with Receptive Anal Intercourse: A Literature Review. AIDS Behav. 2018 Apr;22(4):1288-1294. 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