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These results provide initial epidemiologic evidence supporting a link between anal intercourse and FI among both men and women. Markland says urinary incontinence anal sex helps clinical trials have shown that pelvic floor muscle or anal exercises can be an effective treatment for fecal incontinence, and she recommends those engaging in anal intercourse consider these exercises to help guard against decreased anal sphincter tone. Adapted from Andrews et al. We found no association between episiotomy with protective characteristics and dysfunctions. For example, the anus cannot naturally lubricate itself to reduce discomfort and friction-related concerns, such as skin injuries.