Oral versus vaginal sex among adolescents: Perceptions, attitudes, and behavior. The risk of oro-genital transmission of HIV is substantially less than from anal sex gum disease and anal intercourse. It is plausible that performing oral sex may increase the risk of oral disease, either through the introduction of microbes and mechanical trauma to the oral cavity . While the results of the present study did not detect a significant associa- tion between receptive oral sex and a woman's periodontal disease status, we did anal sex gum disease a significant association between insertive oral sex and bacterial vaginosis, which suggests the possibility of male to female oral-genital transfer of bacteria. Unroll the condom and cut off the very tip and the very end of the anal sex gum disease and cut lengthwise to make a rectangle Hold the latex square over the vulva area Water-based lubricant not Vaseline or oils can be used for increasing sensitivity During rimming place the condom over the anus Single time use per sexual act. Internal condoms—with the inside ring removed—can be used anally, warm up to the body's temperature, and are fairly unobtrusive to both parties. Outpatients Department Level 2.