As for me, I sometimes get UTIs (not for sexual reasons), and I’m very careful about keeping my pussy clean.
Until now, while pussy-to-ass sex has always been very common, ass-to-pussy sex has been rather rare, and I’ve always used a condom, from my point of view, as an obvious precaution for cleanliness.
Even if my sexuality is evolving towards more and more anal sex, I don’t think I’ll practice ass-to-pussy more often because, for me, getting my pussy fucked is part of foreplay, since the real sex is in my ass. So, in the end, pussy-to-ass sex and very few ass-to-pussy sex, especially since it forces my boyfriend to wear a condom when we don’t use one.
And I can only agree. Once the initial thrill of ass to pussy was satisfied, it stopped. It always feels to me, as the man, as a step back. And to her it feels like a pauze from joy.
She feels more joy from simply retract and re enter anally. Multiply tiles having her spincter penetrated is very joyfull to her. Pussy penetration does close to nothing anymore.
So the ATP was a fase which got unneeded.
[Edited: When I originally posted this, I did not know I had exceeded my reply limit until I had received some replies to my previous replies. So, I let it sit for a couple days. And then when I was able to send it today (using my still-saved writing on the site), the system asked me what topic I wanted to reply to… but I no longer knew what topic/thread that was, so I just accepted what the system proposed and that may not be correct or logical. Just sayin…]
Just to be fair, I must say that I agree with you that many doctors are of the opinion that anal sex is always bad. In fact, in my opinion, the general level of ignorance in the medical community about lots of types of sexual activities is really stunning. However, most doctors are not well educated about sex – just as most doctors do not receive a proper education about nutrition.
However, don’t throw the baby out with the bath water. Just because many doctors (incorrectly) think that any anal sex is bad, that has no logical relevance to whether or not ass-to-pussy is okay or not okay.
But… You also said “I assume people do Inform themselves if they engage in alternative forms of sexual contact.” …. IMHO you would be extremely wrong in making that assumption.
Precisely because doctors are often uninformed about safe anal sex practices, people need to inform themselves elsewhere. One such place is this forum. Please keep this in mind when giving advice.
My advice comes from my own experience.
And the reason I even tried ass to pussy was because on a webside long ago, called “experience project”, there was a woman - who claimed to be medically educated - that said ass to pussy held no danger because the bacteria are body own bacteria. The bowel is designed to take up everything. That’s why painmeds for baby’s are rectally inserted. The inside of the pussy is the most hostile environment on a woman’s body. With acid protecting it.
She said problems because of ass to pussy are very rare.
Anyway, the last time I did ass to pussy was the night I proposed to her. It was symbolic. Like the absolute last time her pussy got my cock in it for like 30 seconds.
This “interesting” discussion of ass to pussy sex made me laugh last Sunday when my wife told me “wrong hole” as I repenetrated her. Most of the world would interpret that to mean the man was attempting to penetrate her ass. In our world it’s quite different, isn’t it?
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Yeah I love hearing her say “wrong hole” while my cock slides to her pussy 
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That made me giggle! No doubt she was glad to rectify the erroneous entry!
I find it extremely erotic when my wife guides my cock in her ass. She also touches my cock as I penetrate her ass l, which only adds to the sensation.
Just more reasons why many of us prefer anal over vaginal penetration.
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That’s what makes it so hot 
the wife guiding it in 
.
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I was once a member of the Reddit community. I primarily helped people with dead bedrooms there. Sometimes folk would answer intelligently in their replies. If they did answer intelligently, I would always click on their profile to get a better sense of them. Sometimes I was shocked 
at what they followed in the various sub-reddit threads. It was a real eye opener. I didn’t even know these sud- reddit threads or posts existed! It wasn’t long after that I deleted my Reddit profile and deleted the app.
But what I saw in female pussies, wow. I’m not talking one-offs here, but continual usage. In my mind I would have thought an infection would certainly appear! What I deduced was it all depended on the females constitution on what they could tolerate 
. Some more than others.
We’ve only done it a couple of times, ass to pussy, and every time Cate would suck my cock off before putting it in her pussy. And she has never had an infection in her pussy. Personally I love it when she sucks me off after being in her fabulous ass 
and that’s it.
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Yes I think ATM should always be performed as a precaution 
I recall doing on a few occasions and there was never any infection or problem, but my wife would prefer it in her arse when she asked me to, she would say “just fuck my arse,” and when I went in the wrong hole she say “no that’s pussy"!” We take turns to correct the situation.
I guess ATM for me has become the norm. I prefer to receive cum in my mouth over anywhere else. I’ve never felt the need to do ass to vagina. My ass and mouth are my favourites!
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