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Heterosexual anal sex has been around for millennia. Paintings and etchings from Japan, China and Europe all depict men performing anal sex on women, as do ancient erotic drawings, sculpture and Anal sex is currently a “hot topic” of discussion for it is increasingly prevalent among young men and women, and older adults. 1 In 2007, a study based on the National Survey of Family Growth (NSFG), found that one-third of . men and women had experienced heterosexual anal sex. 2 In the study, starting from the age 15, the percentage of