Items inserted may be sex toys such as anal beads, butt plugs, dildos, vibrators, rectal thermometers or specially designed prostate massagers or enemas.
[2][3] Some men find the quality of their orgasm to be significantly enhanced by the use of a butt plug or other anally inserted item during sexual activity.
However, anal masturbation can be carried out in greater safety by ensuring that the bowel is emptied before beginning, the anus and rectum are sufficiently lubricated and relaxed throughout, and the inserted object is not of too great a size.
Carefully using implements without sharp edges or rough surfaces carries a lower risk of damage to the intestinal wall.
The treatment for persistent or heavy bleeding will require a visit to an emergency room for a sigmoidoscopy and cauterization in order to prevent further loss of blood.
Objects such as lightbulbs or anything breakable such as glass or wax candles cannot safely be used in anal masturbation, as they may break or shatter, causing highly dangerous medical situations.
Immediate assistance is recommended if the object is not a proper rectal toy (like a plug or something soft, for example), if it is either too hard, too large, has projections, or slightly sharp edges, or if any trace of injury happens (bleeding, pain, cramps).
[11] The biological function of the anus is to expel intestinal gas and feces from the body; therefore, when engaging in anal masturbation, hygiene is important.