A word about anal masturbation. Anal masturbation should be considered just as any other form of physical pleasure or sexual excitement. Taken seriously, with no judgment, stay practical and avoid self-harm. For some people, anal masturbation can also be a sign of constipation or parasites. Before embarking on a teaching program, make sure that the person has a visit with a medical doctor to assure that these issues have been addressed beforehand. It is also essential that if the person chooses to use an object for this sexual stimulation, that it be done with one that is appropriate: one that cannot self-harm, one that cannot be drawn up into the colon and one that
can be easily cleaned. The person should be directed to a Sex-Shop where he or she can choose the appropriate object and lubricant gel of their liking.