The infographic shows a step-by-step guide of how to use an internal condom for anal sex.
One method is to put the condom in the anus before sex.
The steps are:
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Use water-based lube around the anus first.
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Squeeze the inner ring of the condom to form an oval shape and push it into the rectum.
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Put your finger inside the condom and push it as far up as you can. The outer ring should stay outside the anus.
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Do not try to remove the inner ring, you may break the condom.
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After sex, when you are ready, withdraw the penis.
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Twist the external ring a few times and gently pull the condom out ensuring no semen is spilt.