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Jay520 said:

No. For me, it's more psychological issues than sanitation issues. I may have a phobia of rectums being stretched (that one porn video of some girls ass being gaped gave me nightmares). On a deep subconscious level, it just doesn't seem 'right'.

There is a normal gaping, and an abnormal gaping. 

A normal gaping is caused by the anal sex itself, a penis, dildo, or finger stretches the anus open and with prolonged stretching and relaxed muscles, it'll retain that opening, however the anus returns to a relatively normal condition shortly after sex.    The physical changes of anal sex do tend to go away over time in the absence of it, though some changes are retained.  However, the anus no longer retains its original shape after prolonged or repeated anal sex. 

Abnormal gaping comes from purposefully stretching the anus to accommodate larger objects, such as a hand/arm, extra large dildo/butt plug, or other objects.  There are serious medical concerns with gaping.  The biggest issue with gaping comes from what happens to the bowels themselves.  Besides a host of things that can damage the lining causing infections, there is the problem of hemorrhoids, and rectal prolapse. 

The latter can actually also happen with hemorrhoids,  however gaping can have the same effect.   Which is, over time the rectum is pushed out of the anus.  The problem with stretching the anus and rectum beyond what is normal, is that in time the ligaments and muscles of the anus and rectum weaken, causing the rectal prolapse.

Most people who enjoy anal sex do not get into gaping.  There are enough short-term changes that occur to the anus with normal anal sex, such as less control of the bowels, that they don't desire the effects of having the rectum outside of the pelvic cavity.  It ain't pretty and it ain't clean.