No, it's a euphemism for anal sex, protected or unprotected.
The lining of the rectum tears far more easily than does that of the vagina. A "receiving" person can get tears and lesions in their rectum even when their partner uses a condom.
Then they subsequently self infect themselves with their own feces.
Pleasant, isn't it?
Thanx for the info.I wasn’t quite sure what the author was intimating.Bottom line-another infectious disease brought to us courtesy of the “gay community”.
Spread of the USA300 clone among men who have sex with men is associated with high-risk behaviors, including use of methamphetamine and other illicit drugs, sex with multiple partners, participation in a group sex party, use of the internet for sexual contacts, skin-abrading sex, and history of sexually transmitted infections (4143). The same patterns of increased sexual risk behaviors among men who have sex with menwhich have resulted from changes in beliefs regarding HIV disease severity with the availability of potent antiretroviral therapyhave been driving resurgent epidemics of early syphilis, rectal gonorrhea, and new HIV infections in San Francisco, Boston, and elsewhere (4446). Our findings that 27% (32 of 118) of men who have sex with men from the SFGH HIV clinic and 39% (47 of 121) of men who have sex with men from Fenway Community Health had infections involving buttocks, genitals, or perineum are consistent with sexual transmission of USA300 in this population. Cook and colleagues (47) recently reported MRSA infections involving the buttocks or genitoperineal area of heterosexual partners; these community-associated MRSA infections can progress to necrotizing fasciitis of the genitoperineal region (Fournier gangrene) (48). It is not clear whether the behavior potentiating these infections among men who have sex with men is anal sex (that is, dissemination of rectal carriage of community-associated MRSA), skin-abrading sexual practices, or increased frequency of intimate skin-to-skin contact; prevention messages may therefore need to suggest caution in each of these practices.
http://www.annals.org/cgi/content/full/0000605-200802190-00204v1?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=USA300&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT
Surely through the magic of “evolution” those rectums will gain elasticity. /sarcasm on