If you're experiencing anal pain, it's crucial to seek medical attention to determine the underlying cause. Your healthcare provider may perform a physical examination, take a medical history, and possibly order diagnostic tests (e.g., endoscopy, colonoscopy, or imaging studies) to identify the cause of your symptoms.

More recent award shows, such as the 43rd AVN Awards, have categories like "Best Anal Sex Scene," which went to Emma Rosie & Zac Wild for "Emma Rosie Anal Gaping & Pussy Squirt". This indicates that the industry continues to celebrate technical proficiency in hard anal, though modern winners often incorporate more obvious lubrication and performer safety.