This is real:
Update: Seeing I've already used "anal" in the post, I suppose I may as well mention it again, in a much more serious context:
Women in the UK are suffering injuries and other health problems as a result of the growing popularity of anal sex among straight couples, two NHS surgeons have warned.
The consequences include incontinence and sexually transmitted infections (STIs) as well as pain and bleeding because they have experienced bodily trauma while engaging in the practice, the doctors write in an article in the British Medical Journal.
And apparently, the fact that some men have it without apparent long term harm is down to anatomy:
...women who engage in anal sex are at greater risk from it than men. “Increased rates of faecal incontinence and anal sphincter injury have been reported in women who have anal intercourse,” the report said.
“Women are at a higher risk of incontinence than men because of their different anatomy and the effects of hormones, pregnancy and childbirth on the pelvic floor.
“Women have less robust anal sphincters and lower anal canal pressures than men, and damage caused by anal penetration is therefore more consequential.
“The pain and bleeding women report after anal sex is indicative of trauma, and risks may be increased if anal sex is coerced,” they said.
I think the awful Sex and the City has a lot to answer for.
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