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It depends who you ask. Before, during, or after - Use lube anytime during sex! Count: What does herpes look like? Although your anus and rectum are cleaner than you might think, microscopic fecal matter will always be present. Anal sex also has a number of health risks due to various factors including the anus lacking natural lubrication and health conserns with anal sex can tearand the presence of bacteria germs in the anus. Get tips on using condoms properly.