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Can I perform Anal sex if my wife is having the problem of piles?

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I'm 31yrs old male and my wife is 29yrs old, we are married from the last 5 years and we're having a good sexual life. We both are satisfied,  but whenever I ask for anal sex she gives the reason of piles. Is it harmful if anal sex is performed in this condition?

Even she does not allow me to lick her anus;  does piles affect during oral sex (i.e licking her anus )?

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