If the guy likes it and the gal likes it, then I figure it just adds to the variety of fun they can do in bed. Or on the kitchen floor or in the woods or on the toilet, etc.
We carry our asses with us every day and wipe them every now and then. As long as you're able to wash yourself the normal way, I wouldn't worry so much about the hygiene of anal sex. Have a pee and apply some soap and warm water.
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