They don't realize there destroying their rectums, with a prolapsed anus comes many difficulties, if the woman gets constipated, while having a bowel movement, the prolapse will pop out, they will also leak feces as the anus loses the ability to maintain tightness, sometimes surgery is needed to fix this, the older the woman gets the harder to keep the prolapsed rectum from popping out, they are also prone to infection, the prolapse is actually the sphincter muscle that's over stretched from unusually large items or prolonged anal sex, and it occurs in men also as all anuses are pretty much the same, try wiping your ass with a prolapse, or image having surgery and taking a laxative then the prolapse pops out, unsanitary and canlead to iinfection.....