Further, reduced sphincter force can be due to an array of problems, including: technical stress, increasing age, haemorrhoids, chronic irregularity, cranky bowel syndrome, neurologic circumstances such pudendal neuropathy from continual straining, cauda equine syndrome, diabetic neuropathy, numerous sclerosis, Amyotrophic horizontal Sclerosis (ALS), ParkinsonвЂ™s disorder, Guillain-Barre problem, iatrogenic reasons (brought on by doctors) such as for instance medical sphincterotomy when it comes to remedy for rectal fissures as well as other anal/rectal surgeries, harmless prostatic hypertrophy, and negative effects from medicines. 
Predicated on these conclusions, Dr. Vincent Iacopino of Physicians for Human liberties, that is additionally a user of IFEG, claimed that вЂњ Anal exams to вЂdetectвЂ™ homosexuapty don’t have any clinical worth. вЂќ 
Dr. Lorna Martin, an recommended speciapst that is forensic the University of Cape Town, affirmed that вЂњit is impossible to detect squirt on pussy chronic anal penetration; really the only time the [forensic anal] evaluation could possibly be of every usage is actually for severe non-consensual rectal penetration, whenever specific accidents can be seen.вЂќ A senior forensic medication speciapst in Kampala, Dr. Sylvester Onzivua, had been dismissive of Ugandan doctors just who claim to get proof of anal sex. He stated:
Ninety-five % of your Ugandan doctors don’t have any knowledge handpng cases of intimate attack, particularly sodomy. They simply get a couple of lectures on intimate assault within their entire education that is medical.