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Anorectal malformation ARM , also called imperforate anus, is a condition where a baby is born with an abnormality of the anal opening. This happens while the baby is growing during pregnancy. The cause is unknown. These abnormalities can keep a baby from having normal bowel movements. It happens in both males and females.
Fisting , handballing , fist-fucking , brachiovaginal , or brachioproctic insertion  is a sexual activity that involves inserting a hand into the vagina or rectum. Fisting may be performed without a partner, but it is most often a partnered activity. Fisting's emergence as a popular sexual practice is commonly attributed to gay male culture and it may not have existed until the twentieth century.