Now I know that there are certainly health risks, but let me explain first that I've never done it with an SP... not even my SP-GF.
But I've done it extensively with 2 GFs in the past, and when I mean extensively, I mean over period of years and every session there was anal (which was often with these two particular girls). Both of them also did a lot of anal-to-pussy as well as anal-to-oral, all uncovered.
It is true enough there are health risks, and I am not going to deny it. But in the years of doing it we had never experienced any salmonella, hep, or other such gastro-intestinal or immunity problems. When I was new at this, my first GF did experience yeast infections from time to time. Even the slightest slip, of say the smallest finger, from the anal area to the vagina can cause it... but douching took complete care of even the full length anal penetration straight into full length vaginal. As for anal-to-oral, if my cock came out not exactly clean, I've only had one incidence where she complained about the taste. Otherwise, these girls loved both the idea and the act. Obviously few women would ever attempt such things, and I do not blame them. But these girls were diamonds to me, whatever your opinion.
We both knew what we were getting into. If you find a willing partner, one thing that has prevented yeast infections 100% of the time was vaginal douching immediately with an anti-bacterial cleanser. A lot depends on the woman's own hygiene level anyways, and these two girls were impeccable as I am. The highest probability of anything is a yeast infection, and the gastro-intestinal and immunity stuff seemed nowhere on the map of our experiences.