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I've been engaging in anal sex for 17 years and nothing has changed or caused me any problems. As long as he uses lots of lube and is careful to go at a pace you are comfortable with there wouldn't be any problems.
Just like vaginal sex, if it hurts - change positions.
To the OP, anal sex is just like vaginal or oral sex in that, the more you take care of your health as a whole, the more healthful the sex is going to be. If you're very clean, very lubricated, and not being hammered away at excessively, it should be safe. In the same way that exercising pelvic floor muscles is good for the vagina, you can decrease the risk of "looseness" by exercising the muscles in your behind.
The doctors who conduct the studies and the staticians who put them together know, actually,as would anyone who read those statistics. And gay men are not significantly statistically more likely than people who don't engage in regular anal sex to have prolapse.
In the same way people don't ask teens to "parade" their sexual practices, there are still statistics about teen pregnancy. It's not a matter of asking people to "parade" their rectums, studies are done to provide facts about issues.
The health complications of this kind of regular activity can often lead to hemorrhoids, fissures, or infections.
Therefore enter with care, But Enjoy. My wife loves IT in rear.
If you really believe all those horrible side effects, why do you risk doing that to your wife?
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