Anal Sex Safety: Pain, Risks, Possible Complications, and More

  Anal sex is a bit of a subject which is taboo, besides the fact that it’s an increasingly famous sexual activity. As more couples are exploring this type of sex, understanding the risks, rewards, and proper strategy is essential. Anal sex is mainly growing in popularity with couples who are under the age of 45. In […]


Anal sex is a bit of a subject which is taboo, besides the fact that it’s an increasingly famous sexual activity. As more couples are exploring this type of sex, understanding the risks, rewards, and proper strategy is essential.

Anal sex is mainly growing in popularity with couples who are under the age of 45. In fact, in a national survey in which around 34% of women and 44% of men reported that they’ve had anal sex with a partner of opposite-sex

It might be thought that anal sex is as anal penetration with a penis, but there are a few more options. Anal sex can also be done with fingers or the tongue. Sex toys are also used like vibrators, dildos, and butt plugs.

Like any sexual activity, anal sex isn’t intrinsically unsafe. Planning, prep, and communication is needed more than some other forms of sexual activity. the top priority should be safety during sex, but having fun is certainly required, too.

If curious about anal sex, it’s necessary to be prepared before the next bedroom romp. Proper precautions should be followed as it is the only way to reduce the risk of injury or illness. And when feeling confident, the experience is more likely to be enjoyed.

Below is what will be needed to know beforehand:

  1. Not like the vagina, the anus lacks lubrication

A bit of a natural wonder is the vagina. When a woman is aroused, the lubricant for sex are provided by the vagina but the anus, however, does not. That means it has to be provided. Penetration done without lubrication can tear the delicate tissue inside the anus, in which pain and bleeding may be led to.

  1. Tissue inside the anus is more sensitive than tissue outside the anus

A protective barrier is acted by the tissue and skin around the anus for the bottom half of the digestive tract. However, the tissue is thinner, delicate inside the anus and more likely to tear and bleed as a result of penetration which increases the likelihood of passing infections, viruses, or bacteria between partners. Even two partners who are not having any sexually transmitted infections (STIs) can still pass bacteria between each other through the tears created in the skin.

  1. The anus has a muscle that must relax to allow comfortable penetration

Acting as a bit of a gatekeeper for the rectum is the anal sphincter. For anal sex, however, it’s essential that this muscle relaxes. Not only the experience is made more pleasurable but it decreases the risk of tearing or discomfort. Patience should be involved in relaxation, both at the time when attempting penetration, and as becoming more accustomed to anal sex.

  1. The anus has bacteria

An STI isn’t the only thing to be worried about sharing with anal sex. Bacteria living inside or near the anus can easily spread if precautions are not taken to tidy up after anal penetration.

If a condom is wore then ensure to remove it and roll on a new one before moving on to vaginal sex. If a condom is not worn or if hands or a toy are used, be sure to wash thoroughly after anal sex. Bacteria, such as hepatitis A and E. coli, can be spread from anal sex practices which are not clean.


For couples who are considering anal sex, answers to below common questions might help in deciding if it’s right.

  1. Will it hurt?

The answer to this is yes and no. If done properly, it can feel great. But that doesn’t mean that some discomfort may not be felt for the first time or even the first few times when having anal penetration. Take time, stop if it becoming uncomfortable, and fewer fingers should be tried to use or a smaller toy as becoming accustomed to the sensation.

  1. Is it normal to bleed?

The answer to this is yes and no. It’s possible that some bleeding will be experienced for the first time or two. However, the bleeding s in future sessions it should stop but If it doesn’t stop or if bleeding grows worse with each round of intercourse, talk with your doctor should be consulted. Rough penetration may be resulted or may be a sign of an underlying concern.

  1. Will it affect my ability to poop?

An urge to use the bathroom may be experienced soon after your raunchy romp is over, but anal sex won’t prevent from pooping. And, besides urban myths and one  study which is flawed somehow that suggests otherwise, anal sex won’t stretch out the anus and prevent from holding in bowel movements.

  1. Other side effects and risks

A few other side effects might be possible with anal sex that may include:

  • Spreading STIs. During sexual intercourse infections and diseases which are shared such as HIV, gonorrhea, chlamydia, and herpes  can be shared through anal sex. In fact, anal sex is considered to be the riskiest sexual behavior for transmitting and getting HIV for men and women both. People on the getting end of anal sex are 13 times more likely to be infected with HIV than the inserting partner
  • Existing hemorrhoids can be irritated by stretching and pushing from anal sex, but it’s unlikely to cause the dilated and stretched blood vessels inside the rectum and anus.
  • Colon perforation. Although this is very uncommon, but it’s possible that anal penetration can puncture a hole in colon. Surgical repair is important, so if experiencing heavy rectal bleeding and abdominal pain following anal sex, doctor should be consulted.



Practicing safe anal sex

A great way to have fun with the partner can be through anal sex. A bit of planning and preparation is required yo give it a new sexual adventure. As long as both partners are on the same page about what they like to do and how, they can enjoy this experience together.

  1. Talk with partner

Anal sex shouldn’t come as a surprise request mid-tryst and excuses which would be a major violation of trust and consent. If interested in trying anal sex, conversation with your partner should be done. Just talk to them about it one day, and let them know you’re curious.

If the feeling is joint, adventure awaits. If decided by one of the partners that anal sex just isn’t their thing, that’s OK. There are lots of other choices for spicing things up in the bedroom without the addition of anal sex.

  1. Considering enema

Worried that doing the dirty may be a worry but it’s possible. If things are wanted to be squeaky clean down there, an enema can be used to clean the lower half of the rectum after a bowel movement, but it’s not necessary. These products can be found at most drug stores and pharmacies.

  1. Cutting nails

Risk of cutting or scratching the partner should be decreased by trimming nails. The thin, delicate tissue of the anus might be tore with long nails, which could lead to bleeding. The risk of spreading bacteria  may also be increased that could cause infections. Ensure that hands are washed well and scrub under nails after anal sex, too, especially before inserting them into the vagina or mouth.

  1. Wearing condom or dental dam

Risk of sharing STIs is high for people having anal sex, but using a condom or dental dam reduces that risk. If wanting to move from the anus to the vagina, be sure to use a new condom should be used. If a condom is not used, wash the penis — or if a toy is used, well before inserting it into the vagina.

  1. Get in position

Lying on the stomach with the partner behind them works well for anal sex as found in many people. Missionary can work, too, as long as the point of entry is adjusted. An easy position is the doggy style. Depth and pace to be controlled, the receptive partner can slowly back up onto the insertive partner.

  1. Lube is a must

For comfort, own lubricant may need to be provided and plenty of it. A water-based option should be searched for, as it won’t break down the condom which is worn. A wash cloth or baby wipes should be kept handy to clean up from excess lube.

  1. Going slow and checking in with partner during

Anal sex should not be jumped in cold. 10 to 15 minutes of foreplay should be given to warm up which helps you and the anal sphincter to relax, which can make the experience more enjoyable.

Take things slowly, plenty of lubrication to be used, and ceasing if it becomes too painful. Aim should not be to have full penis penetration the first go-round. A finger should be tried to use, and then upgrade to two or three fingers. A good option can be a toy, too, to grow more comfortable with the sensation. After the first time or two, the pleasure trumps any initial discomforts might be found between the partners

  1. Accepting that there will likely be some poop involved

This is a reality of anal sex very simply. Even if an enema beforehand is washed or used. If the idea is felt uncomfortable of poop getting on, anal sex may not be the right option for you.

  1. Cleaning up afterward or before doing anything else

Microscopic fecal matter will always be present although the anus and rectum are cleaner. Risk for infection can be decreased by changing condoms and washing well. From anus to vagina or mouth should not be gone without cleaning up first.


Anal sex leading to orgasm

Orgasm can be led by anal sex, but that doesn’t have to be the intended outcome. Anal sex can just be a fun way of playing.

The anus is an erogenous zone for some of the people. So even just a play which is little can be a turn on. The is very receptive to sexual stimulation as the anus is also full of sensitive nerve endings. The stiffness around the penis can be pleasing as well for the insertive partner.

The prostate gland is also stimulated in anal sex in men, which can enhance a man’s orgasm. For women, clitoral stimulation may be important during anal sex for reaching the climax, but not every woman will reach orgasm this way. To reach climax, oral or vaginal sex may be essential.




The bottom line

If a relationship is established where feeling comfortable talking about what turns you on, what you’re curious about trying, and how you feel during sex, anal sex is another fun way for exploring sexuality. Proper precautions need to be taken to make anal sex safe and enjoyable, and it can be a great option.

If it has been tried and not like it, there is no harm done. A myriad of other ways are present to have fun, enjoy one another, and experiment. To help in growing and learning together then be open and honest with one another about the experience


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