Is Anal Sex Safe?
Wait, did you read that right???
Yep. You sure did. This is a question that we get A LOT in the clinic! And the answer is yes it can be safe if performed appropriately and with consent on both parties.
Many people choose to partake in anal sex due to the decreased risk of pregnancy, some vaginal diagnosis, enjoying the sensation of anal stimulation/penetration, and possible prevention of certain STD/STI’s.
So, does that mean it is safe?
Well, let’s break down what “safe” might mean. We’ve already decreased some reasons WHY people may want to try it.. and let’s also add certain pelvic floor dysfunctions that decrease sensation of the vaginal canal or penile dysfunction that decreases a persons ability to enjoy vaginal or other types of intercourse, and certain birth traumas that contribute to vaginal penetration being not possible.
If done appropriately, anal sex can be very enjoyable. Let’s talk about how to “do this appropriately,”
Practice alone first - anal mastrubation can give you an idea of whether you are experiencing pain or discomfort with certain anal toys or penetration of your finger. If you have a vulva, be mindful not to cross contaminate with anal play!
Clean prior to anal play - due to the pressure, you will want to make sure your bowels are completely empty prior to anal play (at least 1 hour prior to anal play), you may want to rinse with warm water and utilize a hypoallergenic baby wipe to clean up after your bowel movement. Some clients utilize an enema prior to anal play - however please discuss this with your provider first. Utilizing a bidet can be super handy for anal play!!
Remind yourself that you and your partner know what you’re getting into (make sure there is consent) - and recognize there may be some mess, especially if you were unable to fully empty your bowels. Have a towel ready just in case!
You can choose to use latex and powder free gloves if you prefer, for self and for partner play.
Do NOT penetrate the anus and then the vagina before cleaning yourself first - this can increase the risk of infection significantly!
If there is pain - STOP
Utilize lubricant - we recommend a water based lubricant.
Now, we obviously have to talk about the problems as well..
We see clients who partake in anal play due to having pain with it, anal fissues, or forms of incontinence.
The evidence suggests that there is a higher chance of pelvic floor dysfunction (specifically anal leakage- fecal incontinence) in women who partook in anal sex. Take this into consideration when deciding whether you want to move forward with this type of sex!
As a pelvic floor therapist, our job is NEVER to tell you what not to do or what to do - but it is to help you do it in the safest way possible.
So, if you choose to have anal play, make sure you talk to your pelvic floor provider so we can help you prepare for the journey and address any concerns as they arise!
