Possible Complications Caused By Having Anal Sex 

First, understand your anatomy. At the lower end of the bowel, there are two distinct circular bands of muscles called sphincters, one is located about an 1 ½ inches above the other. These clamp down tight to prevent the passage of feces or gas.

The mucous membrane which lines the rectum is not as heavy as the lining of the vagina, so it can tear quite easily, and it does not heal as quickly as the inner walls of the vagina. Because feces, loaded with bacteria, pass through the rectum any tears in the mucous membrane are vulnerable to infection.

The vigorous thrusting that may occur during anal intercourse can tear the mucous membrane.

What Can Happen If The Membrane Tears?

Tears in the mucous membrane of the rectum can develop into anal abscesses that can become infected.

Also, if your partner has any sexually transmitted infections (STI’s), then you could get infected through these tears.

Examples of sexually transmitted infections are: gonorrhea (treatable); venereal warts (treatable if external, difficult if up in the rectum); syphilis (treatable); herpes (treatment, no cure); yeast infection (treatable); and HIV and AIDS (treatment but no cure).

You do not want any of these STI’s.

Other Potential Problems Associated with Anal Sex 

Some doctors claim that hemorrhoids (piles) could result from vigorous anal sex, and although I have no medical research to support this, I have heard people say that the rectum "gets sloppy", meaning it stretches more than it otherwise would.

However, I am dubious. If anal "sloppiness" was true, why wouldn’t this happen as a result of regular bowel movements? Since there is no definitive research on this, I’ll leave it up to you to decide how you feel about this.

Should You Have Anal Sex Anyway? 

Well, according to Sue, the best prevention is to not go there at all!

But if you do decide to try anal sex, she suggests that both you and your partner talk about it and agree on the following points. And we absolutely agree with everything she says in this list.

• Your partner must be very, very gentle, absolutely no forced penetration and no vigorous thrusting.
• You must use lots and lots of good lubrication, (anal lube, not saliva).
• Your partner must use a condom…all the time, every time.
• Your partner must respect "stop". If you say ouch, or it hurts, or No or quit… they must stop immediately.
• It must be understood, if you do not want to have anal sex again, there will be no pressure, no threats and no pleading. NO means NO.
• Use a well-lubricated condom without spermicide, either on the sex toy or his penis. Spermicide can irritate the rectum.
• Never shift from anal sex back to vaginal sex without changing condoms. Feces can end up in the vagina and cause infections. And please wash your hands with soap and water after handling the dirty condom or you could still spread infectious material.

Just How Risky Is It? 

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