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By
Attia @ Planned Parenthood
|
April 24, 2020, 5:40 p.m.
can anal sex have any long term effects on my body? I’ve heard that it can cause anal leakage later in life, and anal prolapse. is this true?
Anal sex is perfectly healthy and safe in both the long and short term. There is a very small risk of leakage and prolapse (when your pelvic muscles weaken and cause organs to slip down) over the course of a lifetime. And anal sex can also aggravate existing hemorrhoids. But in general, it doesn't cause long-term harm.
If you are going to have anal sex, follow these few simple guidelines to keep yourself safe:
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https://www.thebody.com/article/anal-intercourse-aftercare
When it comes to anal sex, we often discuss preparation (aka the three Ds: dieting, douching, dilating), but we rarely mention what to do after engaging in anal sex. As fantastic as it is, anal sex can be traumatic to the body. If we engage regularly, we need to know how to properly care for the area before, during, and after the fun is said and done.
“Anal sex is a high-pressured act with significant forces at play, all of which can be quite traumatic,” Evan Goldstein, D.O., CEO of Bespoke Surgical, a medical and wellness practice for queer men, tells TheBody. “The anal cavity encompasses skin, muscles, and blood vessels, each of which can be restrictive and limiting. What that means is if someone goes beyond their capacity (i.e., their hole is opened up too wide or with too much force), any of these components can tear or develop other complications.”
The bum doesn’t self-lubricate like the vagina, and, since spit doesn’t contain the proper lubricity to ease penetration, one must invest in a quality lube (and lots of it) for a more pleasurable sexual experience and to prevent injury.
I favor a thick, water-based lubricant or silicone lube for anal sex, and applying it to the penis or toy, the b-hole, and inside the hole, since penetration often reaches deeper than the rim area. Lube can be applied with a finger (which makes for great foreplay) or, if your toy or partner is large, a lube injector. You can even play with a lubricated toy to both lube and dilate your hole before the action begins.
Goldstein says “overaggressive anal douching” (i.e., douching with too much water or force) and the angle of the top and bottom’s pelvises are additional factors to consider. “Some people like to get creative with complex sexual positions (which are fine, but only once everyone is comfortable) or they’re simply too aggressive when they’re thrusting before the bottom has opened up,” Goldstein explains. “Unfortunately, there are many variables to think about that can increase the chances of potential anal injury—and they all need to be taken into consideration to minimize possible complications.”
Some people, such as myself , favor CBD suppositories when planning for longer, more intense sessions. These rocket-shaped pills ease inflammation and help relax the area––whether a bum or vagina––prior to intercourse. Some CBD oils offer similar benefits.
Whatever you do, do not use numbing lubricants. These have a reputation of masking pain, which is your body’s way of telling you to stop and reassess the situation. “It’s also going to numb his cock as well, which could result in you getting fucked for a very long time and further irritate the area,” adult actor Dallas Steele adds.
After you’ve bottomed, the area will be more sensitive than usual, so run a nice warm bath, spill in some Epsom salts, and bliss TF out. The warm water and Epsom salts will quell the area and relax your muscles. This makes for an opportune time to replay those sexy moments in your mind and clean the area. While a gentle soap will do the trick, you can be extra and purchase a bum exfoliator to clean and buff your booty hole. If you’re still feeling a little raw after your bath, pop an ibuprofen to help with inflammation.
“If, after four hours, you discover going number-two hurts, try using CBD oil, an anal numbing solution, or just regular dental numbing gel like Anbesol,” Steele recommends. “This will lessen the pain while your hole recovers from the pounding.”
After you’ve pooped, inspect the stool for blood. A little bleeding can be expected from time to time, but excessive pain, bleeding, or discharge should not, and you may want to consult a physician.
If you witness any of these symptoms, abstain from anal intercourse until they’re gone. This can take anywhere from a few days to a week to heal. In the meantime, take some Metamucil before bed, and drink plenty of water, so bowel movements are as smooth as possible, and take a sitz bath three to four times a day to keep the area clean. For good measure, use this time to consider how things can be done more carefully next time.
Moving forward, you may also want to reevaluate how you clean your bum after a bowel movement, since wet wipes are no good for your rear, especially if you engage in regular anal intercourse. Due to their ingredients, their moisture, and their material, wet wipes can irritate and even infect your precious booty hole .
Toilet paper can be similarly abrasive, especially when you wipe instead of blot. That’s why you should be using a bidet. They’re a bottom’s best friend and offer a spa-like experience for your tuffet.
To keep your hole in tip-top shape, do some Kegels to tighten your pelvic floor and teach your hole some new tricks. Just insert a toy into your bum, flex, and repeat—it’s as simple as that. Additionally, many adult actors swear by vitamin E to keep their holes camera-ready. Dolf Dietrich , who is no stranger to a gangbang, applies vitamin E oil once per day, both in and around his hole.
Some bum injuries require surgery. At Bespoke Surgical, the most common injury is an anal fissure, a tear in the skin that’s incredibly painful. Other potential consequences could be dilated veins (hemorrhoids), skin tag development (residual hemorrhoids or scarring from tears), anal infections (abscesses), and/or the development of an infected tunnel (anal fistula). All of these can be treated—just make sure you see a sex-positive, queer-friendly doctor who is knowledgeable about the bum.
As you can see, there are a lot of things to consider even after you’ve had butt sex. While these suggestions may not be as important as the planning––Steele insists, “The key to not being sore or even hurting after sex is to be prepared before, and to know your limits and experience level”––anal aftercare is good practice. We put our bums through a lot, and it’s time we give back.
Bobby Box is a freelance writer and certified sex educator. He's currently Grindr's sex columnist and his work has been published in Daily Beast, Playboy , Askmen, Elle , NewNowNext, The Advocate , and more.
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Anal Sex Primer: Expert Tips for Your First Time
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For first-timers, anal sex may seem scary, unapproachable, unsexy, overwhelming, and maybe even a little confusing when it comes to pleasure and pain for the receiver. That’s why, Lawrence Johnson, co-founder and CEO of Pure for Men , advises the best thing to do to prepare for anal sex is self-play: “You’ll want to know and push your own limits so as to leave little doubt about what feels good, what hurts, and what works before bringing a teammate into the field.”
This is particularly significant for the receiver or receptive participant (we’ll talk about the insertive partner shortly). As the receiver, this starts by settling into a place where you feel safe and comfortable for self-play then simply use your fingers to start stimulating the rear. Sexologist Caitlin V. Neal recommends starting with a dry finger gently resting on the anus. Once you’re comfortable (and a little turned on), try circling the anus with a wet finger. If all this continues to feel good, it’s time to get lube involved (a viscous lube like silicone or water-based is long-lasting, which decreases reapplication). Lube up a finger and slowly penetrate with that finger; feel how the anus relaxes and perhaps insert another finger. If this is all still pleasurable, Neal recommends getting a toy involved. “Gradually working up to larger items, including a penis, will help the receiving partners have a better experience.”
While you can experiment with this type of progressive masturbation in one sitting or work up to it over a number of days, taking your time is key. Fabian Prado, co-founder and CMO of Pure for Men, reminds us, “that part of the body is not used to having things inserted, but as most will find, it can bring great pleasure.” Prado suggests butt plugs ( try B-Vibe ) as training tools that can help in anal exploration while toys like dildos can allow you to control your own pace to replicate a penis.
“An often unshared secret about receptive anal sex is that sometimes the sensations are reversed. Many people find that the same muscle contraction we use when ‘pushing’ on the toilet is the same one that helps your body ‘receive’ during anal sex,” says Johnson. “So do the same thing during the insertive part of the process and you can reduce or eliminate pain/discomfort. It takes some getting used to!”
Once you have an understanding of your likes, tolerance, and the way that anal orgasms work, you may want to start incorporating it into your sexual routine. If you’ve never talked to your partner about anal sex, Daniel Saynt, founder and chief conspirator of The New Society for Wellness (NSFW), a sex- and cannabis-friendly private members club in NYC, recommends “preparing for the conversation by asking for a safe, non-judgmental space to talk about sexual desires.”
“Don’t be pushy,” emphasizes Searah Deysach, sex educator and owner of sex shop Early to Bed . If you’ve taken the proper time to explore your own desires and needs around anal sex, you can “explain what turns you on about it and how much you want to explore it with them in particular,” she says. Deysach also suggests using this conversation as an opportunity to find out what new activities your partner might be interested in. And if you’re still nervous, Prado suggests sending your partner content and videos on the topic to help broach the subject. Along those lines, Neal recommends posing it as a question: “I saw a movie the other day, or I read an article the other day about anal sex, is that something you’d be open to try?”
If your partner is receptive, you likely aren’t going to pounce and perform anal sex right away. Set a day and time for this exciting new concept; many partners like to prepare for anal sex with a certain diet the day before and day of, as well as a cleansing routine (to make things less messy).
“Because many people are concerned about feces, limiting your diet on the day that you plan to have anal sex can help reduce any uncomfortable experiences. The anal cavity doesn’t actually hold feces—it’s stored above in the colon—but it can still be nice to eat a diet high in fiber and low in fat and animal products the day of and the day before,” says Neal. If adjusting your diet seems like too much work, you can add a fiber supplement like Pure for Men and Pure for Her to ensure digestive cleanliness.
In addition to diet, the receiving partner may perform a water enema. If you decide to do this, however, “leave time [about an hour] between your douche and the sex to allow your butt to recover a little,” Deysach says.
Lastly, before you even get in bed (or wherever you might experiment with anal sex with your partner), Neal wants you to remember that although you might have an enlightening experience, that doesn’t mean it’s going to translate with a partner. “Go into your first anal sex experience with high hopes and low expectations,” she says. “You don’t have to achieve full anal penetration, thrusting, ejaculation on the first time…you likely won’t.”
Start with traditional foreplay, then direct that foreplay to the anal region and anal stimulation. If things feel comfortable, maintain that stimulation “to get really turned on, close to orgasm,” says Dr. Lori Beth Bisbey , psychologist and gender, sex, and relationship diversity therapist, and intimacy coach. This will help the entire body relax. Since the anus is not self-lubricating, lube will need to be applied, and if you want to reduce friction even further, use a condom. Though some experts recommend desensitizing lube, Deysach recommends against relying on creams with a numbing effect as “pain is your body’s way of telling you to stop or slow down,” which is essential during anal sex.
Neal says most first-timers start anal with the receiving partner on all fours, which allows them to control depth and pace. Insertive partners should go slow and listen to the receptive partner; Johnson says, “don’t you dare just stick it in,” as that can be painful and even dangerous.
When the receptive partner’s muscles are warmed up and relaxed, Johnson warns the receptive partner should try not to climax too early, as continuing on may make receiving less than enjoyable. That’s why he refers to anal sex as an “art.” If you’re mastering the basics and want to get more toys involved, additions like cock rings for the insertive partner may increase performance time, while beads and clit vibrators for a receptive partner with a vagina enhance the experience and can lead to a double orgasm.
Important to note: Never switch between the anus and vagina without thoroughly cleaning the penis, as this can cause infection, Bisbey says. Cleanliness is a factor throughout the sexual experience, and when you’re finished, Neal says using pre-moistened wipes are a quick way to clean up the extra lube and any mess, before hopping in the shower to refresh and unwind.
Lastly, if the experience was or wasn’t enjoyable, the most important thing you can do with your partner is communicate what you did and didn’t like to ensure you’re on the same page about trying anal again or, perhaps, deciding it’s not for you.
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