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There are two rules that anyone having anal sex has hopefully heard before: First, always use lube; second, don't go straight from anal sex to vaginal sex. But if you're someone with a vagina who is having anal sex, then there's a good chance that sometimes you have anal sex and vaginal sex in one sexual encounter, so it's important to understand exactly why this second rule exists and how to make it work for you.
If you need a brief health class recap, your anus is technically the end of your digestive tract, and it's where your bowels exit your body. So, any bacteria that's found in your stool or that's been inside of your gastrointestinal tract — your esophagus, stomach, and intestines — can end up in your anus. While it's normal and cool for this bacteria to be found in the anus, it can be a problem if it ends up elsewhere, like inside your vagina.
If you had a penis, object, or finger inside of your anus, and then directly put that same thing inside of your vagina, that can greatly increase your risk of several different infections, says Donnica Moore, MD, a women's health expert in Chester, NJ. "The types of infections it can cause include, but are not limited to, bacterial vaginosis, yeast infection, UTI, or complications of all of those things," Dr. Moore says. "It's along the same lines of why we teach people to wipe from front to back, not back to front, after you use the toilet." But this isn't meant to scare you into avoiding anal sex entirely; it's just to motivate you to take the proper precautions if you're going to do it.
This isn't meant to scare you into avoiding anal sex entirely; it's just to motivate you to take the proper precautions if you're going to do it.
To guard against contracting some kind of infection, thoroughly wash the penis, object, or finger that was inside your anus with mild soap and water before it enters your vagina, explains Dr. Moore. Or, you can use baby wipes or moist towelettes to clean the penis or object, she says. If you're using condoms, you still have to use these clean-up measures, and you also have to put on a fresh condom. (Often, condoms don't cover an entire penis or penetrative object, so there's still a chance that it could have bacteria lingering on it.)
While these measures might seem a little bit extra, or at the very least a mood-killer, there are a few ways that you can make the transition a little less awkward. You could always use something else for vaginal stimulation after anal sex, like a dildo, vibrator, or your hand, Dr. Moore says. Or, you could just have vaginal sex before anal, or opt for shower sex (so you don't have to worry about going to the bathroom to wash off before having vaginal sex), she says.
Now, if it's too late and you already had anal sex and then vaginal sex right afterwards, you should urinate immediately after, Dr. Moore says. Also keep an eye out for symptoms of an infection, including fever, chills, discharge, pain or itching, blood in your urine, or any rectal symptoms, and call your doctor if you notice them. "And frankly, if you have those symptoms anyway you should call your doctor," she says.
All of this might sound like just another chore that you have to think about during anal sex, but it's one surefire way to ensure you're having safer sex. And hey, if this means you only end up having anal sex one day, that's not the end of the world, either.
appearance by Erin Yamagata; appearance by Hannah Salberg; appearance by Laura Delarato; hosted by Lucie Fink; appearance by Mi-Anne Chan
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I'm a nearly 16 year old woman who needs help...A while ago and recently, my boyfriend fingered me vaginal to anal to vaginal, but not sex. I've recently read that you can get serious vaginal infections from passing bacteria from the anus to the vagina. Am I OK to leave it be because it wasn't sex, or should I still get it checked out, just to be on the safe side?
You know, as a culture we've somehow developed an awfully funny idea of what is "sex" and what isn't "sex" that seems pretty darn arbitrary. Think about it, manual sex, oral sex, anal sex...all those things have the word sex in them. So quite honestly, from a sexual health and public health standpoint, they are all just as much sex as is intercourse. Each activity can have STI and/or pregnancy risks. So it is unwise to think that just because something doesn't involve a penis in a vagina, it somehow isn't "real" sex.
Yes, it is absolutely possible to transmit bacteria from the anus to the vagina via manual sex (fingering), and those infections can be/become very dangerous. The best thing to do is prevent that sort of thing from happening, and luckily it's pretty darn easy to do. The easiest way to do this is by using gloves (or finger cots) and lube (which is a good idea for ANY anal activity anyway since the anus does not self-lubricate, thus artificial lube is crucial for preventing tearing and injury) and then changing the glove between anal and vaginal contact. If you are not going to use gloves, it's crucial to stop and wash your hands (or your partner's hands) before switching from one to the other. This means thorough washing, not just wiping off or a quick rinse. Bacteria can hide under the nails or on cuticles or calluses, so you want to get anything that comes into contact with the anus REALLY clean before putting it into contact with your vagina. It really takes very little bacteria to get an infection going. Heck, women can develop infections from wiping the wrong way (that's why you never want to wipe back-to-front). Even wearing thongs can transmit that bacteria around sometimes. So unprotected anal to vaginal sexual contact of any sort where you haven't changed gloves or washed hands can definitely lead to infection.
Since you are sexually active, it would be wise to start getting regular sexual health care and starting to take steps to protect yourself and your partner. Right now, it would be a good idea to call your health care provider or local clinic and get an appointment scheduled. That way you can go ahead and get your annual exam and STI screening done and you can make sure you haven't started up an infection from this contact. You should also keep an eye on your vaginal health to look for any weird symptoms that might indicate you have an infection brewing and thus need to be seen ASAP. If you notice any strange discharge (unusual colors, green, smelly, cottage cheese-like, etc.), then get yourself to the doctor right away.
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originally written 11.30.2007  •  updated 07.09.2018  •  
Information on this site is provided for educational purposes. It is not meant to and cannot substitute for advice or care provided by an in-person medical professional. The information contained herein is not meant to be used to diagnose or treat a health problem or disease, or for prescribing any medication. You should always consult your own healthcare provider if you have a health problem or medical condition.
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