Guided Penetration

Guided Penetration
Medically Reviewed by Michael W. Smith, MD on November 16, 2020
For some, penetration during sex is even more enjoyable when it’s very deep. Not only can it feel good physically, but it may also be emotionally satisfying as it brings bodies very close together.
Deep penetration can be either vaginal or anal and usually involves penetration with a penis or dildo. Following a few safety precautions can help minimize discomfort.
Deep penetration is sometimes also called cervical penetration. This is because deep penetration into a vagina can sometimes feel like the cervix is being penetrated. However, cervical penetration is not possible. Outside of childbirth, the cervix remains very small .
Some people believe that deep penetration is dangerous. With enough lubrication and patience most people can enjoy deep penetration without pain or injury .
If deep penetration sounds appealing to you, there are a few ways to explore it safely. If you would like to be penetrated, you may consider exploring your body on your own before trying this with a partner. It’s possible to try deep penetration on your own with a dildo or sex toy and a water-based lubricant .
While trying deep penetration on yourself, take as much time as you need. Your body may need time to adjust or stretch to accommodate the toy. Taking things too quickly can cause pain or even injury. Deep penetration should not hurt; if it does, slow down, use more lube, or try a smaller toy.
When trying deep penetration with a partner, communication will help both of you have a good experience. You may need to slow things down, or try several positions to find one that is comfortable for both people and allows for deep penetration.
Penetration shouldn’t be painful. If it is, you may need to use more lubrication, spend more time stretching, choose a different position, or simply stop. Deep penetration can lead to bruising and even internal tears if you ignore pain.
Only use a dildo or sex toy that’s designed for penetration. Don’t use other objects as they may get stuck or cause pain or injury.
Pay close attention to your partner’s signals. Always listen and be prepared to stop if you notice pain or discomfort.
In some cases, particularly deep penetration of the vagina can lead to mild spotting or bleeding . This is generally the result of hitting the cervix, and occurs for the same reason that spotting may occur after a pap smear . It typically resolves itself in a few hours, and is nothing to worry about. You may also have bleeding after anal penetration due to the sensitivity of the tissues in the area. However, if discomfort or bleeding continues for more than a day or two after anal or vaginal deep penetration, call your doctor.
American College of Obstetricians and Gynecologists: “When Sex Is Painful.”
The Arousal Project: “How to Have a Cervical Orgasm.”
Dictionary.com: “Sexual intercourse.”
Go Ask Alice (Columbia): “Possible to penetrate the cervix during sex?”
Jo’s Cervical Cancer Trust: “Bleeding after a smear test: is it normal and why does it happen?”
Mayo Clinic: “Painful intercourse (dyspareunia).”
Scarleteen: “Let's Get Metaphysical: The Etiquette of Entry.”
Bespoke Surgical: “Bleeding After Anal Sex is Not Normal.”
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.

Medicare Advantage National Penetration Rates
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Some 28 million U.S. residents are signed up for Medicare Advantage plans across the nation. This means that about
44% of all 64 million people eligible for Medicare are enrolled in Medicare Advantage plans – a number called the
“Penetration Rate.” As of December 2021, Minnesota’s Aitkin County boasted the top penetration rate in the 50 U.S. states, with 81% of all Medicare-eligible citizens are enrolled in Medicare Advantage plans.

Medicare Advantage offers the same access to doctors and hospitals as Original Medicare with other benefits. These
options include prescription drugs, vision and dental coverage. Private companies run Medicare Advantage
plans with deductibles, copayments, and coinsurance. Members generally get their benefits through an HMO or PPO.
Beneficiaries find lower premiums and a cap on out-of-pocket costs. But they get fewer choices of doctors and are
limited to a geographic area for their plans.

Enrollment in Medicare Advantage nationwide rose from 10 million in 2008 to 28 million in 2021, making up an
increasing share of all Medicare beneficiaries. Despite the rapid growth, the total number of Medicare beneficiaries
has risen even faster – from roughly 45 million to some 64 million people – meaning Medicare Advantage has plenty of
room to grow.

28 million enrolled in Medicare Advantage
Among the 50 U.S. states (excluding Puerto Rico which at 82% has by far the highest figure of any U.S. territory), the state with the greatest Medicare Advantage penetration is Michigan, at 50%.
Counties with the top Medicare Advantage penetration rates in the 50 U.S. states range from Minnesota’s Aitkin at number one to counties in states as different as New York and Tennessee. Counties’ widely differing penetration rates can be accounted for by private insurers’ decisions whether or not to sell plans in a given county. For example, if a specific county in Mississippi has extremely high healthcare usage rates, an insurance company might not want to offer Medicare Advantage to those residents because of potential claim costs.
The adoption of privatized Medicare took off after the 2003 enactment of the Medicare Prescription Drug, Improvement, and Modernization Act . The annual rate of growth of Medicare Advantage enrollment reached nine percent between 2019 and 2020. The Congressional Budget Office (CBO) projects that Medicare Advantage enrollees will comprise as much as 51% of all Medicare beneficiaries by 2030.
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