Anal sex involves stimulation of the anus and can be done manually, orally or by engaging in anal sex. Anal penetration can be pleasurable but can lead to discomfort if not performed properly. The sphincter, or the muscle on the outer rectum tends to tighten when stimulated, this means that any attempts at engaging in anal insertion of the penis, or finger can be very uncomfortable. Forced entry into the anus can lead to injury. The use of lubricants helps the muscle relax and dilate with manual stimulation.

A common method used to clean the rectum before anal sex is the use of small disposable saline enema. However, because the rectum contains infection causing bacteria, any body part that comes in contact with the area must be washed thoroughly to avoid exposure to bacteria.

Anal sex is a legitimate form of sexual expression that can be fulfilling to you and your partners if done properly. We suggest having open conversations with your partners to negotiate the best and safest ways to engage in the activity. It’s important to remember that HIV can be transmitted through anal sex, especially during unprotected anal intercourse. In fact, the risk is greater because the lining of the rectum is very thin which can increase the chances of skin breaks and bleeding. This increases the possibility of transmitting bodily fluids that may contain the virus that causes AIDS.

If you choose to engage in anal penetrative sex, we recommend the use of latex condoms as the best means of reducing the likelihood of HIV  and/or STD transmission.