Is Anal Sex Safe: How to Perform Anal Sex

anal sex safety tips advice on STD diseases

An estimated 90% of men who have sex with men and as many as 5% to 10% of sexually active women engage in receptive anal intercourse. Often referred to simply as anal sex, anal intercourse is sexual activity that involves inserting the penis into the anus.

People may engage in anal intercourse, which has health risks, because the anus is full of nerve endings, making it very sensitive.

For some recipients of anal sex, the anus can be an erogenous zone that responds to sexual stimulation. For the giving partner, the anus may provide a pleasing tightness around the penis. While some people find anal sex enjoyable, the practice has downsides and requires special safety precautions.

How to Make Anal Sex Pleasureable and Safety of Anus Penetration

Anal sex can carry other risks as well. Oral contact with the anus can put both partners at risk for hepatitis, herpes, HPV, and other infections.

For heterosexual couples, pregnancy can occur if semen is deposited near the opening to the vagina. Even though serious injury from anal sex is not common, it can occur. Bleeding after anal sex could be due to a hemorrhoid or tear, or something more serious such as a perforation (hole) in the colon.

This is a dangerous problem that requires immediate medical attention. Treatment involves a hospital stay, surgery, and antibiotics to prevent infection.

anal sex guidelines tips for safesex

Is Anal Sex Safe?

There are a number of health risks with anal sex, and anal intercourse is the riskiest form of sexual activity for several reasons, including the following:

  1. The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Studies have suggested that anal exposure to HIV poses 30 times more risk for the receptive partner than vaginal exposure. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesn’t completely prevent tearing.
  2. The tissue inside the anus is not as well protected as the skin outside the anus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection.
  3. The anus was designed to hold in feces. The anus is surrounded with a ring-like muscle, called the anal sphincter, which tightens after we defecate. When the muscle is tight, anal penetration can be painful and difficult. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. However, Kegel exercises to strengthen the sphincter may help prevent this problem or correct it.
  4. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

anal sex safety tips

Preventing Anal Sex Problems

The only way to completely avoid anal sex risks is to abstain from anal sex. If you engage in anal sex, it is always important to use a condom to protect against the spread of infections and diseases.

Following are more tips for increasing anal sex safety:

  • Avoid inserting a penis into the mouth or vagina after it’s been inserted in the anus until your partner puts on a new condom.
  • Use plenty of lubricant to reduce the risk of tissue tears. With latex condoms, always use a water-based lubricant.
  • Relax prior to insertion of the penis to help reduce the risk of tears. Taking a warm bath before anal sex or lying on your stomach may make insertion easier.
  • Stop if anal sex is painful.
  • If you experience bleeding after anal sex or you notice a sores or lumps around the anus or a discharge coming from it, see your doctor as soon as possible.

If you and your partner want to explore anal sex, it’s important to take it slowly and safely, and learn how to do it right. You want to make the experience enjoyable for both of you, and make sure you are aware of the risks in order to take the proper safety precautions.

Anal sex side effects and diseases

Anal Sex: What Experts Say About the Risks?

“Any kind of sex must be safe! You should have protected sex, regardless of whether you engage in oral, vaginal, or anal sex,” says Evelyn Fisboin, MS, a marriage and family counselor at the Mind Spectrum Institute in North Miami Beach, Fla. “Sexually transmitted diseases can be easily passed along through anal sex. Anal sex, however, can be safe so long as you are engaging in safe and protected sex.”

What are the two most important safety tips for anal safe sex?

Use a condom to protect you and your partner from sexually transmitted diseases (STDs), and use plenty of a water-based lubricant. “Also, utilizing a condom will help the experience feel smooth and reduce the risk of an STD, Fisboin says. “Do not use scented or flavored condoms as they might cause an allergy.” Specific risks related to anal sex include:

Pregnancy. While you cannot get pregnant during anal sex, it is still possible to get pregnant if semen comes into contact with the skin between the anus and the vagina. If some semen leaks into the vagina, pregnancy is a possibility. Approximately 8 percent of people each year who do not use another form of birth control during anal sex become pregnant.

Anal sex fissures and diseases

AIDS. This is another significant risk consideration for couples who have anal sex. Safe sex with a condom and water-based lubricant can protect you from AIDS and other STDs. The risk of contracting AIDS from having anal sex with an infected partner is very high, so a condom should always be worn for anal sexual health reasons.

Infection. There is also a risk of infection if couples do not practice safe sex and follow anal sex with vaginal sex. The penis must be properly cleaned before vaginal intercourse to prevent introducing bacteria into the vagina, which may cause an infection. “Keep in mind that it is not safe to proceed with vaginal intercourse after anal sex because there is a risk of introducing bacteria, Fisboin says. “So remember to always make sure that your partner cleans himself completely and uses a fresh condom before having vaginal intercourse. If you are experimenting with sex toys, also make sure to clean them thoroughly to avoid passing bacteria.

Preventing Pain and Damage to the Anus

There are a number of measures you can take to prevent pain and prevent damage to anal tissues. Specifically, these include:

Use water-based lubricants. “It is important to know that the anus has no natural lubrication, which increases the risk of pain or tearing. It is therefore necessary to use a lubricant to provide comfort,” Fisboin notes. “Keep in mind that oil-based lubricants damage latex. For that reason, you should use only water-based lubricants with latex condoms. There are special lubricants for anal sex which contain benzocaine, an agent that desensitizes the anus, relieves pain, and makes penetration more comfortable.”

clean anus before anal foreplay and sex

Go slow. It’s especially important to take your time and start slowly if it’s your first time trying anal sex. Without proper lubrication and slowly introducing the anus to the experience, anal sex may be painful. “If you have never engaged in anal sex, it would be a good idea to go step by step when exploring this area. There is a large number of nerve endings in the anus region that feel great when stimulated. You can start by using your partner’s finger, engaging in this step a few times on different occasions before you continue exploring,” says Fisboin.

Pay attention to hygiene. “Make sure that your partner has clean and cut fingernails before starting to explore, in order to avoid scratching or passing bacteria. You can then move on to exploring with sex toys, or move on to protected anal sex with your partner.”

What is better than the person who actually used some of the techniques above and shared experience with the readers.

Experience of An Anal Sex Receiver

I’ve received lots of questions over at All Sex Advice asking me how to have anal sex without hurting her. I’ve found that, like I was, many people are nervous and confused about anal sex. So, I decided to write a brief recollection of my experience. It happened about 8 years ago. Although I’m still having anal sex, I don’t do it very often. It’s something I enjoy periodically, but it’s not something I HAVE to do. So every time I desire anal sex, I usually go through the same steps. So let’s get on with it. Here were the steps I took before engaging in my first anal sex, anal intercourse experience. Take note that anal intercourse didn’t happen within the first few sessions. It actually took a few months before my boyfriend penetrated my ass with his penis. So that’s why patience is vital. Believe me; it’s worth it in the end. It’s also a lot of fun working up to that point.

Cleansing of Anus before Anal Sex

Before I get involved in any type of anal play or sex really, I make sure I’m clean as a whistle. When I’m clean, I feel more confident, sexier and more ready to get myself dirty. Cleansing usually consists of emptying my bowels, or at least trying. Quite often during any kind of initial anal penetration, I feel like I have to move my bowels. I believe it’s just that. a feeling. So as long as I take of business ahead of time, I know that’s just a feeling and not a call to answer from nature.

After that, there’s taking a shower or bath no big deal. I make sure I soap myself up down there and I usually even stick one soaped up finger in my anus real quick and I know that I’m clean. Just make sure that you rinse yourself good. Leaving soap behind can be irritating to some. That’s the simplest way to clean up and get ready.

Some folks would rather give themselves an enema, which is much more involved. In fact an entire article can be written on that alone. The most important thing about enemas is to make sure you do it hours beforehand so that you’re totally emptied out by the time you play. Also, follow all instructions to a tee!

Anal Play

First, my boyfriend and I engaged in a little anal play consisting of him applying latex gloves, lubing up his finger real good and rubbing his finger around my anus and holding a vibrator, the Pocket Rocket, against my anus. The first few times there was NO penetration whatsoever and I can say that all those extremely sensitive nerve endings are in and around the anus, so even if you don’t experience penetration right away, which you absolutely shouldn’t your first few times around, it’s an extremely pleasurable experience. I found, and still do, that just holding a vibrator against my anus makes my orgasm more intense. Yummy!!!! So no penetration the first time around. We really took our time and enjoyed the process. This lasted a few weeks.

Finger Penetration in Anus

When I was comfortable with anal play, then we moved on to inserting just one finger into my anus. So my boyfriend donned those latex gloves again, lubed up those fingers and as Tristan Taormino, the anal sex-pert has instructed in “The Ultimate Guide to Anal Sex for Women,” once anything, a finger, a toy, a penis is inserted into the anus, all motion should be paused, letting the receiver adjust to this new sensation and then when ready, the giver can kind of start wiggling finger around a little and tapping on the walls of the rectum. This is exactly what we did and it was so exciting that it brought me to orgasm almost immediately. So much for working my way up, I was finished before I even started. Wow!!!

fingering to loosen the tightness of asshole

More Fingers in the Anus

After a number of sex sessions, which was also at least a couple of weeks and it would also depend on how often you have sex and what kind of time you have for each session, I was then able to accept more fingers. We did the same thing, applied that latex glove, lubed up each finger and then slowly penetrated my ass, then wiggled and tapped the fingers. We applied more lube to my anus before each finger was inserted. You can NEVER have too much lube. Once I was comfortable with that we moved on to the next phase. Now remember, these are totally different sessions of sexual play. I really didn’t move past a step in the same session, except here. Once I could take a couple of fingers, I did try an anal toy.
Toys

I tried anal beads first because they were separate little balls, but for some reason I didn’t find them to be as exciting as I had hoped, so I moved on to a butt plug, like the small Pop Plug. That’s what I needed! I liked the feeling of fullness in my ass from the butt plug. The Pop Plug also works really well because it’s made of silicone and can be fully cleaned and disinfected after use.

The anal beads didn’t work out for me because at the time, I was ready for something to be put in my ass and to stay put. The beads were popping in and out and all that activity just didn’t feel good at the time, it was actually annoying.
Anyway, using lots of lube, I slowly, very slowly stuck the plug in my ass. Then my boyfriend, with clean hands, rubbed my clit and then we started having intercourse. Wow, did that feel exquisite while having vaginal intercourse! After a few more sessions, I felt I was ready for the penis.

Anal Intercourse

In order to prepare my ass for this, on the same night, I went through all these steps listed above before I allowed my partner to thrust me with his penis. We used lots of lube, he wore a condom and we took our time. By going through all these steps beforehand, there was absolutely no pain or unpleasantness, only tons of exquisite pleasure. I think that was the most intense, full body orgasm I ever had, ever!

The position that I chose to have anal intercourse for the first time was ‘Woman on Top.’ That may sound odd to some. Many are thinking ouch too deep, too deep! Although true, it wasn’t painful or unpleasant. My boyfriend sat on the bed with his back up against the headboard, he applied the condom, I drenched his penis with lube and straddled him. I, very carefully held on to his penis as I, slowly, very slowly sat down on his penis. In order to help me slide down slowly, my boyfriend assisted me by putting his hands under my ass checks so that if my legs got tired, I wouldn’t come crashing down on him.

I’m not all that in shape or muscular in my legs and I didn’t have a problem at all. I’m rather petite, so that was not a problem for him either. Once I got the head of his penis in, which is in all honesty the thickest part and this holds true for dildos as well, we paused. At that point I was able to slowly position myself so I could come down on my knees while straddling him and then when ready, I could easily slide down onto more of him. The most important thing here is that my boyfriend, as difficult as it was, never pumped, never lifted his body.

He just sat still and allowed me to come down on him. I rode him, that way I had FULL control over the depth and the speed of penetration. He was so excited about the experience that he climaxed rather easily. Once I was on my knees and felt comfortable, I did ride him a bit, while I did that I lubed up my hand, the one that wasn’t touching his penis or was maneuvering around my anus, and rubbed my clit. The whole experience, which was probably one of the most intense that I’ve experienced, didn’t last too long because my virgin behind got WAY too excited and I reached an extremely satisfying climax. After that, it was time to slowly and gently lift myself off my boyfriend’s penis because after orgasm, anal penetration just didn’t feel that great any more.

lubrication in anal sex

Some Final Thoughts

Before I wrap things up here, I just want to ask you to please take note that we only fooled around with anal intercourse when we had TIME. If we were only having a quickie, anal penetration was not explored. Anal play was, but penetration took time and that’s not something I was going to rush into. My boyfriend, wanting me to have a wonderful first experience, let me lead the way the entire time so that I would remain comfortable and excited about the journey. He enjoyed it also, seeing me experience all these new forms of pleasure and really getting off on it.

This was all a hot show and experience for him as well. So that’s my experience and I’m sticking to it! I hope something within is helpful to you and I hope that you understand that anal sex can be extremely pleasurable if done with care and patience. Remember, anal intercourse is not supposed to hurt, if it does stop all activity and take things back a step until you’re comfortable. If you have to stop all anal play and resume at a later date. It doesn’t have to be done in one session, in one night it shouldn’t be.

I shared the experience because I wanted to stress that amount of time I took before I actually had anal intercourse and how much I enjoyed and my boyfriend enjoyed the journey there. That’s what it’s all about. It’s not about reaching the final destination but the fun and the exploration that it takes to get there. I must thank Tristan and Nina, they are experts of anal sex, because without using all their educational materials, I would have rather unaware of all the problem spots and difficulties that come into play when having anal sex which could have resulted in me having a bad first experience and leaving me to never want to try it again, like many people out there.

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