Anal Sex

Anal Sex

• Anal sex includes penetrating the anus with a penis, fingers, sex toys and oral sex (stimulating the anus using the mouth or tongue, also known as rimming).
• Although anal sex is typically associated with men who have sex with men (MSM) it is also common amongst heterosexual couples and may also be practiced by women who have sex with women.
• Using a condom for every sexual act is important.
• Unprotected anal sex is a high risk behaviour for contracting Sexually Transmitted Infections. This is because the lining of the rectum is a thin membrane that can be easily torn or damaged during sex, making it more vulnerable to infection.
• However, if the person living with HIV is on medication and has undetectable levels of HIV then there is no risk of passing the virus on.
• Anal fissures (small tears in the lining) may occur during intercourse. Fissures do not cause long-term damage to the rectum; however they will heal slowly and can be very painful. Furthermore, they increase the risk of infection entering the bloodstream. Avoid inserting objects which can perforate the intestine.
• Anal sex may be painful for the person receiving it. The anus does not secrete lubrication as the vagina does, therefore it is important to use a water-based lubricant in order to prevent fissures. The anus absorbs water quickly, so lubricant should be applied frequently. Silicone-based lubricants would last longer.
• After anal sex, a new condom should be worn before having vaginal/oral sex. This is important so as to avoid the transmission of bacteria from the anus into the vagina, which may cause infections.