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.

If you're playing with silicone-based toys and need a water-based lube, Sliquid Sassy is a great option that's specifically intended for anal play. It's got a thicker texture than many water-based lubes as a result — almost gel-like — to offer you all the lubrication you need. As with all water-based lubes, it'll dry out faster than silicone, but a little bit of water splashed on the right area will "re-activate" it if you need a boost when it comes to the slippery factor.
2. Create a chill anal play area. Listen... All sex can sometimes be messy, and anal sex and foreplay is no exception. If this is gonna stress you out to the point that you're unable to relax and enjoy yourself, try prepping your space ahead of time. Like, maybe strip the fancy sheets off your bed or cover your comforter with a soft, washable blanket.
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.
If you’re using a sex toy with a partner, it’s important to have safer sex to help prevent STDs. If someone who has an STD uses a sex toy, the body fluids on that toy can spread the infection to another person who uses that toy. So wash any sex toys with mild soap and water after you use them and before they touch another person’s genitals. You can also put condoms on sex toys to keep them clean and prevent the spread of STDs — just change condoms before the toy touches another person’s genitals. And never put a sex toy that’s been in a butt into a vagina or mouth without washing it or changing the condom first. Butt germs can cause STDs and other infections.
It’s a cardinal rule of sex to never go from anal to vaginal penetration without changing the condom (even if the penetration is with a sex toy). This is because introducing fecal matter into a woman’s vagina – even if it’s her own fecal matter – places her at significant risk for developing a urinary tract infection. Women are at higher risk of getting these infections than men because a woman’s “plumbing” is such that her urethra is quite short, making it very easy for bacteria to climb up the urethra and set up camp in the bladder. In some cases, a bad urinary tract infection can even travel from the bladder to the kidneys, which is very serious.
Yep — pregnancy. In order for someone to become pregnant, sperm needs to make it into the vagina (and then through the cervix and into the uterus, etc.), and that could be possible (though unlikely) depending on what position you’re in, she explains. So ejaculating in someone’s butt probably isn’t the best idea if you're not also using another form of birth control.

Partaking in any form of sex – be it oral, anal, or vaginal, can put one at risk of contracting a sexually transmitted infection (STI). Anal sex, however, carries the highest risk of transmission. This is because the tissue in the anus is quite fragile and thus incurs small, microscopic tears during the act of anal sex. These tears expose trace amounts of blood, making it much more likely for HIV and/or Hepatitis B or C to be transmitted. The risk of contracting these STIs is greater for the recipient (aka the “bottom”), but the “top” is also at risk. This is still true when lots of lubrication is used.


Most cases of anal cancer are related to infection with the human papilloma virus (HPV). Anal sex alone does not cause anal cancer; the risk of anal cancer through anal sex is attributed to HPV infection, which is often contracted through unprotected anal sex.[75] Anal cancer is relatively rare, and significantly less common than cancer of the colon or rectum (colorectal cancer); the American Cancer Society states that it affects approximately 7,060 people (4,430 in women and 2,630 in men) and results in approximately 880 deaths (550 in women and 330 in men) in the United States, and that, though anal cancer has been on the rise for many years, it is mainly diagnosed in adults, "with an average age being in the early 60s" and it "affects women somewhat more often than men."[75] Though anal cancer is serious, treatment for it is "often very effective" and most anal cancer patients can be cured of the disease; the American Cancer Society adds that "receptive anal intercourse also increases the risk of anal cancer in both men and women, particularly in those younger than the age of 30. Because of this, men who have sex with men have a high risk of this cancer."[75]
Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure.[1][2][3] Other forms of anal sex include fingering, the use of sex toys for anal penetration, oral sex performed on the anus (anilingus), and pegging.[4][5] Although anal sex most commonly means penile–anal penetration,[3][4][6] sources sometimes use anal intercourse to exclusively denote penile–anal penetration, and anal sex to denote any form of anal sexual activity, especially between pairings as opposed to anal masturbation.[6][7]
Most anal cancers are cured with combination therapy. If caught early, many cancers that come back after nonsurgical treatment are treated effectively with surgery. While combination radiation/chemotherapy produces more side effects, this approach also results in the best long-term survival rates. After completing this treatment, as many as 70-90% of patients are still alive and cancer free at 5 years.
Silicone Based Lube – Silicone based lube is the lube we recommend you use when having anal sex. It’s compatible with latex condoms, so you won’t degrade them. It also lasts much longer than water-based lube, so you don’t have to worry about reapplying it either. It also feels super silky and smoother than many water-based lubricants. The only slight drawback is that it can sometimes be a little hard to wash out of your bedclothes.
That depends on the toy. You want something with a flared base that’s not going to get lost in there, so stick with things marketed for sexy times, not household items that double as sex toys. (It happens.) A toy can be a great warm-up for the main event; you’ll want to use something that’s easy to wash and will stimulate you in the right way. There are so many fun toys on the market – shop around and find the perfect one for you and your partner.

37. “For me, it’s because it’s really tight. It’s a really tight hole that can be fully exposed, so you can really get in really deep, and you feel really connected to the woman on a primal level being so deep in her like that. I think it a way it’s the ultimate mark on a woman too. In somewhat of a dominating way. Something about the fact of her never forgetting you deep inside her primal area and letting yourself go inside her is extremely erotic. It’s kind of like imprinting on her. It’s also a woman giving her body fully to you. If you’re doing anal, then you probably have already done everything else. This woman is allowing you access to her all her holes and that’s really hot for a man. I’ve heard in a scientific sense, that the more ways a woman receives a man’s cum, the more likely she is to get pregnant by him. For example, women who swallowed a man’s cum were more likely to get pregnant by him later. They hypothesize it’s due to her body adapting and recognizing his cum when they receive it in different ways. So I think there is a primal, biological reward system for a man to want to be with a woman in all ways and mix with her completely.”
This advice still stands if your partner ejaculates inside you. Though some people worry this could cause runny poops that resemble diarrhea, Dr. Frankhouse says this actually isn’t the case. For one thing, since poop usually isn’t in your rectum until you’re close to expelling it, there’s no real opportunity for poop and semen to mix. Even if poop could go farther up into your colon, semen is usually runny. Since your anus will likely remain expanded for a few minutes after anal sex, that semen can just leak right on out, Dr. Frankhouse says.
The one thing I notice about most sites is they forget to mention one very important thing … When you start to insert anything, let her know if she pushes like she’s going to go to the bathroom it automatically relaxes the sphincter muscles and things slide in more easily. In fact, they are sucked in once passed rhe anal sphincter ring. It sounds the opposite of what you might think but it’s physically true. If you can maintain the pushing sensation then your nervous system will take over and do it automatically; causing your sphincter/rectum and vagina to comfortably dilate. Many women squirt for the first time with anal stimulation. Knowing this will take away fears and make things soooo pleasurable. I’ve had women tell me that were afraid of anal; once I introduced this technique, most common reply was, “ I didn’t realize it felt so good”. 😉
4. You might bleed a little. As always, if you're bleeding profusely or persistently (like, for longer than an hour), you should call a doctor. But a little blood during anal play or sex isn't abnormal. Partha Nandi, a gastroenterologist and health editor with WXYZ-TV in Detroit, tells Cosmopolitan.com the most common reason for bleeding after anal sex is anal tears — small tears or fissures in the delicate anal canal tissue. Before you freak out at the thought of "anal tears," know that most of these are so tiny you won't even feel them, and a lot of them don't produce any blood at all. But, like snowflakes, no two anal tears are the same, so yours may bleed a bit. These little guys should heal within a few days but may cause a bit of mild discomfort when you're pooping.
×