If you decide to have penetrative anal sex, take things slowly and communicate with your partner. If you are giving anal sex, use plenty of lubricant and then start by penetrating just a little and then pulling out completely. When your partner is ready, penetrate a bit further and then pull out again. Continue with this until you are fully in – but be prepared to stop at any time if the other person is uncomfortable or in pain.
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.

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Reduce your risk of cutting or scratching your partner by trimming your nails. Long nails might tear the thin, delicate tissue of the anus, which could lead to bleeding. It also increases the risk of spreading bacteria that could cause infections. Be sure to wash your hands well and scrub under your nails after anal sex, too, especially before inserting them into the vagina or mouth.
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