Recent research and clinical observations suggest that anal sex is becoming increasingly common, particularly among younger adults in the UK. Alongside this rise, healthcare professionals are seeing a corresponding increase in anal and pelvic health complications in women.
While sexual exploration is a personal choice, it is essential that individuals are fully informed about potential health risks and preventive measures. This article explains the medical implications of anal intercourse for women, highlights evidence-based safety advice, and explains when to seek professional help.
Understanding Anal Sex and Women’s Health
Anal sex remains a sensitive topic for many, despite its growing prevalence. It may involve penetration of the anus using a penis, fingers, sex toys, or oral contact. Because the anus and rectum are not anatomically designed for penetration, this type of sexual activity carries different health considerations compared to vaginal intercourse.
Understanding these risks allows women to make informed decisions and reduce the likelihood of injury or long-term complications.
Common Health Risks Associated With Anal Sex in Women
The main consequences of having an anal sex include incontinence, sexually transmitted diseases, bleeding and or pain. Anal fissures can be a consequence of anal intercourse, these are tiny skin tears in the lining of the anus that can cause pain and bleeding. Though uncomfortable they often can heal themselves and no medical treatment is required. Another possible consequence of anal intercourse is colon perforation. If you experience a severe rectal bleeding, abdominal pain or are concerned following anal intercourse, contact a medical professional immediately.
Research shows that in the past, medical professionals have shown reluctance to discuss risks with women. We now believe it’s important to educate women about the risks of anal intercourse, as they are at a higher risk of anal sphincter injury or faecal incontinence than men. This is primarily due to their anatomy as well as the effect of hormones, pregnancy and childbirth on the pelvic floor. Women have less robust anal sphincters and lower canal pressures, which risks more damage to their anatomy.
To prevent sexually transmitted diseases, it is advisable to practise anal intercourse with the use of a condom. As the anal area is not able to produce lubricant, a water-based lubricant is a must to prevent anal fissures and any other injuries. Having a warm bath prior to the intercourse is a good idea, as it helps with muscle relaxation and prevention of anal sphincter injury and bleeding. Finally, getting an HPV vaccination is also recommended.
Evidence-Based Ways to Reduce Health Risks
While abstinence is the only way to eliminate risk entirely, the following steps may help reduce harm:
- Use a condom every time to lower STI transmission risk
- Apply liberal amounts of water-based lubricant, as the anus does not self-lubricate
- Avoid force or discomfort; pain is a signal to stop
- Allow adequate relaxation time and gentle progression
- Consider HPV vaccination, which protects against strains linked to anal and cervical cancers
- Never move directly from anal to vaginal intercourse without changing condoms
What the Research Says
A survey conducted by National Survey of Sexual Attitudes has found that the proportion of 16 to 24-year-olds engaging in anal intercourse has risen from 12.5% to 28.5% over recent years. With medical professionals being reluctant to discuss the risks involved with this activity, and with such a high proportion of young women now having anal intercourse, women are suffering with anorectal symptoms, missed diagnoses, futile treatments and further harm arising from a lack of medical advice.
When to Seek Medical Advice
You should seek professional medical advice if you experience:
- Ongoing anal pain or bleeding
- Changes in bowel control
- Persistent discomfort after intercourse
- Concerns about STI exposure
Early assessment can prevent long-term pelvic or bowel health issues.
Sexual Health Care at ROC Clinic
At ROC, we know that transparency and openness is crucial in providing the best care for our patients. We provide integrated care through our team of highly skilled family physicians and welcome every individual to our clinic for high quality personalised assessment and management of sexual health.
If you wish to discuss any of the risks that are associated with anal intercourse or your sexual health, please do not hesitate to contact one of our Contact Centre Team on 01224 515 254.
Why Book a Sexual Health appointment at ROC?
- Same Day Appointments
- Top Expertise and experience
- Discreet and Private Service
- Non-judgemental and caring approach
- Fast and Highly accurate Testing
- Peace of Mind
- Improved sense of wellbeing
References:
Anal Sex Keeps Getting More Popular, Especially With One Age Group (womenshealthmag.com)
Anal Sex Safety: Pain, Risks, Possible Complications, More (healthline.com)
Rise in popularity of anal sex has led to health problems for women | Sexual health | The Guardian
Young women being ‘put at risk’ because NHS won’t talk about anal sex | The Sun
How to have anal sex safely, as study shows it’s rising in popularity | Metro News
