Anal Sex – The Necessary Hygiene, and Safety

Posted On: March 23, 2021

This article was first published for here.

Anal sex is a type of sexual expression that though not openly discussed is a sexual activity that still great number of people regardless of sexual orientation or gender identity have tried it or are curious about.

In this article let’s talk about anal sex: what to expect and the health and hygiene measures you need to take to ensure a satisfactory and happy experience.

First things first

Majority of the people experience anal sex through the use of the penis. Anal sex can also be achieved using fingers or sex toys.

  1. Structure – Though the anal sphincter is a strong structure, the tissue inside the anus is more delicate, and prone to the injury. Any harsh movements might damage the tissue resulting in bleeding and risk of infections.
  2. Consent – This is the first question you should ask yourself prior. Are you comfortable with this practice?Discuss it with your partner, and if they agree, then proceed.
  3. Slowly – It is advisable to keep the things slow. If you do it hurriedly, chances are high that it may hurt and cause injury.
  4. Stop means stop – Discuss safe words or signals with your partner. If you feel uncomfortable or encounter pain during the romp, it’s best to pause or stop.
  1. Progressive steps – You can begin using the fingers (with condom over them), maybe one or two, or the sex toys such as vibrators, dildos, and butt plugs, before working your way towards penis penetration.

The doing

  1. Clean well – Prior to getting on anal sex, you might wish to use an enema or anal douche to clear it from any faecal matter. There is also an argument over over-cleaning and removing the healthy bacteria in our anus. Please do your own research on this.
  2. Nail care – Make sure your nails are properly trimmed, so you won’t accidentally cause micro tears on your partner. If you’re penetrating your partner with your finger(s), you could wear a condom over your finger or gloves.
  3. Lubrication – Unlike the vagina, the anus does not produce lubricants. The dryness puts it at a higher risk of injuries. Anal tears can enhance the chances of the microbes transfer and caused diseases like HIV, anal cancer. Use water-based lubricants and avoid ones that contain oil as they could damage the condom. You may wish to keep a clean cloth or baby wipes on hand.
  1. Protection – Since the chances of STIs transmission are higher in anal sex, use a condom or dental ram to reduced those dangers. Your medical doctor might prescribe pre-exposure prophylaxis (PrEP) if you are more prone to STIs. The medication will reduce the chances of getting HIV
  1. No double dipping – Change your condom before switching to oral or vaginal sex from anal sex. If you are not using a condom, wash the penis thoroughly or the toys you are using. This lowers the chances of infection transmission.
  2. Relax – Relaxing your anus muscles could help abate the comfort. You can relax the muscles by either taking a warm water bath, lying on your stomach, and having your giver do an external massage at your anal sphincter.
  1. Clean again – Once you are done, make sure to clean thoroughly using water and mild soap. These trivial practices are of great importance in infections prevention. You can also use water-based skin protectant cream to help with the soreness.

Frequently Asked Questions:

Some frequently asked questions about anal sex are:

1) When to see a doctor?See your doctor immediately, if you have been feeling pain, heavy bleeding, and difficulty in controlling the poop after you had anal sex. Your doctor may examine the rectum and conduct some blood and urine tests to detect the problem.

2) Can anal sex lead to orgasm?

Anal sex can lead to orgasm. In some penis owners,  it can cause prostate stimulation. In some vagina owners, clitoral stimulation may follow the practice. For others, oral and vaginal sex are imperative to reach the pinnacle. Having said that, sex need not be all about the orgasm – pleasure and satisfaction are important too.

3) Can I get pregnant in anal sex?

Getting pregnant through anal sex is unlikely. Pregnancy is possible if semen from the anus gets into the vagina. With anal sex, sexually transmitted diseases (STDs) are a much bigger worry than pregnancy.

Sex is an important part of who we are. Our sexual expression is paramount to our happiness. Once again, remember, communication is the key here when it comes to anal play. Discuss it with your partner. Make them know your fears and concerns, and they should respect your choices. If you are not enjoying something, or it is painful, stop, regroup, switch things up and you can do other pleasurable acts.


Anjani Chandra, P. W., & and Catlainn Sionean, P. D. (2011). Sexual Behavior, Sexual Attraction, and Sexual Identity in the United States: Data From 2006–2008. Retrieved from

Lewicky-Gaupp, C., Hamilton, Q., Ashton-Miller, J., Huebner, M., DeLancey, J. O. L., & Fenner, D. E. (2009b). Anal sphincter structure and function relationships in aging and fecal incontinence. American Journal of Obstetrics and Gynecology, 200(5), 559.e1-559.e5.

Dresden, D. (2019, July 30). Is it possible to get pregnant from anal sex? Medical News Today.

About Dr. Martha Tara Lee

Surrounded by friends who were sexually inhibited and struck by dire lack of positive conversations around sex and sexuality in Singapore, Dr. Martha Tara Lee set out to make a positive difference in embarking on her doctorate in human sexuality before launching Eros Coaching in 2009. Today, she remains dedicated to working with individuals and couples who wish to lead self-actualised and pleasure-filled lives.

She also holds certificates in counselling, coaching and sex therapy, and her fourth degree – a Masters in Counselling in May 2018. In practice for more than 12 years, she is the only certified sexuality educator and certified sexuality educator supervisor by the American Association of Sexuality Educators, Counselors and Therapists (AASECT) in Singapore.

Often cited in the media, Dr. Lee is the appointed Resident Sexologist for; as well as Clinical Sexologist for Singapore Cancer Society. She was recognised as one of ‘Top 50 Inspiring Women Under 40′ by Her World in July 2010, and one of ‘Top 100 Inspiring Women’ by CozyCot in March 2011. She has published four books: Love, Sex and Everything In-BetweenOrgasmic YogaFrom Princess to Queen and {Un}Inhibited.

Martha works with individuals and couples in private coaching sessions, and conducts her own workshops. She takes prides in making sure all her workshops are also fun, educational, and sex-positive. This comes easily to her because even though she is extremely dedicated and serious about her work, she fundamentally believes that sex is meant to be fun, wonderful, amazing and sacred. As such, this serious light-heartedness has shone through again and again. For her full profile, click here. Email her here.



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