Great question! Asking questions before engaging in sexual activity is the best way to make informed, safe and healthy decisions. As with many types of sexual activity, unprotected anal sex can transmit STIs if a partner is infected. Anal sex presents an increased risk of infection because the lining of the rectum is a thin membrane that can easily be torn or damaged during sex. Small tears (known as anal fissures) may occur during intercourse. Fissures can be fairly painful and slow to heal, and provide a direct route into the bloodstream–so you’re right to worry about sexually transmitted infections! Most anal fissures won’t cause permanent damage to the rectum, however.
Many doctors recommend exploring anal sex by using a lubricated finger first. Because the anus does not self-lubricate, it’s important to keep a bottle of water-based lubricant on hand; this will help prevent fissures and make the experience more pleasurable. When you begin having anal sex with a partner, be sure to wear a condom every time. The insertive partner can choose to wear male latex condoms, or the receptive partner can choose to wear a Reality Condom (also known as a female condom). Both are available for free at Teen Clinic. (Wear only one condom at a time, however!)
Remember: if you feel pain at any time during sex, slow down, communicate with your partner, and consider using more lubricant. And make an appointment at Teen Clinic if you ever experience any irregular bleeding or internal pain after intercourse.
