Blog #8: Anal Health

The anus is the opening leading to the anal canal and rectum in the body. It can be very sensitive and pleasurable to stimulate the anus during sex, though here are some key points in understanding anal health:

• The external sphincter is a ring of muscle tissue that sits closer to the anal opening. It can be relaxed and contracted voluntarily during sex.

• The internal sphincter is a ring of muscle that sits within the external sphincter (not as directly close to the opening). It can’t be controlled voluntarily and only relaxes in response to certain reflexes or stimuli (such as pooping or foreign object pressure). So during anal sex, use plenty of lube (see Blog #5), deep breathing, and constant communication with your partner(s) to avoid causing pain and harmful health outcomes, such as an anal fissure (tear). Fissures increase your risk for infection and can involve pain and bleeding.

• Anal douching is the passing of fluid (i.e. water) inside the anus to remove residue or stool before sex. Doctors generally don’t recommend douching, because it can make small tears to your anus/rectum and can flush out good bacteria that naturally live in your bowels and protect against harmful bacteria. These consequences can increase your risk for sexually transmitted infections (STIs), bacterial infections, and pain/bleeding.

  • Some healthier alternatives to anal douching include 1) eating a high-fiber diet and 2) staying properly hydrated. These actions can help regulate the emptying of your bowels and make anal sex easier!

  • If you still want to douche, check out our Slay Me Safely! guide for a step-by-step breakdown.