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Question
Posted by: Paul P | 2003/12/02

Anal

Doc is it bad to have anal sex with my gfriend. If not how often cn we have anal sex?

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Our expert says:
Expert ImageSexologist

My 10 rules of anal sex has been posted on this site almost every week. Anal sex is a preferance of many heterosexual couples and many couples would love to experiment, but are to sacred to. There are a few rules that apply, so here goes with the rules once more!!!!

Anal Sex

My four guidelines for anal sex:
Communication, lubrication, patience and protection.

Communication:

Communication is exceptionally important in anal sex, both before and during. The “before” part is talking to your partner beforehand, to make sure that you’re both signed up for this activity. The “during” part is making sure that the person being penetrated is in control and is communicating to the penetrating person how things are going – how fast to go, whether to ease up, etc.

Lubrication:

Unlike the vagina or the mouth, the anus and rectum don’t have a built – in source of lubrication. Even worse, the rectum is designed to absorb liquids. So, you’ve got to provide your own lube, and lots of it. The rule of thumb is to use as much as you think you need, and then use more. If you’re using condoms, be sure to use a water – based lubricant (e.g. KY Jelly, Astroglide stocked by DISA Health Care)

Patience:

Go slowly and follow the lead of the person being penetrated. You may want to start with a finger first, to get the anus used to something smaller. If the person being penetrated is relatively inexperienced at this, take the pressure off by giving up on goals and concentrating more on enjoying the process. In other words, don’t think of how far you want to go with this project (“Oh boy, it’s going to feel good when I’m inside”) but rather focus on the journey (“Hey this is fun!”) Like so many things worth doing, it may take several tries before you’re both happy with it.

Protection:

Anal sex is one of the highest – risk activities for transmitting HIV. But other Sexually transmitted diseases (STD’s) can be spread through anal sex as well. So, I strongly recommend using condoms during anal sex. The person doing the penetrating should also wash his hands and penis afterwards, to avoid spreading other diseases such as Hepatitis.

For more information:
Anal pleasure and Health, by Dr Jack Morin (Down There Press, 1986)

The women’s guide:
The ultimate guide to anal sex for women, by Tristan Taormino (Cleis Press, 1998)

For more info or other sexual health related questions, call us at:
DISA HEALTH CARE
787-1222

10 Rules of anal sex

Anal eroticism is surrounded by a powerful taboo. Yet millions of men and women are experimenting with anal sex. The anus, richly endowed with nerve endings and interconnected with the main pelvic muscles, is the closest erogenous neighbour of the genitals and contracts rhythmically during orgasm. In 1949, Kinsey stated that the anal area had erotic significance for about half of the population. In a survey of 100,000 Playboy readers, 47% of the men and 61% of the women admitted having tried anal intercourse. Yet the anal taboo inhibits most people from thinking, talking and learning about the sexual use of the anus. Listed here are the ten things most men and women still do not know about anal sex.

1:Anal intercourse is the least frequently practiced form of anal sex:

There are many ways to enjoy the anus erotically. The most common techniques include touching the anus erotically. The most common techniques include touching the anal opening with a finger while masturbating or stimulating a partner’s anus during intercourse or oral sex. Some people enjoy the sensation of fingers – their own or a lover’s – inserted into their anal opening and gently rotated. Others may prefer the insertion of a dildo or vibrator beyond the anal opening and short anal canal into the larger rectum. Many men, including heterosexuals, favour this form of penetration. Oral-anal lovemaking is popularly known as rimming. The very idea disgusts some people. Others enjoy performing it or allowing themselves to be probed in this special way.

2:Anal stimulation, including intercourse, isn’t painful if done properly:

The belief that anal stimulation, especially intercourse, has to hurt is a persistent and dangerous myth. Just as pain anywhere in the body indicates that something is wrong, so is the same true of the anal area. With its high concentrations of nerve endings, the anus can produce extreme agony when it is mistreated. Yet it can also be a source of great pleasure.

When a finger, object or penis is introduced into the anus, the anal muscles go into spasm, as if fighting off invasion. Pain will result if the partners do not wait for these muscles to relax. Under sufficient stress they will eventually collapse and the pain subside, unless further damage is done. But any “pleasure” afforded from this kind of activity derives mostly from the absence of discomfort.

Maximum anal pleasure requires the elimination of all pain or physical trauma from the anal experience. Self-protection on the part of the passive partner involves being ready to say “no” until he or she is ready to proceed. Readiness is a combination of physical relaxation, usually helped along by plenty of leisurely anal touching and desire.

Occasionally the anal muscles are relaxed, but the passive partner is still not in the mood. Stimulation should mount only in proportion to the degree of receptivity.

3:Anal sex can be enjoyed even if it has been consistently uncomfortable in the past
Sufficient desire alone does not necessarily guarantee pleasurable sex. Nor is an uncomfortable previous experience always the reason for a lack of interest in or desire for anal sex.

Chronic anal tension is the most common cause of anal discomfort during sex. Haemorrhoids and constipation is usually a sign of this condition. Touching the anus and becoming familiar with it can relieve tension. An ideal time to explore the anal opening is while taking a shower or bath. Deep breathing also affects the anal muscles. Tensing the anus and then letting go is another way of learning to relax it. Anyone who enjoys masturbation might want to experiment with some form of anal stimulation, though he or she should stop if any discomfort occurs.

For many people the turning point in anal sex is when they allow a partner to massage the anus with the understanding that intercourse will not be attempted. Then the recipient of anal caresses can concentrate solely on the pleasure this erogenous zone is capable of generating.

4:Two muscle rings called sphincters surround the anal opening. Each functions independently.

If you insert about one half – inch into your anus and press your fingertip against the side, you can clearly feel the two sphincter muscles. There is less than a quarter – inch between them. The external sphincter is controlled by the central nervous system – just like the muscles of the hand, for example. You can readily tense and relax this sphincter whenever you want.

The internal sphincter is quite different. This muscle is controlled by the involuntary or autonomic part of the nervous system, which governs such functions as heartbeat and stress response.

The internal sphincter reflects and responds to fear and anxiety during anal sex. It will cause the anus to tense up automatically even if the passive partner is trying to relax. Thus, precautions about safety and comfort are essential here.

Even if a person does feel comfortable during anal sex, he or she may still need to learn voluntary control over his or her internal sphincter in order to relax it at will. Doing so requires regularly inserting a finger, perhaps in the shower each day, and feeling the internal sphincter. The muscle changes spontaneously and in response to behavior. In this instance, simply paying attention is more important than trying to relax. Anyone can gradually learn to control the internal sphincter at will.

5:Anal stimulation provides many kinds of pleasure.

The highest concentration of nerve endings is around the anal opening itself. A finger can focus on them especially effectively. When an object or penis is inserted beyond the anal opening into the rectum, other pleasures are involved. The outer portion of the rectum, like the vagina, has several nerve endings. The inner portion responds mostly to pressure.

Some people enjoy the feeling of pressure and fullness once they understand that these sensations do not presage an impending bowel movement. Rectal pressure is especially important to enthusiasts of “fisting” a form of anal sex in which several fingers or even the entire hand and forearm are inserted into the rectum and sometimes into the lower colon.
In men, the prostate – which is just beyond the rectal wall, a few inches in, toward the front of the body – can be a source of pleasure when massaged by a finger, an object, or a penis. Also, the lower end of the penis, or “bulb”, is near the anal opening. Most types of anal sex stimulate it indirectly.

Anal pleasure can be psychological as well as physical. The anal taboo adds to the thrill of the forbidden. The most common anti – anal message (it’s dirty!) sometimes returns as a source of raunchy, sleazy excitement. Rimming enthusiasts may enjoy the feeling that they are being disgustingly – and delightfully – perverse. Other people regard the anus as a secret, special place. Sharing it with a partner is an act of openness and giving.

6:Anal stimulation can lead to orgasm

A minority of men and women can respond orgasmic ally to anal sex without direct genital stimulation. Women probably do so through pelvic muscle contractions – and small minority even through the sheer excitement of being anally penetrated. When men experience an orgasm from anal stimulation, they tend to focus on the prostate. No doubt they are also responding to indirect stimulation of the penile bulb.

Orgasms from anal stimulation are most likely to occur when the participants become thoroughly absorbed in their sensations and fantasies. An almost certain way to prevent such an orgasm is to become determined to have one. Seeking an anal orgasm will create new pressures and disrupt the pleasure.

It must be remembered that most people require direct genital stimulation in order to climax. On the other hand, a few people have orgasms only with anal stimulation.

7:Diet contributes to the enjoyment of anal sex

Regular bowel movements are the major function of the anus and the rectum. There must be sufficient fiber in a person’s diet to make his or her feces soft, bulky and well formed. This allows a bowel movement to be produced without force or effort. Forced evacuations irritate anal tissue, causing discomfort and adding to muscular tension. Fresh fruits, vegetables, whole grains or unprocessed bran are important sources of fiber.

8:Different rules of hygiene apply to the vagina and rectum.

Since intercourse can be vaginal or rectal, many people assume that the same rules apply for the penetration of the vagina and the rectum. Although both are lined with soft tissue and are capable of expanding, they are radically dissimilar.

The rectum is not straight. After the short anal canal, which connects the anal opening to the rectum, the rectum tilts toward the front of the body. A few inches in, it curves back – sometimes as much as 90 degrees. Then, after a few more inches, it swoops toward the front of the body once again. A person can learn about the shape of his or her rectum by gently inserting a soft object, trying different angles and body positions and concentrating on how it feels. Make sure the object has a flared base so that if you lose your grip, it won’t slip into the rectum and become irretrievable.

The rectum doesn’t produce lubrication like the vagina but only a small amount of mucus. Therefore, rectal penetration always requires a lubricant. Chemical additives should be avoided. Water based lubricants are latex compatible.

The main function of the rectum is to act as a passageway for faeces. But faeces are not normally stored in the rectum except just prior to a bowel movement. Yet small amounts may remain in the rectum, especially if the faeces are not well formed. Anal douching before lovemaking will help some people especially concerned with cleanliness to relax. For others the idea of dirtiness heightens the joy of the forbidden; for them, douching is anti – erotic.

9:Anal intercourse is not necessarily a form of dominance and submission

The top – bottom imagery associated with anal intercourse is widespread. No doubt the belief that anal sex has to hurt contributes to this notion. And in fact some people are intensely excited by top – bottom fantasies about anal sex. The thought that they are submitting to such a degrading act is a terrific thrill. However, actual, not fantasized, anal pain can lead to trouble.

For others, the enjoyment of anal sex is inhibited by top – bottom imagery. The idea of surrendering control, and perhaps submitting to humiliation, causes immediate, protective tensing of the anal muscles. These individuals are more likely to relax and enjoy themselves if they can learn to regard anal sex as pleasurable rather than as an expression of power.

10:Anal sex can be perfectly safe, even beneficial

The taboo against anal eroticism is perpetuated by the almost universal belief among physicians that anal sex is inevitably dangerous. No physical injury from anal stimulation results if both partners refuse to tolerate pain, never use force and avoid the use of drugs.

All the other risks centre on sexually transmitted diseases. Each of the common STD’s – gonorrhea, syphilis, herpes – can affect the anus. Intestinal parasites, bacteria or tiny bugs are usually passed along when fecal matter finds it way into someone’s mouth or vagina, most likely through rimming.

AIDS has complicated the matter. The HIV virus can pass from the semen or blood of an infected person to the bloodstream of a partner through a tiny break in the rectal tissue during anal intercourse. To avoid this risk, anal intercourse and rimming should not be practiced casually. Those who do enjoy anal intercourse should always use a condom. A latex barrier should always accompany rimming. Of course, in a monogamous relationship with two healthy people, the risk of disease transmitted anally is reduced.

Thousands of men and women with chronic anal medical problems have resorted their anal health by challenging their negative attitudes. This approach is indispensable for full erotic enjoyment of the anus.

Dr Elna McIntosh

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Ziena | 2003/12/02

You can go to the archives and read all the Doc's arnswers on anal sex. There are plenty.

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