Anal Sex: Risks Of Infection, Orgasms, & Pregnancy, Expert Explains

There are several misconceptions and myths about anal sex. Here’s what our expert has to say. 

Navya Kharbanda
Written by: Navya KharbandaUpdated at: Nov 29, 2022 19:13 IST
Anal Sex: Risks Of Infection, Orgasms, & Pregnancy, Expert Explains

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Many tend to believe that anal sex is a safer bet than vaginal sex when it comes to the chances of conceiving. However, there are several risks involved with anal sex, including the possibility of getting pregnant. Not everyone may even enjoy anal sex. And one needs to be aware of it all before agreeing to have sex of any kind. It is very important to have healthy boundaries in sexual relationships and it is imperative to ask for and receive consent before engaging in any type of sexual activity. 

The same holds true for anal sex. The easiest way of building a foundation of trust and safety in any sexual relationship is to talk about your preferences for example, what you and your sexual partner like and dislike, what you want, and what your limits are, before engaging in any kind of sexual activities. By having this conversation ahead of time, you can set clear boundaries and ensure that both you and your partner feel safe, comfortable, and respected by one another. OnlyMyHealth editorial team spoke to Dr. Sandip Deshpande, Medical lead (Psychiatrist, Sexual and Relationship Therapist), Allo Health, to know more about anal sex. 

Things to know about anal sex

1.  Can anal sex lead to pregnancy?

Anal sex doesn’t lead to pregnancy. However, if the semen enters the vagina at any point, pregnancy may occur. If people engage in other sexual activity, the chances of pregnancy might occur. 

2. Is pre-ejaculation possible in anal sex as well?

Pre-ejaculation or premature ejaculation is generally considered risky if partners are planning to get pregnant. It quite is likely in anal sex as well as its a form of penetrative sex. The actual cause of premature ejaculation can be related to psychological, biological, and mental causes. Some of the factors are irregular hormone levels swelling and infection of the prostate or urethra, relationship stress, depression, etc. The causes and treatments are the same as peno-vaginal intercourse.

3. Risk factors of anal sex?

anal sex

There are some painful risks associated with anal sex:

1. Tears and bacterial infection

Unlike vagina, the anus is not as elastic in nature. Also, the anus cannot create natural lubricant like the vagina. The anus doesn’t have the saliva like the mouth either and the rectum’s lining is thinner in comparison to the vagina. So, the lack of lubrication and thinner tissues may increase the risk of friction-related tears in the rectum and anus. Anus naturally contains the stool bacteria that pass through the rectum as well, leaving a potential room to attract more bacteria and these bacteria can invade one’s skin after the tears. 

2. Increased risk of STIs

As anal sex can lead to bacterial infection, it can also increase the risk of STIs too. Some STIs that one can be affected with include chlamydia, gonorrhoea, hepatitis, and herpes. Also, anal sex has the highest risk to transmit HIV transmission too.

Also read: Everything You Need To Know About STI And It’s Prevention, Doctor Elucidates

4. Can anal sex make you orgasm?

Contrary to popular belief, orgasms from anal sex are totally possible despite any clitoral or vaginal stimulation involved. There are thousands of never endings located in the genitals and anal canal which are responsible for sending messages to your brain when you feel sensations such as heat, cold, pain, and pleasure. People of all genders can enjoy stimulations of these nerve endings with any guilt or shame. It is one of the many ways to reach climax, but it may not be possible for everyone to reach it through anal stimulation.

5. Safety measures for anal sex

Apart from safety measures, one must always maintain hygiene to get rid of any risk factors. Some of the tips for safe anal sex include:

  • Talking to your partner: Speak and share your desires and wants. With any physical activity, there needs to be consent from both parties.
  • Use a protection or condom method: This will eliminate the risk of STI. But one must be sure of using a new condom while switching from vaginal sex to anal. 
  • Lubrication: It is important to lubricate to avoid the risk of any kind of tears in the rectum and anus.