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Bleeding After Anal Sex

Published: February 11, 2013
Dear Bleeding After Anal Sex,

I am a 18yo girl and I was having anal sex with my boyfriend and when he took his penis out the was blood on it. I have done a lot of anal and this has never happened before! My stomach hurts a bit now and I'm worried I might have torn the inside of my recrimination and caused internal bleading or something like that.


Dear Bleeding After Anal Sex,

“Recrimination” is a word associated with making accusations towards another person, not something having to do with injuries related to anal sex. What FX is assuming is that you are concerned about some kind of internal damage being done due to having anal sex, and so we will respond to that concern.

The tissue inside of the anus is delicate, which leaves it vulnerable to tearing and the spread of infection from anal sex. Serious injury from anal sex is not common, but because the tissue of the anus is delicate, tears can occur. That said, the bleeding you are experiencing could certainly be from a tear in the tissue of the anus or due to a hemorrhoid. FX would recommend you take some time off from having anal sex to give the area time to heal. If you do have anal sex in the future, make sure the area is well-lubricated (as noted below) and stop if you notice any pain or discomfort. If the bleeding persists or you are experiencing any continued pain or discomfort in the area, schedule an appointment with your doctor.

If you don't have a doctor and live in northern New Jersey, you can call the Adolescent/Young Adult Center for Health at 973-971-5199 for an appointment with an adolescent medicine specialist or contact your local teen health center or Planned Parenthood. You can also contact your insurance company for a list of in-network providers.

 

Some additional information about anal sex:

  • The anus usually does not make enough lubrication for comfortable anal sex, so it is important to use a water-based lubricant (such as K-Y jelly or Astroglide). Do not use oil-based lubricants, such as petroleum jelly, since they can damage latex condoms. 
  • Because the tissue inside the anus is delicate, anal sex is considered high-risk behavior for the transmission of HIV and other STDs – so condoms should be used 100% of the time during anal sex.
  • The ring-like muscle surrounding the anus is called the anal sphincter, which tightens after we have a bowel movement in order to hold in feces. Repetitive anal sex can lead to the anal sphincter weakening, making it difficult to hold feces until you get the toilet. It is possible for Kegel exercises to prevent or correct this problem.  
  • Because the anus is full of bacteria, having vaginal sex after anal sex can transmit bacteria and lead to vaginal and urinary tract infections.

FX would also like to say that not everyone enjoys anal sex – and that is okay. If you are not comfortable participating in anal sex, tell your partner it is not something you want to do. And if you decide to try it, know that it is fine to change your mind if you see you do not enjoy it and definitely if you feel any pain or discomfort.

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