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Safety of anal sex in heterosexual couple

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We are a 26 years old straight couple in a long term relationship. We are aware the anal sex is not recommended, yet we wish to do it because of personal reasons. Some quick facts about us:

1- We are both virgin and are not planning on engaging in vaginal sex.
2- We have done blood tests and both are STD-free.
3- We don't have any other sexual partner.
4- We use a condom and lots of lubricant (specially made for anal sex).
5- No tear is likely regarding the penile girth!

Knowing the above facts, is trying anal sex once in a while pose any long term risk to us (Specially to her)?

We are determined in engaging in anal sex and are willing to do anything to reduce or eliminate its long term risks.

We appreciate your advice!

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 21 Doctors Online


Thank you for choosing DoctorSpring.

Considering the information you have provided, (STD free, Condom use+) it is safe to go for Anal sex. There is no long term complications for your or your partner if you take proper STD precautions.

Do keep in mind to use lubricants liberally. Do not moving from anal to vaginal sex without first changing condoms. There might be slight pain and discomfort initially. However if there is tearing pain, sever discomfort for your partner you should not proceed with it.

Generally it is safe.

Hope this helps
Feel free to ask followups.
Thank you

Patient replied :

Thanks for your reply. Do you have any recommendation on how to reduce the pain and discomfort (besides lubricant and foreplay)? The last time we had anal sex she was in a lot of pain even though she did not ask me to stop.

Also, she told me that she is scared which makes her tense the muscle unintentionally. She was asking whether there is any medication she can take (preferably OTC) to help her relax her mind and body.


The anal muscle and (sphincter) should relax for the experience to be painless. Pain, anxiety, stress etc will make it tight (hard to relax). Slow and steady is the best way to go here. Do not proceed if there is severe pain as it will cause anticipatory contraction of the muscle next time.

There are no safe medications recommended. (although nifedipine and NO containing medications are used sporadically ). Trial and error would be the best method to go.

Hope this helps
feel free to ask followups

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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