Anal Sex: What You Need To Know Before Getting Started | How to Prep for Anal Sex by a GI Doctor

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Episode Highlights
Sphincter Injury
Dr. Rena Malik and Dr. Kung Patel address common concerns about sphincter injury, anal prolapse, and fecal incontinence related to anal play. Kung emphasizes the importance of going slow, using appropriate lubrication, and starting with smaller items like fingers or butt plugs to prevent injuries. He also advises on dietary choices to ensure bowel cleanliness and reduce the risk of accidents during anal play 1 2.
If it's too fast and too hard and too soon in any of those orders, it can happen. You can tear some of the skin in the anal verge. Just by entering too fast without it having been stretched out.
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Rena adds that using the right type of lubricant, such as water-based or silicone-based, can further minimize the risk of injury 2.
Pelvic Floor Dysfunction
Anal play can significantly impact pelvic floor dysfunction, especially if there is a history of trauma. Kung explains that the body needs an outlet for stress, and if not given one, it will manifest in physical symptoms like migraines or digestive issues 3. He stresses the importance of acceptance and relaxation to prevent pelvic floor dysfunction during anal play.
A lot of pelvic floor dysfunction does happen from anal trauma or sexual trauma that happened that was not welcomed. And so when it was not welcomed, your body tensed up and was like, no, I don't want this.
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Rena and Kung agree that understanding and addressing these issues can lead to a healthier and more enjoyable experience 4.
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