Bottom

The anus is located at the bottom of the rectum. It contains two strong sphincter muscles—one of which we control voluntarily, allowing us to hold in stool. It requires significant force to damage this strong sphincter, and it is quite rare for this to occur during anal intercourse when done properly. It is more likely for tears or fissures to develop in the anus itself, which usually heal on their own but can carry a risk of infection. Persistent fissures or wounds near the anus should be examined by a doctor.

The rectum is the final part of the digestive system, located after the colon. It is highly sensitive and contains many capillaries that can tear and cause minor bleeding. This can happen due to constipation or during anal intercourse. Therefore, it is essential to always proceed gently when inserting anything into the rectum.

Due to its capillary-rich lining, sexually transmitted infections (STIs) can also be transmitted during anal intercourse. It is crucial to always use a condom if your partner is unsure of their STI status. Condoms also help protect against bacteria and potential traces of stool from the rectum.

The rectum does not self-lubricate, meaning there is significant friction against its mucosal lining. Using lubricant during anal intercourse is critical to prevent tears and discomfort.

The rectum acts like a vacuum due to pressure differences. Small objects inserted into the rectum can be drawn all the way up to the start of the colon, requiring medical assistance for removal. For this reason, inserting objects into the rectum is not recommended unless they are specifically designed for that purpose. Such items typically have a wide, sturdy base to prevent them from being pulled further into the rectum.

Small traces of stool are a normal part of anal intercourse. Excessive cleaning of the rectum is not advisable. The best approach is to use plenty of lubricant and a condom during anal sex. However, if desired, the rectum can be rinsed before sexual activity, provided this is done infrequently and correctly.

1. Use only lukewarm water. Tap water is fine, but saline solution is ideal. Avoid introducing any other fluids into the rectum.
2. Relax the internal sphincter with gentle touch. The external sphincter will relax naturally under control.
3. Insert water using a specialized enema/douche device. Apply lubricant to make the nozzle insertion comfortable. Resting one foot on the toilet seat can aid the process.
4. Use a small amount of water. Inject only the amount held by the device.
5. Hold the liquid for a few seconds, if possible, before releasing it into the toilet or shower.
6. Allow up to an hour for all liquid to pass out. Avoid engaging in sexual activity immediately after rinsing.
7. Limit rinsing to once per day, 2-3 days per week.