Anal sex is an act in which two people have sexual intercourse through the anal cavity.

Though equally popular in heterosexual and lesbian couples, anal sex is commonly associated with gay couples.

The assumptions seem logical because “naturally,” the anus is the only way that can be used in gay couples for sexual intercourse.

But if we include a little science here, we will find out that that “naturally,” the anus is not meant for sexual or any other sort of penetration at all.

According to human anatomy, the anus is a one-way passage designed only to evacuate fecal matter. Unlike a vagina, it is not lubricated or flexible to allow any insertion in it. Even if it is with the consent and willingness of both the partners involved in the act, any insertion in the anus would be forceful. Hence it is common to experience pain, discomfort, and even bleeding while engaging in anal sex, which, of course, cannot be a pleasurable sexual experience for an average person.

As a result of forced penetration, it is typical for the tissues of the inside of the anal cavity to get tears. Similarly, the penis is also not made for penetration in unlubricated and non-flexible cavities, and hence, is as prone to tears as an anal cavity is.

Even if you cannot feel it, there still can be abrasion on the macro level. These minor tears and abrasions expose the bloodstream to the outside environment. Of course, a rectum setting contains fecal matter, which naturally contains a lot of harmful bacteria that our body is trying to emit. Those abrasions serve as an entrance for bacteria to the bloodstream and cause health problems for both the partners.

In addition to that, it highly increases the risk of getting STDs and STIs such as rectal gonorrhea, HIV and chlamydia, and HPV. There are over 40 strains of HPV, some low-risk and some high-risk. Arguably, about half of heterosexual and homosexual men may have it. HPV can cause anal warts and even cancer of the anus.

Not just that, anal sex is unnatural and a health risk for you and others. It is also highly inconvenient and dirty. One would have to take his time to empty the lower part of his rectum to emit any feces in there in a process called “douching.” Douching has to be done right before the penetration and can be a mood killer often.

Despite douching, the chances of the presence of fecal matter are still pretty high. This is why feces come as a by-product of anal penetration on anything used for penetration, including the penis, fingers, sex toys, etc. It is also followed by a disgusting smell that does not wear off any time soon.

The struggle to avoid penetration in fecal matter and then washing it off in case of getting it also adds to the inconvenience. 

Research shows that not all gay males engage in anal sex.

Bespoke Surgical interviewed 300 gay men of different ages about their sex lives and revealed that:

only 13% have anal sex daily

39% have it a couple of times a week

24% have it a couple of times a month

5 in 6 have it at least a few times a year

And one in six has it less than once a year.

This means around 16% of gay men are not into anal sex, which implies that there has to be some way for sexually satisfying oneself while avoiding anal sex, which is highly recommended for the reasons discussed above.

A lot of other sexual practices can be considered for this purpose, such as mutual masturbation.




    1. on November 30, 2020 at 3:28 pm

      I like this post

    2. Classified Equal Rights Classified Equal Rights on December 3, 2020 at 8:12 pm

      Oh! This is a very rich piece.Very Educative. Thank you.

    3. Andleeb Asghar Andleeb Asghar on December 8, 2020 at 8:35 pm


    4. MyGayOpinion MyGayOpinion on December 12, 2020 at 7:54 pm

      Wow this article gave me a “hole” lot to think about. I’m sure medically there are many concerns with anal sex as noted here. I think being informed and doing some research before indulging in anal sex is a good idea. I think that’s the case before indulging in any activity that puts you at risk of contacting any form of disease that can possibly cause death. I do agree with the fact that you can have a perfectly normal sexual relationship that doesn’t involve anal sex, both in an LGBT or heterosexual relationship.

      My issue with this article is calling anal sex “unnatural,” “filthy” and “disgusting.” I think the writer is entitled to his/her/their opinion but it’s a bit judgmental. If 16% of gay men are not into anal sex, then doesn’t that mean that 84% are? If so, that means it’s more natural for gay men to have anal sex than not. Also saying someone “cannot be making love and enjoying pain at the same time” obviously has never seen 50 Shades Of Gray…to be honest, neither have I but I know the deal. There are people who are into some pain with the ones they love, there is a whole BDSM community out there, both LGBT and heterosexual. Again just because the writer isn’t into it, doesn’t mean that it isn’t valid.

      So I give the writer props for writing a piece that is meant to be informative and to keep LGBT people safe and disease free, however I hope anyone reading this who might be into anal sex or a little bit of pain during love-making doesn’t feel any less valuable. I just think whatever someone wants to do sexually, should be done safely and consensually, whatever it may be.

    5. shabnaz shabnaz on December 22, 2020 at 11:53 am

      Thank you for educating us on this important issue. The percentage of homosexual couples involved in anal sex is alarming and it is high time that we educate ourselves about the health issues before engaging in any activity.

      • JEROME JEROME on December 22, 2020 at 2:35 pm

        Thank you for your message. We have a vision to create awareness about sexuality for the risk it contains as well.
        Feel free to message us for further concerns.
        Kind regards,

    6. Perry Ramen Perry Ramen on December 24, 2020 at 6:49 pm

      You just have to look at two people having anal sex to understand that there is something unnatural and unhealthy in the act itself that goes against the laws of nature.

      The ass hole has been created by nature to expel shit and its the last place where you want to put your tongue, finger, toys, fist or dick.

      Its only through education that people will come to understand that anal sex is unnatural and unhealthy.

      Our role is to educate society about the issues related to anal sex and let societies decide by themselves if anal sex should be accepted or rejected by society based on what they have learned.

    7. Amir Malik Amir Malik on December 30, 2020 at 7:28 pm

      Very insightful and informative! More people need to be educated on the dangers of anal sex! Great work!

      Anal sex, despite the fact that it’s an increasingly common sexual activity from Trusted Source, is a bit of a taboo topic. As more couples are pursuing this type of sex, it is important to understand the dangers, rewards, and proper strategy. Anal sex is mainly growing in popularity with couples under 45 years of age, according to the Centers for Disease Control (CDC). In fact, 36 percent of Trusted Source females and 44 percent of Trusted Source males indicated that they had anal sex with an opposite-sex partner in a national survey. You might think of anal sex with a penis as anal penetration, but you have a few more choices. Anal sex with the fingers or tongue may also be done. Female toys, including dildos, vibrators, and butt plugs. Like any sexual activity, anal sex isn’t inherently unsafe. It just requires more planning, prep, and communication than some other forms of sexual activity. Safety during sex should be a top priority.

      Anal Sex Risks
      The anus lacks the natural lubrication that the vagina has: The tissue within the anus may be torn by penetration, allowing bacteria and viruses to invade the bloodstream. This may result in the spread of infections, including HIV, that are sexually transmitted. Studies have shown that anal HIV exposure poses a 30-fold greater risk to the receptive partner than vaginal exposure. It may also raise the risk of the human papillomavirus getting (HPV). The growth of anal warts and anal cancer can also lead to HPV.

      The tissue inside the anus is not as well-protected as the skin outside the anus: There are layers of dead cells in our external tissue that act as a defensive shield against infection. This natural defense does not occur in the tissue within the anus, leaving it susceptible to tearing and the spread of infection.

      The anus was designed to hold in feces: There is a ring-like muscle circling the anus, called the anal sphincter, which tightens after we defecate. Anal penetration, when the muscle is strong, can be painful and difficult. Repeated anal sex will lead to the anal sphincter being weakened, making it hard to hold in the feces before you can get to the toilet.

      The anus is full of bacteria: Bacteria normally in the anus can potentially infect the giving partner.


      There are many reasons why gay, bisexual, and other men who have sex with men may have higher rates of HIV and STDs. Some of them are:

        Prevalence of HIV among sexual partners of gay, bisexual, and other men who have sex with men is 40 times that of sexual partners of heterosexual men;
        Receptive anal sex is 18 times more risky for HIV acquisition than receptive vaginal sex;
        Gay, bisexual, and other men who have sex with men on average have a greater number of lifetime sexual partners.

      Other factors that can negatively impact your health and ability to receive appropriate care:

        Stigma (negative and usually unfair beliefs);
        Discrimination (unfairly treating a person or group of people differently);
        Lack of access to culturally- and orientation-appropriate medical and support services;
        Heightened concerns about confidentiality;
        Fear of losing your job;
        Fear of talking about your sexual practices or orientation.

      One year post surgery, young transgender adults reported a significant increase in experiences with all types of sexual activities: masturbation increased from 56.4% to 81.7%, petting while undressed increased from 57.1% to 78.7%, and sexual intercourse increased from 16.2% to 37.6% post-surgery compared to presurgery. Young transmen and transwomen were almost equally experienced. In comparison with the general population, young transgender adults were less experienced with all types of sexual activities.


    8. Shaheen Arshad Shaheen Arshad on February 6, 2021 at 5:38 pm

      Very informative and helpful! people must read to learn about the danger of anal sex.

    9. Dr Raza Dr Raza on February 6, 2021 at 7:38 pm

      I just spent some time here reading the post and the comments under it. Pretty much about anal sex has been summed up. The post and all the comments under it are thoughtful and persuasive. I also would like to share my thoughts and views about this i.e. Anal Sex.

      The trend of anal sex has mounted up in the past years. (And so have STDs). The hype has been created around anal sex. It has been advertised as some kind of magical pleasurable activity. Social media, digital media, and porn sites, of course, have led to this belief. A lot of people, particularly from our LGBT community, have been made to believe that anal sex is one of the best forms of sex. Sometimes, people try it just because they’ve heard so much about it (and probably have watched it too much).

      We daily hear it as being ‘natural’ and safer apart from being magically pleasurable. Well, the facts aren’t shown by digital media or porn. The facts are different. I can give a diplomatic statement here trying to balance the argument about anal sex. However, being a medical professional dictates me to say what’s the plain truth. Well, the truth is that anal safe is neither safe nor natural. It’s a sexual act done unnaturally.

      Throughout my graduation from medical university, we went from studying Anatomy of the human body to performing surgeries for different conditions. We had to thoroughly study the anatomy of different systems in the human body. We studied that the Anal canal and Anus was the last part of the Gastrointestinal System. Its functions were described as absorption of salts and water back into circulation, formation, and storage of feces and defecation. It was never described as a sexual organ anywhere in any book throughout my graduation. On the contrary, anal sex was almost always one of the top causes of most sexual diseases. AIDS, HPV, and other serious medical and surgical had strong associations with anal sex. The other and rare interaction that I had was receiving the individuals in the surgical ER with bruises, tears, and anal fissures in the anus as a result of anal sex. Though these bruises and tears weren’t much deep, they were enough to cause pain, bleeding, and the need to seek treatment.

      So, from my point of view (medical point of view), it’s neither safe nor natural.

      As far as being pleasurable is concerned, this can be more pleasurable in just movies rather than real life. There can be some people who do enjoy it. But majority suffers from pain and discomfort during and after anal sex. The facts and figures described in the post and comments are genuine and updated. Keep them in mind while thinking about going for anal sex.

      So, if you are gay and looking to fulfill your love with your partner, there are plenty of ways to try other than anal sex. You can enjoy a perfect and beautiful relationship even without anal sex.

      Stay happy, stay safe!

      Dr. Raza


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