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To have anal sex safely, keep these tips in mind:

• Always use a condom. A new condom should be used for every new sex act. Couples should never use the same condom for vaginal and anal sex. Those who engage in analingus – oral stimulation of the anus – should use dental dams or another type of barrier so that the mouth and tongue are not in direct contact.
• Use a lubricant. This can decrease friction in the anus and decrease the risk of tears. Keep in mind that a water soluble (water-based) lubricant should be used with a condom.
• Relax beforehand. Being relaxed can make anal penetration more comfortable. Contracting and relaxing muscles of the anus a few times before penetration may help.

Anal sex does not appeal to all partners. If one partner is not willing – or if the activity hurts – couples should try another form of intimacy.

Partners who experience severe pain, bleeding, sores, or discharges from the anus should see their doctor as soon as possible.

In cases of painful anal sex or inability to enable anal penetration (anysmus), consulting an expert in sex therapy is recommended.