Anal Play: Risks and Recommendations for Men - Gastroenterology and Hepatology

Issues related to anal intercourse in men?

Hello, doctor.
I have had a habit of inserting my fingers into my anus and massaging my prostate for masturbation for the past year.
I always use lubricant, and I do this about 3 to 4 times a week.
Additionally, I have a habit of using a bidet to clean my anus after bowel movements, so I am quite accustomed to anal stimulation.
About a month ago, I started to notice that when I am anxious, I can't help but feel the urge to defecate, or I can't distinguish between soft stools and passing gas, which has led to some accidents in my pants.
I have also experienced an increase in symptoms of irritable bowel syndrome.
After noticing this happening about 2 to 3 times a week, I reduced my masturbation frequency to every two to three weeks, and I feel that there has been some improvement.
However, I am a bit concerned whether this frequency could lead to fecal incontinence in the long term.
What would be the optimal frequency for anal masturbation or sexual activity?

A Feng, 20~29 year old female. Ask Date: 2023/08/18

Dr. Lin Minghui reply Gastroenterology and Hepatology

Regarding whether frequent stimulation of the anus can lead to incontinence, it is theoretically related to the function of the anal sphincter.
However, there may be other issues associated with long-term stimulation of the anus.
It is advisable to consult a proctologist or an infectious disease specialist.
Wishing you good health!

Reply Date: 2023/08/18

More Info

Engaging in anal play, including finger insertion and prostate massage, can be a pleasurable experience for many men. However, it is essential to understand the potential risks and recommendations associated with this practice, particularly when it comes to frequency and technique.

Risks of Anal Play
1. Physical Injury: The anal area is sensitive, and improper technique or excessive force can lead to tears, fissures, or other injuries. Using adequate lubrication, as you mentioned, is crucial to minimize friction and reduce the risk of injury.

2. Infections: The rectum is home to a variety of bacteria. If proper hygiene is not maintained, there is a risk of introducing bacteria into the urethra or other areas, potentially leading to urinary tract infections (UTIs) or other infections.

3. Nerve Damage: Frequent or aggressive anal play can potentially lead to nerve damage, which may affect bowel control. This could explain the symptoms you’ve been experiencing, such as the inability to distinguish between gas and stool.

4. Psychological Effects: Some individuals may experience anxiety or stress related to anal play, especially if they feel they are losing control over their bowel movements. This can create a cycle of anxiety that exacerbates the issue.

Recommendations for Safe Anal Play
1. Frequency: While there is no one-size-fits-all answer to how often one can engage in anal play, moderation is key. Since you have reduced your frequency to every two to three weeks and noticed some improvement, this may be a good approach for you. Listening to your body and adjusting based on how you feel is important.

2. Technique: Always ensure that you are using plenty of lubricant. Water-based or silicone-based lubricants are often recommended. Additionally, start slowly and gently to allow your body to adjust. If you experience pain or discomfort, it’s essential to stop.

3. Hygiene: Maintain good hygiene before and after anal play. This includes washing your hands and any objects used for stimulation. If you are using toys, ensure they are specifically designed for anal use and are cleaned properly.

4. Communication: If you are engaging in anal play with a partner, communication is vital. Discuss boundaries, comfort levels, and any concerns you may have.

5. Consult a Healthcare Professional: If you continue to experience symptoms such as urgency or incontinence, it may be beneficial to consult a healthcare professional. They can provide personalized advice and assess whether there are any underlying issues that need to be addressed.

Conclusion
In summary, while anal play can be a safe and enjoyable experience, it is essential to approach it with caution and awareness of your body’s signals. Reducing the frequency of your activities seems to have had a positive effect, and continuing to monitor your body’s responses will help you maintain a healthy balance. If you have ongoing concerns about bowel control or any other symptoms, do not hesitate to seek professional medical advice.

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