Anal intercourse – Precautions
The use of condom is essential to prevent HIV infection and other sexually transmitted diseases of the anus.
The use of a condom is essential to prevent HIV infection and other sexually transmitted diseases of the anus. Whilst it is very important, condoms do not completely protect from HPV infection. HPV is very common in the genitals of MSM (men having sex with men) (70%) and HIV-positive MSM (90%). HPV does not always cause the cauliflower-like lesions in the penis or the anus. Consequently, the use of condoms is always necessary, even if there are no signs of warts on the penis or the anus. HPV is easily transported by objects or hand contact, so necessary precautions (e.g. washing) should be taken after touching partner’s genitals. Also, HPV easily infects the mouth and the pharynx.
- Anal intercourse should be performed gradually and with the partner’s consent. Violent penetration may cause tears, bleeding, swelling and infections. Before penetration, anal sphincters should relax with digital insertion, toys and relaxation.
- The use of water-soluble lube is necessary. A fat-soluble lube may cause bursting of the condom.
- Never attempt anal penetration if you have taken any medicines or drugs.
- Be sure not to have multiple sexual partners because the risk of viral or bacterial infection is increased.
- Never use cortisone ointments because HPV infection may exacerbate and anal warts may appear.
- Avoid smoking.
- Every year blood tests should be performed for HIV, hepatitis and syphilis. Also, anal smears for gonococcus and Chlamydia should be taken.
Every three years (but every year for HIV-positive men and women) high resolution anoscopy should be performed in order to identify an HPV infection or dysplasia in early stage.