Anal intercourse – Precautions
The use of a condom is essential to prevent an HIV infection and other sexually transmitted diseases in the area of the anus. Whilst it is very important, condoms do not completely protect from an infection with HPV. The HPV is very common in the genitals of gay men (70%) and HIV-positive people(90%), but in many occasions the virus does not cause the characteristic lesions (they look like a cauliflower) in the penis or the anus. For this reason, condoms are always necessary, even if there are no signs of warts on the penis or the anus. The HPV is easily transported by objects or hand contact, so all the necessary precautions are required (e.g. washing). Also, the HPV is easily transferred in the mouth and the pharynx.
- The anal intercourse should be performed gradually and with the partner’s will. Violent sex usually leads to injury, so infections can be frequent. Firstly, the anal sphincters should be loosen with proper preparation and relaxation exercises.
- The use of water-soluble lubricant is necessary. If the lubricant is fat-soluble, the condom may burst.
Never attempt an anal penetration if you have taken any medicines or drugs.
Be sure not to have multiple sexual partners because a possible infection by viruses or bacteria is multiplied on this occasion.
Never use cortisone ointments because the frequent infection with HPV may appear with anal warts.
- Avoid smoking.
- Every year blood tests have to be done in order to discover a possible infection with HIV, hepatitis and syphilis, and also anal smear cultures for gonococcus and chlamydia.
- Every three years (but every year for HIV-positive men and women) a high resolution anoscopy should be performed in order to find out an infection or dysplasia caused by HPV.