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Published on: 9/15/2026
Pain during anal sex usually comes from too little lubrication, too little relaxation, or moving too fast, so generous silicone or thick water-based lube, slow warm-up with fingers or a small toy, and pelvic floor relaxation are the changes that help most, though positioning, condom friction, and going slower on entry matter too. Ongoing pain, bleeding, tearing, burning, or a tight ring of muscle that will not relax can point to an anal fissure, hemorrhoids, infection, or pelvic floor tension that needs treatment rather than technique changes. There are several factors to consider, including which symptoms mean you should stop and get checked, and the full details are below.
Because "normal soreness" and a fissure or infection can feel similar in the moment, it helps to sort out what your body is actually telling you before you try again. Take a free, instant, online symptom check to see what may be causing your pain and what steps to take next.
Last reviewed for medical accuracy: 09/14/2026
Experiencing discomfort or pain during anal sex is common, especially for beginners or after long breaks. With the right preparation, technique, and mindset, you can reduce or eliminate pain and make the experience more enjoyable for both partners.
Anal sex can hurt for several reasons:
Knowing these factors helps you address each one and prevents accidental injury.
Good communication is essential:
Relaxation before and during anal sex is key:
The anus does not self-lubricate. Without enough lube, even slow movement can feel painful.
Recommended lubricants:
Lubrication tips:
Gradual stretching helps the sphincter relax safely:
When you’re ready for full penetration:
Choose the right position:
Slow entry:
Gradual motion:
Your pelvic floor muscles (inside hips and lower back) can tense involuntarily. Practice:
Anal sex can take time to master. Common pitfalls:
Keep track of what works (positions, lube types, breathing patterns) and what doesn’t. Journaling these details can help you fine-tune future sessions.
Most mild discomfort resolves within a day or two. Seek medical attention if you experience:
You might also consider doing a free, online symptom check, using the doctor approved Ubie Symptom Checker to help identify any issues needing further evaluation.
Always consult a healthcare professional if you’re concerned about:
Your doctor can offer personalized advice, check for underlying conditions, and make sure you’re healthy enough for anal sex. Never hesitate to reach out—early treatment prevents complications.
Anal sex can be comfortable, pleasurable, and a fulfilling part of your sex life with the right approach. By focusing on relaxation, communication, ample lubrication, gradual stretching, and mindful technique, you’ll reduce pain and enhance pleasure. If anything feels serious or life-threatening, always speak to a doctor. Enjoy exploring safely and respectfully!
(References)
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* Faustino MJ. Representations of heterosexual anal sex in Cosmopolitan magazine. Cult Health Sex. 2021 Aug;23(8):1050-1065. doi: 10.1080/13691058.2020.1755453. Epub 2020 May 28. PMID: 32463331.
* Pfäfflin F, Wendisch D, Scherer R, Jürgens L, Godzick-Njomgang G, Tranter E, Tober-Lau P, Stegemann MS, Corman VM, Kurth F, Schürmann D. Monkeypox in-patients with severe anal pain. Infection. 2023 Apr;51(2):483-487. doi: 10.1007/s15010-022-01896-7. Epub 2022 Aug 12. PMID: 35960457; PMCID: PMC10042938.
* Gaither TW, Vincent NW, Piqueiras E, Barzallo D, Siapno A, Williams KC, Russell M, Litwin MS. Atlas of the receptive anal sex experience among people with prostates. J Sex Med. 2023 Feb 14;20(2):126-138. doi: 10.1093/jsxmed/qdac024. PMID: 36763914.
* Gaither TW, Siapno AED, Kianian R, Vincent N, Williams KC, Piquerias E, Russell MM, Litwin MS. Relationship between pelvic sensations and lifetime exposure to receptive anal intercourse among people with prostates. J Sex Med. 2023 Aug 25;20(9):1195-1205. doi: 10.1093/jsxmed/qdad099. PMID: 37548267.
* Strobel TM, Desai NA, Arrington-Sanders R. Acute Infectious Proctitis in Adolescents. Pediatr Rev. 2023 Sep 1;44(9):491-497. doi: 10.1542/pir.2022-005862. PMID: 37653133.
* Balcazar JA, Gaither TW, Anderson M, Russell MM, Litwin MS. Understanding the Experience of Receptive Anal Intercourse in Patients With Chronic Pelvic Pain Syndrome. Urology. 2025 Oct;204:295-301. doi: 10.1016/j.urology.2025.06.015. Epub 2025 Jun 12. PMID: 40516704; PMCID: PMC12802362.
* Gaither TW, Anderson M, Balcazar JA, Russell MM, Litwin MS. Assessing Anorectal Sexual Function: Validity and Clinical Utility of a New Measure. J Gen Intern Med. 2025 Sep 19. doi: 10.1007/s11606-025-09852-5. Epub 2025 Sep 19. PMID: 40973875; PMCID: PMC12802359.
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