When it comes to sex, you can never be too safe. Of course, it is a natural act and all, but when you do something wrong, you get punished almost immediately. Such a punishment is rectal bleeding after anal sex. There are multiple reasons why this may occur.
But the occurrence is quite normal and common as well. Most of the time, if you’re bleeding after anal sex, it is because you have not used enough lubes. But if you are experiencing heavy bleeding after anal sex, you need immediate medical attention.

In this post, we are going to talk about how to help bleeding after anal sex and when do you need to go to the doctor?
Is Bleeding After Anal Sex Normal?
When having anal sex, it is very common to tear the lining of your anus. The lining and the rectum are thin, and when there is pressure, it can tear easily. This does not mean that you will have to have anal sex to experience bleeding. Even when you are pooping, the rectum can tear and cause bleeding. So, this is one similarity of anal sex vs vaginal sex that bleeding may occur.
The tear is known as anal fissures that cause red blood, pain, and you can see cracks in the skin around your anus. So, yeah, bleeding after anal sex is quite normal. And so is pain, no bleeding after anal sex.
It mostly happens because your anus does not get excited while having sex. Unlike the vagina, you will have to use a lot of lubes to smoothen things up. If there is not enough lubrication, the pain and bleeding might be more than you imagine.
What Are the Reasons for Bleeding After Anal Penetration?
Anal fissures aside, there are other reasons why bleeding may occur. For example, if your anus already has haemorrhoids due to penetration pressure, it can bleed. Doctors of Mayo Clinic say that we all have haemorrhoids—blood vessels present in our body. When there is pressure, these blood vessels arise. Things like pregnancy, weight gain, pressure on the lower rectum, or anal penetration can allow that to happen.
These blood vessels can swell if you insert an object in your butts, such as your finger or dildo, and they irritate. So, here are the main reasons for bleeding after anal sex:
- Anal fissures are caused by friction—typically due to the lack of lubrication.
- Internal or external haemorrhoids that are undetectable other times and pressure can cause them to swell and bleed eventually.
- Anal warts or condylomata is a sexually transmitted disease that is small in appearance and appears inside or outside the anus. They don’t cause any discomfort and may be itchy and cause bleeding when you itch them.
- Chronic constipation occurs when you push the stool or object out of your anus, and you build haemorrhoids or tears, which can cause bleeding after anal penetration.
- Enemas or douches are typically safe to use. But overusing them can cause more tears during anal sex.
- Lymphogranuloma venereum is an STI that causes swelling of the anus and vaginal or genital area. It may cause bleeding and irritation.
- Anal herpes is a type of herpes that is also an STI and causes white bumps around your anus. These blisters are irritating and cause pain and itching, and bleeding.
How to Avoid Bleeding After Anal Sex?
Just because it is common, doesn’t mean you can’t control or prevent bleeding after anal penetration. The first and foremost thing is to practise safe anal sex. And make sure that you are applying for the safest anal sex positions. Here are some vital anal sex tips that you need to follow before having your first time anal.
- Always use lubes. Otherwise, you can’t have an anal orgasm.
- Start with small things—a lubed pinky finger, then two fingers, a butt plug, and finally a dildo or penis when you are comfortable enough.
- Trim your fingernails
- Always wash your hands before and after anal sex.
- Do foreplay before having sex because your body needs to relax
- Go slowly and gently. Avoid rough sex.
- Don’t forget to use condoms to avoid STIs. As the lining of your anus is quite thin, it is pretty vulnerable to catch infections more easily.
- Take a 10 to 20 minutes hot-water bath in your bathtub and sprinkle Epsom salt in the water. Repeat the bath until the painful anal sex symptoms vanish.
- Use over-the-counter (OTC) creams, ointments, or suppositories to reduce pain after anal sex. If the pain is increasing or does not go away, contact your doctor.
- When your anus is in pain or bleeding, apply a stool softener to make the bowel movement smoother and painless. OTC oral pills or rectal suppositories are such stool softener.
- Eat high-fibre foods such as fruits, veggies, whole grains so that it is easy to pass the stool.
- Check this post to know how to have better anal sex
When to See a Doctor?
If you experience no pain but slight bleeding after anal sex or pain no bleeding after anal sex, you can follow the tips I told you in the previous section. In case of a severer scene, you need to see a doctor. By severer, I mean:
- Heavy bleeding after anal sex
- Recurring spotting after anal sex
- Pain during anal sex even after following the anal sex tips
- Anal swelling or discharge
The doctor will ask you to perform a routine exam to prescribe you medicines and help you cure the problem. You should clear up your anal difficulties with the doctor so that he can give you the proper advice for your condition.
For more tips like this, come back at 2 am Fantasies because I have been talking about Anal sex for a while.

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