Sexo Anal: dos cuidados às infecções sexualmente transmissíveis

ANAL SEX
From care to sexually transmitted infections

The practice of anal intercourse dates back to very ancient records, more than 4000 years ago, among the Assyrians, peoples of Mesopotamia or Ancient Greece. And, despite being a subject much discussed today and even with more reports of its practice, there are still many taboos or prejudices on the subject. And, because of this, there is little discussion of guidelines on the subject or on the risks involved.

Lubrication
The anal canal is not an anatomically prepared region by itself for sexual practice, as it does not have adequate lubrication. It is necessary to use lubricants, especially water-based, and without anesthetic products or that alter the sensitivity of the anal canal. This sensitivity is very important because it allows the perception of pain, preventing continuity of the sexual act and preventing injuries to the anal canal.

Consent
In addition to adequate lubrication, it is very important that there is good communication between people who have anal sex, and consent, so that there is adequate relaxation of the anal muscles, reducing discomfort or pain. The passive person can perform rectal enemas with due care, or specific care with food, to avoid constraints such as dirtiness during sexual practice.

Protection
As important as the mutual desire between people who practice anal sex, the proper use of lubricants and care to avoid trauma to the anal canal, is the knowledge that condoms are needed to avoid sexually transmitted infections (STIs)._cc781905-5cde -3194-bb3b-136bad5cf58d_

Illnesses
The passive person has a greater chance of acquiring STIs than the active person. Therefore, it is important to be aware of anal lesions, ulcers or small cuts, warts, discharge or bullous lesions. Numerous conditions can be transmitted with this sexual practice, such as Syphilis, Herpes, HPV and HIV.

routine assessment
People who are passive should see a specialist at least once a year for anal canal evaluation, for screening for precancerous anal canal lesions such as HPV lesions. And, in any alteration in the anal canal, bleeding, pain, verrucous lesions, discharges, ulcerations, look for a specialist doctor for an adequate evaluation.

Exam
The evaluation of the anal canal is done through an exam called Anoscopy, which can be performed in a doctor's office. In this exam, it is possible to identify STI lesions, collect material for clinical investigation, and treat certain types of lesions, such as those caused by HPV, the main responsible for anal cancer.

objects
Another modality practiced in the anal canal is the introduction of objects. It is important to emphasize that the placement of devices not suitable for this practice, without proper care and without lubrication, can cause injuries such as fissures, lacerations, bleeding, changes in the muscles of the anal canal causing fecal incontinence, and even impalement, which is when the object gets stuck in the rectum or anal canal, even requiring surgical treatment, occasionally.