You have full access to this open access article. Recent evidence shows that consensual anal penetrative intercourse has become more prevalent, not only limited to gay, bisexual, and other men who have sex with men but also for women who are in a sexual relationship with men.
We reviewed 68 references that showed that anal penetrative intercourse is a risk factor for anodyspareunia and fecal incontinence in both men and women.
This risk of anal intercourse may increase with emotional discomfort, an overactive pelvic floor, lack of lubrication, frequency of anal penetrative intercourse, and hard practice BDSM: bondage and discipline, dominance and submission, sadism, and masochism. It seems that pelvic floor physical therapists play an essential role in preventing and treating pelvic floor dysfunctions due to anal intercourse, which can lead to anodyspareunia and fecal incontinence; the treatment includes education, pelvic floor training with and without biofeedback, electric stimulation, manual therapy, and dilatators.
Further studies are warranted to enhance our understanding of the causes and treatment efficacy of pelvic floor dysfunctions due to anal penetrative intercourse. However, it does not always mean penetration with a penis; sex toys, fingers, or a tongue can achieve penetration.
Although in the past, anal penetrative intercourse was attributed mainly to gay male activity, people of all sexual orientations and gender identities engage in anal sex Brennan, Recent evidence shows that anal penetrative intercourse has become more prevalent during the past two decades and is not limited only to gay men. Recently, research has shown that the practice of anal penetrative intercourse is increasing among men and women in sexual relationships in the USA and the UK Leichliter, The prevalence of men and women anal intercourse varies by age and subgroups.
