Anal dyspareunia – biological and psychosocial correlates of painful anal intercourses in population

Plewka, Aleksandra; Haak, Dominik

doi:10.12740/pp/onlinefirst/145891

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Criteria for the measurement of anodyspareunia -recurrent or persistent pain that occurs before, during or after RAI 132 -are varied and include elements similar to those used to measure dyspareunia and vaginismus 15,[133][134][135] . Some have advocated for a standardized clinical definition of anodyspareunia that aligns with genitopelvic pain or penetration disorders 15 but criteria used in existing studies vary.…”

Section: Anodyspareunia and Painful Raimentioning

confidence: 99%

“…Additionally, defecation concerns, including defecation during RAI, were associated with anodyspareunia in a cohort of cisgender sexual minority men without any particular medical comorbidities engaging in RAI in the 4 weeks prior (n = 135) 150 . Normalizing and discussing RAI, affirming pleasurable RAI, and offering mitigation strategies can help prevent unnecessary phobias and resultant pain and dysfunction 135,143,151 .…”

Section: Anodyspareunia and Painful Raimentioning

confidence: 99%

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Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus

Dickstein,

Edwards,

Rowan

et al. 2024

Nat Rev Gastroenterol Hepatol

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The ability to experience pleasurable sexual activity is important for human health. Receptive anal intercourse (RAI) is a common, though frequently stigmatized, pleasurable sexual activity. Little is known about how diseases of the colon, rectum, and anus and their treatments affect RAI. Engaging in RAI with gastrointestinal disease can be difficult due to the unpredictability of symptoms and treatment-related toxic effects. Patients might experience sphincter hypertonicity, gastrointestinal symptom-specific anxiety, altered pelvic blood flow from structural disorders, decreased sensation from cancer-directed therapies or body image issues from stoma creation. These can result in problematic RAI -encompassing anodyspareunia (painful RAI), arousal dysfunction, orgasm dysfunction and decreased sexual desire. Therapeutic strategies for problematic RAI in patients living with gastrointestinal diseases and/or treatment-related dysfunction include pelvic floor muscle strengthening and stretching, psychological interventions, and restorative devices. Providing health-care professionals with a framework to discuss pleasurable RAI and diagnose problematic RAI can help improve patient outcomes. Normalizing RAI, affirming pleasure from RAI and acknowledging that the gastrointestinal system is involved in sexual pleasure, sexual function and sexual health will help transform the scientific paradigm of sexual health to one that is more just and equitable. Sections Key points• Receptive anal intercourse (RAI) is common worldwide.• Pleasurable RAI occurs through stimulation of the perianal or anal nerves and prostate or paraurethral glands, inducing vasodilation, erectile tissue engorgement, anopelvic tissue sensitization, and anal sphincter and pelvic muscular contractions.• Patients with a stoma and anorectal stump should be counselled on hygiene and dilator use to minimize infections, maintain anorectal patency, and prevent a permanent stoma, promoting RAI restoration.• Antidiarrhoeals, anti-flatulence medications, fibre supplements, lower residue diet to control regularity, avoiding spicy foods, timing meals, and defecation prior to RAI can help control symptoms and relieve distress.• Survivors of anal, rectal, and colon cancer and patients with gastrointestinal disease should be counselled on problematic RAI due to anal sphincter, neurovasculature, and prostate or paraurethral gland damage resulting in arousal dysfunction, anodyspareunia or orgasm dysfunctions.• Management strategies, including anal dilators for anodyspareunia, anal vibrators for arousal disorders, pelvic floor strengthening for anorgasmia and psychological interventions for decreased desire, should be discussed with patients.Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author selfarchiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

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Section: Anodyspareunia and Painful Raimentioning

confidence: 99%

Section: Anodyspareunia and Painful Raimentioning

confidence: 99%

Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus

Dickstein,

Edwards,

Rowan

et al. 2024

Nat Rev Gastroenterol Hepatol

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Pelvic Floor Disorders Due to Anal Sexual Activity in Men and Women: A Narrative Review

Chen,

Kalichman

2024

Arch Sex Behav

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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. The aim of this review was to study the influence of consensual anal intercourse on pelvic floor function and the role of pelvic floor physical therapy treatment in preventing or treating consensual anal intercourse-induced anodyspareunia and/or fecal incontinence. 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.

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A Systematic Review Looking at Anodyspareunia Among Cisgender Men and Women

Nercessian¹,

Banbury

Chandler

2023

Journal of Sex & Marital Therapy

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Anal dyspareunia – biological and psychosocial correlates of painful anal intercourses in population

Cited by 3 publications

References 21 publications

Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus

Pleasurable and problematic receptive anal intercourse and diseases of the colon, rectum and anus

Pelvic Floor Disorders Due to Anal Sexual Activity in Men and Women: A Narrative Review

A Systematic Review Looking at Anodyspareunia Among Cisgender Men and Women

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