For over 10 years, teens have been asking us questions on every topic imaginable. While we are no longer taking new questions, we have a wealth of information we would like to share with teenagers.
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If you have a sense of looseness in the anal muscles or are having difficulty controlling your bowel movements then there is damage to the muscles and you need to stop having anal sex until everything has healed. The set of muscles that keep the anus closed can be injured or torn if penetration is too rough. A good rule is if it hurts, STOP IT.
However, in general the muscles usually relax and are not injured or damaged in which case there is no "healing" that is required.
A good resource about anal sex is found at WebMD: http://www.webmd.com/content/pages/16/99297.htm.
Remember that sexually transmitted infections, including HIV, are easily passed during anal sex and condoms should be used at all times!
Steve Johnson , PA-C