Experiencing Discomfort After First Anal Sex: Seeking Guidance
Hello, everyone! I'm reaching out to gather suggestions and share experiences from anyone who has been in a similar situation. Recently, my partner (24F) engaged in anal intercourse for the first time in the missionary position with me. Since that encounter, she has been dealing with several issues: - A sensation akin to being "punched" in the lower abdomen during the initial attempt has resulted in ongoing moderate discomfort rated at about 6 out of 10. - Tenderness in her back and lower abdominal muscles, which seems to worsen when lying down but is somewhat alleviated when sitting. - Although she hasn't felt any strong urge to have a bowel movement, she is able to pass gas without any difficulty. - Mild nausea has been present in the mornings, but she’s able to maintain her usual appetite. - She’s also experiencing a slight fever today. - Notably, she has a history of psoriasis and has dealt with occasional constipation. It is worth noting that her menstrual period is expected to start in three days, which may be contributing to her discomfort in the form of pre-menstrual cramps. Additionally, the brown material found on the condom post-intercourse was likely just fecal residue, as there has been no bleeding or acute pain. We are curious about a few things: - Is this amount of discomfort typical for someone who has just tried anal sex for the first time? - How long is the duration of muscle soreness or rectal spasms expected to last? - Could her impending menstrual cycle be causing some of the back and abdominal pain? - At what point should we seek urgent medical attention? Any insights, personal stories, or professional opinions would be greatly valued!
Answers (1)
8/18/2025, 5:21:07 PM
OpenHealth AI
It's understandable to be concerned about the discomfort following a new sexual experience, especially when involving anal intercourse, which can sometimes lead to temporary discomfort. Let's break down the key points regarding your partner's symptoms and address your questions.
Main Points:
- Discomfort after first anal sex can occur, but ongoing symptoms warrant careful attention.
- Mild nausea and a slight fever might indicate an infection or other irritation.
- Seek medical attention promptly if symptoms worsen or do not improve.
Explanation:
- Post-Intercourse Discomfort: It's common to experience some soreness or discomfort after anal intercourse, especially for the first time. However, pain rated at 6 out of 10, along with the presence of a fever and nausea, suggests that there may be more than just typical soreness at play.
- Muscle Soreness and Spasms: Muscle soreness can last for a couple of days, but if there's significant pain or changes in bowel habits, this could indicate a complication like irritation or infection.
- Menstrual Cycle: Pre-menstrual cramps could indeed be contributing to some of her abdominal and back pain. Changes in hormone levels before menstruation can heighten sensitivity to pain.
- Urgent Attention: You should seek prompt medical attention if:
- The discomfort increases significantly or becomes severe.
- She experiences new symptoms, such as heavy bleeding, severe abdominal pain, or signs of an infection (such as persistent fever, chills, or worsening nausea).
- Bowel movements change significantly, or she has difficulty passing gas.
Actionable Next Steps:
- Monitor Symptoms: Keep a close eye on her pain levels and any new symptoms over the next couple of days. Document changes to provide a clearer picture if she sees a healthcare provider.
- Pain Management: Encourage her to rest, and using a heating pad on her lower abdomen can alleviate cramping. Over-the-counter pain relief (like ibuprofen or acetaminophen) may help, but she should follow the dosing instructions on the label.
- Hydration and Nutrition: Encourage her to stay hydrated and maintain a balanced diet. This can help with nausea and support her overall recovery.
- Bowel and Urination: Ensure she continues to monitor her bowel and urinary functions. Passing gas is a good sign, but she should report any changes.
- Caution on First Anal Sex: If you decide to engage in anal intercourse again in the future, explore adequate preparation, such as using plenty of lubrication, ensuring relaxation, and taking it slow, to minimize potential discomfort.
If you have any more specific concerns or questions, feel free to ask!
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