A recent comprehensive review published in Nature Reviews Gastroenterology & Hepatology explored the complex interplay between receptive anal intercourse and diseases of the colon, rectum, and anus, along with their treatments.
The review highlighted the significant yet underexplored impact of gastrointestinal diseases and related treatments on the ability to engage in pleasurable receptive anal intercourse (RAI). Conditions such as inflammatory bowel disease (IBD) and colorectal cancer, and their associated treatments, were shown to lead to several complications that disrupted sexual function. These complications included sphincter hypertonicity, gastrointestinal symptom-specific anxiety, altered pelvic blood flow, and decreased sensation due to cancer therapies. These issues resulted in problematic RAI characterized by pain (anodyspareunia), arousal dysfunction, orgasm dysfunction, and decreased sexual desire.
The review underscored the importance of normalizing discussions about RAI in clinical settings to improve patient outcomes. It suggested various therapeutic strategies for managing problematic RAI, including pelvic floor muscle strengthening, psychological interventions, and the use of restorative devices. Additionally, the review advocated for providing health care professionals with a framework to discuss and diagnose issues related to RAI to foster a more equitable and inclusive approach to sexual health.
Key points from the review included:
- Diseases of the colon, rectum, and anus, along with their treatments, adversely affect the ability to engage in pleasurable RAI.
- Management strategies for problematic RAI include antidiarrheals, fiber supplements, and psychological interventions.
- Health care professionals are encouraged to discuss pleasurable RAI and diagnose related issues to enhance patient care.
This review represents a critical step toward recognizing and addressing the sexual health needs of individuals engaging in RAI, promoting a more comprehensive understanding of sexual pleasure and function within the context of gastrointestinal health, noted investigators.
Full ethics declarations and competing interests' disclosures are available in the review.