Anal Sex While Pregnant – Precaution & Risks

Anal Sex During Pregnancy

During pregnancy, your body will undergo numerous changes—hormonal changes included. These hormonal changes during pregnancy affect everyone differently. Some women may have no sex drive at all while they are pregnant, while others may feel charged and want to have sex with their partners. If you are looking to get cosy with your partner with a bump, you will have to exercise several restrictions and check with your medical practitioner to get the green flag to continue.

Although sex during pregnancy is considered normal, there are certain precautions to take and risk factors to consider. You may have to adapt to certain changes in your sex life to keep your unborn baby safe and avoid complications. When it comes to having anal sex while pregnant, extra caution is advised. Nevertheless, it is allowed when your pregnancy is progressing smoothly and you do not have any specific health concerns.

Is Anal Sex Safe When Pregnant?

As your pregnancy progresses, there are times when vaginal sex isn’t recommended or safe for you. In such cases, your libido will have to be satisfied in other ways. Anal sex may be considered as an alternative to this option. However, you shouldn’t just assume it is safe in all cases.

If there are no specific medical complications or discomforts that you suffer from, anal sex shouldn’t be an issue for you during pregnancy. However, this is definitely not the right time to try it for the first time. Do not try this variety of sex during pregnancy, unless you have attempted it before since it comes with a fair share of risks.

However, if you have previously enjoyed anal sex, there shouldn’t be any harm in continuing it during pregnancy as long as yours is a low-risk pregnancy. However, you should avoid it altogether if you have any impeding medical conditions like haemorrhoids and fissures. Haemorrhoids are swollen veins in the anal region that can bleed when disturbed. Fissures mean small cracks in the anal region, that also bleed and sting when aggravated. Both these conditions can be aggravated by anal sex.

It is also unsafe if you have any medical complications like a low-lying placenta. If your medical practitioner has advised you to take rest and restrict activity during pregnancy, this type of sex is best avoided.

What Precautions Should You Take While Having Anal Sex?

The following are the precautions to be taken while having anal sex:

1. Comfortable Engagement

Ensure both partners are comfortable and free from physical discomfort before attempting anal during pregnancy.

2. Discontinue if Discomfort or Pain Occurs

Immediately stop the activity if any discomfort or pain arises during anal sex and consider using a safe lubricant for enhanced comfort.

3. Avoid Cross-Contamination

Refrain from transitioning between anal and vaginal sex without proper hygiene measures, as it can pose risks of transmitting harmful bacteria.

4. Consider Health Conditions

If either partner has a sexually transmitted disease, it is advisable to avoid anal sex, as the risk of transmission is higher compared to vaginal intercourse.

5. Exercise Caution During Pregnancy

Exercise extra caution during anal sex in pregnancy, with partners being understanding and gentle. Stop at any sign of discomfort and explore alternative methods until both partners are comfortable and at ease.

Precautions Should You Take While Having Anal Sex

Risks of Anal Sex While Pregnant

Anal sex is often considered riskier than other sexual methods for a variety of reasons.

  • Firstly, it can quickly cause unnecessary aggravation of haemorrhoids, fissures and other bodily condition.
  • If you are suffering from piles, this method can cause heavy bleeding that will impact the smooth progress of the rest of your pregnancy.
  • Be careful to not be too rash and cause tears in the rectum or anal region. This can be very uncomfortable and affect your overall health for the rest of your pregnancy.
  • Constipation is a common problem in pregnant women. Irrespective of the trimester that you are in, if you are constipated, anal sex can cause the condition to worsen. Hence it is best avoided in such cases.
  • Switching from anal sex to vaginal sex without due care is very dangerous. There are several bacteria that reside in the anus, that do not enter the vagina normally. Anal sex increases the possibility of transmission of such pathogens that cause diseases like bacterial vaginosis. This condition is known to be very risky and can even cause a miscarriage. To avoid such risk, both partners should exercise suitable hygiene steps between the switch from one method to the other.
  • Anal sex may also trigger strong contractions in the uterine area. This may not be safe depending on the stage of pregnancy you are in. If you do experience any such strong contractions, promptly contact your doctor to ensure it isn’t of any concern.
  • Anal sex is also unsafe if there are any risk factors associated with your pregnancy. It is best avoided if you are suffering from placenta previa or any such pregnancy-related conditions.

When to Avoid Anal Sex in Pregnancy?

If you suffer from fissures, haemorrhoids, or constipation during your pregnancy, it is best to avoid anal sex. This method can intensify the symptoms of these conditions and result in heavy bleeding or discomfort that will impact the rest of your pregnancy significantly.


1. Can Anal Sex Harm the Unborn Baby?

In general, if done with caution and consideration for comfort, anal sex is unlikely to harm the unborn baby. However, communication and attentiveness to any discomfort are crucial to ensure a safe experience.

2. Should I talk to my Healthcare Provider before Engaging in Anal Sex during Pregnancy?

Yes, it is advisable to consult with your healthcare provider before engaging in anal sex during pregnancy. They can provide personalized advice based on your health, pregnancy status, and individual circumstances to ensure a safe and comfortable experience.

So, this was all about anal sex and pregnancy. It is also of utmost importance that you are physically and emotionally comfortable to indulge in anal sex. Since your body is more sensitive during pregnancy, it isn’t safe to attempt it if you find it disturbing in any way. Anal sex is definitely off the table if either of you suffers from an STD, that can easily be transmitted through this method. This can cause unnecessary complications in your pregnancy.


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3. Bužinskienė. D, Sabonytė-Balšaitienė. Ž, Poškus. T; Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women’s Quality of Life and Treatment Methods (Frontiers in Surgery); National Library of Medicine;; February 2022

4. Ng. B, Chuah. J, Cheah. F, Ismail. N, et al.; Maternal and fetal outcomes of pregnant women with bacterial vaginosis (Frontiers in Surgery); National Library of Medicine;; February 2023

5. Teasdale. C, Abrams. E, Chiasson. M, et al.; Incidence of sexually transmitted infections during pregnancy; PlosOne;; May 2018

6. STDs during Pregnancy – CDC Detailed Fact Sheet; Centers for Disease Control and Prevention;

7. Sex in pregnancy; NHS;

Also Read:

Oral Sex when Pregnant
Sex Positions in Pregnancy
Benefits of Sex During Pregnancy
Sex During the First Trimester: Making Love in Early Pregnancy

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