My girlfriend and I have been having anal sex–because of religious reasons, we are saving ourselves for marriage. This has been happening for maybe 3 months. She has had some serious stomach pains recently… could she be pregnant? Please help.

Thanks for your question. It is difficult to know if your girlfriend could be pregnant or whether she is having “serious” stomach issues due to a complication of anal sex or something else. If you are using condoms every time you and she have intercourse and never have vaginal penetration, it is unlikely that she is pregnant; however, the vagina and anus are located very close together and without a condom, even a little semen (fluid containing sperm) can find is way inside your partner’s vagina and ultimately to an egg and cause pregnancy. The other fact you should be aware of: although very rare, anal penetration can puncture a hole in the “recipient’s” colon (the person who is receiving penetration by a penis, finger, or sex toy). The symptoms usually start after anal sex and include abdominal pain and heavy bleeding from the rectum. This is an emergency situation and requires immediate medical care, usually a trip to an emergency department. With that being said, your partner’s “stomach pains” may be caused from something entirely different such as a viral or bacterial infection, constipation, or food intolerance. It’s a good idea for her to be checked by her health care provider (HCP) so she can get treated if needed. It’s important to be honest with the HCP. Remember, what she or you tell to the HCP is confidential.

Anal sex for the most part is safe if you follow these guidelines:

Check in with your partner and make sure they are not in pain and want to continue, as anal sex isn’t for everyone.

Although more and more people are having anal sex, it is still considered one of the riskiest forms of sexual activity. As long as you and your partner both agree to having anal sex, and you practice “safe anal sex”, and follow the guidelines above, you should be okay.

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