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Anal Sex and STIs

by Dr. Michael Lee – Health Editor

CDC Updates guidance on Anal STI Screening as Cases Rise

WASHINGTON, D.C.Health officials are emphasizing the importance of regular screening for sexually transmitted infections (STIs) among individuals engaging in anal sex, particularly as rates of rectal chlamydia and gonorrhea continue to climb. The Centers for Disease Control and Prevention (CDC) currently recommends annual testing for men who have sex with men, but experts urge anyone with rectal symptoms or engaging in anal sex-especially without condoms-to discuss testing options with a healthcare provider.

Anyone experiencing rectal symptoms should consult a healthcare provider, being forthcoming about their sexual history – including the number of partners and the date of last activity – to determine appropriate testing. While the CDC does not reccommend routine anal STI testing for women or men who have sex with women, and states there isn’t sufficient evidence to support regular anal Pap or HPV tests, open communication with a doctor is crucial.

Preventing the spread of STIs through anal sex requires a multi-faceted approach. Key preventative measures include consistent condom use, employing dental dams during rimming, frequent handwashing and cleaning of sex toys, and honest conversations with partners about safer sex practices and STI testing. Individuals may also consider doxycycline post-exposure prophylaxis (Doxy PEP) if eligible. Regular STI testing of the penis or vagina, alongside partner screening when necessary, is also vital.

lubrication is paramount during anal sex, as the anus lacks natural lubrication, and insufficient lube can cause tears that increase STI transmission risk.

for more information on anal sex and STIs, visit the American Sexual Health Association at https://www.ashasexualhealth.org/anal-sex-and-stis/.

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