In-depth interviews were conducted with 81 Black MSM ages 20—39 years who were purposively recruited from four townships. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Pain during RAI was brought up by many participants without specific prompting from the interviewer. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. The participants attributed pain during RAI to partner characteristics, interpersonal dynamics, lack of lubricant, and alcohol use or non-use. The main strategies participants used to address pain during RAI were setting sexual boundaries and lubricant use; a small number of participants reported purposefully consuming alcohol to prevent the pain associated with RAI.
Anal Disorders - Harvard Health
Do you like getting jackhammered till your hole is raw? We heard you loud and clear: Our community survey got hot and heavy last month with a variety of responses to our questions about pain and anal sex. First, a few words about the survey. We shared this question anonymous survey with our social media followers, on our website and in our newsletters—to reach a convenience sample of people connected to San Francisco AIDS Foundation.
Common Causes of Rectal Pain
Pain in the rectum is a common experience and is not, in general, due to a serious medical condition. However, the pain can be intense and worrying. It is usually caused as a result of straining and stretching the rectum when passing a hard stool. Anal fissures can also occur if the anal sphincter the muscle that controls the anal opening is too tight to pass stools.
The anus is that part of the intestinal tract that passes through the muscular canal of the pelvis and anal sphincters. It is the final orifice through which stool passes out of the body. In adults, the anus is 4 to 5 centimeters long. The lower half of the anal canal has sensitive nerve endings. There are blood vessels under the lining, and in its mid portion there are numerous tiny, anal glands.