Due to the ongoing popularity of anal sex, women in the UK, and the rest of the world, face severe health problems and injuries.
Apart from pain and bleeding, the most common issue is sexually transmitted infections, reports the British Medical Journal.
Tabitha Gana, MD, and Lesley Hunt, MD, explained that the lack of communication between doctors and patients further "exposes women to missed diagnoses, futile treatments, and further harm arising from a lack of medical guidance."
In the British Medical Journal, they wrote that "anal intercourse is considered a risky sexual behavior because of its association with alcohol, drug use, and multiple sex partners."
The reality, however, is different. Gana and Hunt claim that "within the popular culture, it has moved from the world of pornography to mainstream media." They added that TV shows like Sex and the City and Fleabag made it appear "racy and daring."
The report states that women who have anal sex are at more significant risk than men:
"Increased rates of fecal incontinence and anal sphincter injury have been reported in women who have anal intercourse."
Women are at higher risk due to "different anatomy and the effects of hormones, pregnancy, and childbirth on the pelvic floor."
Additionally, they wrote:
"Women have less robust anal sphincters and lower anal canal pressures than men, and damage caused by anal penetration is, therefore, more consequential."
"The pain and bleeding women report after anal sex is indicative of trauma, and risks may be increased if anal sex is coerced."
Hunt and Gana wrote:
"It is no longer considered an extreme behavior but increasingly portrayed as a prized and pleasurable experience."
The rise of anal sex has been evident in the past decades, and the statics supports this claim. Yet, doctors fail to address the issue because they are ashamed to ask and answer burning questions about anal sex.
Hunt and Gana, surgeons, say that this "failure to discuss it" creates issues for women who often end up misdiagnosed.
The British-based surgeons added that NHS patient information about the anal sex risks is incomplete as there is "no mention of anal trauma, incontinence or the psychological aftermath of the coercion young women report in relation to this activity."
The lack of information "may be failing a generation of young women, unaware of the risks."
Claudia Estcourt, a professor of sexual health and HIV and a member of the British Association for Sexual Health and HIV (BASHH), asked doctors to talk openly about anal sex.
Estcourt called for doctors to talk openly about anal sex, saying that the BASHH organization "calls for careful, non-judgmental inquiry about anal sex in the context of women with anal symptoms."
Women should be asked questions regarding their sex lives "in sensitive, non-judgmental ways and giving patients time to answer, are all key to providing the best care," said Estcourt.
She added that the organization "would encourage women with concerns to contact their local sexual health clinic or sexual assault service as appropriate."