Hey Dr Sue — Is It Okay To Prefer Anal To Vaginal Sex?

If you prefer it, then yes its okay.

Now, not everyone might agree with that. There are certainly religions and cultures that do not view anal sex as acceptable, between people of any gender.

But from a sexual health perspective, I think it’s important that you engage in behaviors that you enjoy.

There are a few things I want you to keep in mind. The tissue inside the anus is less elastic than vaginal tissue. This means that’s its easier to have microtears and those can lead to easier transmission of some STIs.

I often suggest people use lube during vaginal sex. Lube can make vaginal sex more enjoyable. I definitely suggest it if someone is struggling with being able to get and stay wet during vaginal sex.

With that said, I highly recommend using lube for anal sex. Anal tissue cannot self-lubricate, so lube will make things more comfortable and can help with the issue of tearing.

Something to keep in mind is pH level. The pH level inside the anus is higher than the pH inside the vagina. This means that you shouldn’t be using the same lube for both vaginal and anal sex. Check out this article for more information on lube and pH.