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When preparing for anal sex, some individuals choose to ensure a clean experience by using an anal douche prior to intercourse. For gay men, the act of douching means introducing a liquid (usually water or saline) into the rectum in order to cleanse the passage prior to anal intercourse. This relatively small amount of liquid, usually approximately 6-8 oz, is held in the rectum by the user for one or two minutes, and then released into the toilet. The people who are douching for hours on end, for traditional anal intercourse, are placing themselves at risk and this method is not substantiated. The area in which the penis actually enters is located in the distal rectum and anal canal. This region is mostly clean, if the above methods are taken into account. Anal douching is associated with higher rates of contracting stis, possibly because the water may damage the epithelium which can increase the risk of transmission. Too many enemas can also lead to enema dependency, so dont overdo it. Anal sex and stimulation can be pleasurable for anyone, regardless of sexual or gender identity. Indeed, in exploring reasons for lack of rectal douching by region we found that in regions where the prevalence of rectal douching was low such as asia, reporting that didnt know people used an enema or douche for anal intercourse was far more common than regions where rectal douching was high (53 in asia vs.). Douching may also wash bacteria into the uterus and fallopian tubes, causing fertility problems. For these reasons, the practice of douching is now strongly discouraged except when ordered by a physician for medical reasons. Douching after intercourse is estimated to reduce the chances of conception by only about 30. If youve been toying with the idea of anal sex and are still on the fence, these possible benefits may have you signing up to take the plunge, bum first.   douching upsets the natural balance of bacteria in the vagina (called vaginal flora). Rectal douching is a hygienic practice to clean the rectum in preparation for anal sex or hydrating the rectum to void hardened stools as opposed to a pharmaceutical method to soften the stool. Rectal douching is distinguished from anal cleansing, which is the routine cleaning of the anus after defecation, and enema, which is the rinsing of part of the large intestine.

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