Anal sex – my first time

Would occasional anal sex lead to leakage?

Question
I'm male and bi-sexual. A week ago, ago I broke just about every rule of common sense.

Using a gay chat web site, I talked to a guy (a complete stranger) and then met him and took him back to my house.

I was feeling very horny and found him to be very attractive so we went to bed. I have never received anal intercourse before in my life, but that night I was up for trying anything.

He produced 'poppers' and I inhaled them before consenting to anal sex without him wearing a condom. It hurt slightly at the time but not to the extent that I wanted to stop. We finished and he went home.

For the next few days there was no problem and I felt no pain. However, although I have not slept with anybody since, when I woke up on the fifth day after having slept with the guy, I felt anal pains.

I went to the toilet and after that I felt severe anal pains making me feel very uncomfortable for several hours afterwards. The pain became easier until I went to the toilet again, when I felt the same severe pains again.

Today, the sixth day since I had anal sex, I experienced the same pains again when I used the toilet this morning and although there is a constant pain all day it is bearable until I use the toilet. I find this whole incident extremely embarrassing and I don't know if I could bring myself to tell a doctor or nurse to their face exactly what has happened.

Have I caught an infection? Is it simply muscular pain as it is the first time I have ever had anal sex?

Answer
Well,unprotected sex with a stranger – particularly anal sex – isn't a great idea, but you're already aware of that.

It seems quite likely that you have some 'local' anal condition (maybe piles), but you do urgently need a rectal examination to check this out.

The obvious place to go would be your local genitor-urinary medicine (GUM) clinic, where you need have no embarrassment - since every day they hear similar accounts to yours. They will also test you for infections, such as rectal gonorrhoea, which has become more common .

To find the clinic, ring your nearest large hospital and ask to speak to 'the GUM Department.' Don't delay.

Best wishes.

Yours sincerely

Dr David Delvin, GP