Is Anal Sex Causing Abdominal Pain? | #MyCounselorSays

Josh Spurlock


Bec says, “I’m a female that started having anal sex recently, and afterwards, I experience abdominal pain. What is that about? What can be done about it?”

Read more to find out what Josh Spurlock, Christian Counselor and Sex Therapist, says about the danger of anal sex.

About the Author

This article is based on scientific evidence and clinical experience, written by a licensed professional and fact-checked by experts.

Josh Spurlock, MA, LPC, CST is a Licensed Professional Counselor and Certified Sex Therapists with over 10,000 hours of clinical experience. Josh specializes in Marriage Counseling and Sex Therapy. You can schedule an appointment with Josh for online counseling.

Video Transcript

(Transcript is generated by a software and may have discrepancies from the video.)


Welcome to My Counselor Online. I’m Cassie and this is My Counselor Says. My Counselor Says is where you submit a question, either for yourself, or for a friend,  and one of our incredible therapists takes their time and answers your personal question. So let’s go find out what My Counselor Says.

Josh Spurlock on the Danger of Anal Sex

First of all, let me tell you that we really discourage anal sex. The anus and the sphincter muscle surrounding the anus are really not designed to experience the thrusting that anal sex produces like the vagina is. The vagina and the pelvic floor muscles surrounding the vagina are made for thrusting, and hold up well to it and are able to enjoy it throughout the course of a lifetime.

The same can’t be said about the anus and the muscles around the anus. You can really put yourself at risk of some damage that can be permanent and really problematic for you. I’d encourage you to reconsider anal sex as an outlet for connecting sexually.

Secondly, I’d encourage you to get in with a physician to have some testing done for the abdominal pain. I’m not sure what that is about, but they’re able to run the tests necessary to see physiologically what’s happening there for you, to see what might be creating abdominal pain and help you address that.


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