Ladies...Should I tell my gynecologist…

Should I tell my gynecologist that I have anal sex? Always with a condom, only with my husband.

Have any of you had that convo with your dr? How did it go? Were you chastised for it?

Ladies. What do you think?

I would. 1) condoms can tear. There is risk of bacterial infections and STIs if that happens 2) the rectal tissue is a thinner. It can tear or develop other anatomical issues as a result of anal sex.

Using condoms and being monogamous significantly reduces risk, but it doesn’t completely eliminate risk.

Why? Did he ask?

It's not a bad idea? They're not going to go "ANAL SEX! Gasp! I must immediately order the anal sex panel and break out the anal sex magnifying glass." But it may inspire them to do a less cursory inspection of that area to look for any issues, tears, whatever during your exams. But if you're dreading that conversation, I think it would also be fine not to, as long as you speak up if you notice any pain or bleeding or other rectal symptoms if they happen. If you don't have any symptoms and have a steady partner whose STI status you are sure of, you're pretty unlikely to have some stealth rectal problem that this disclosure would affect.

Why? Did he ask?

No. She has never asked, but I’m going in July, and thought that maybe I ought to just to be on the safe side.

No. She has never asked, but I’m going in July, and thought that maybe I ought to just to be on the safe side.

If it’s on your mind, do it. I personally wouldn’t unless I was concerned about an injury or something but that’s me. Do what gives you peace of mind.

I think we definitely need to talk to him about it.

There should be no taboo about practicing anal sex.

This is also one of the questions asked during the pre-exam interview.

In the event of a positive response, the practitioner will be particularly careful to look around the anus for any traces of tearing.

He will also be able to carry out acetic acid staining to look for traces of papillomavirus (because the nomenclature does not provide for smears from this region)

He will also assess for signs of forced penetration (a number of patients experience sodomy more than they approve).

Don't be worried, your gynecologist will not take the opportunity to support more or less the rectovaginal palpation which is part of his procedure.

@Franklin58200 "a number of patients experience sodomy more than they approve"

You come across that on a regular basis?!

If it’s on your mind, do it. I personally wouldn’t unless I was concerned about an injury or something but that’s me. Do what gives you peace of mind.

I'm with @Nurse_Phillips . If there is no real reason to say something...don't. Information you give to your medical professional will more than likely be put in your permanent medical record. Anal sex isn't all that bad to do. People do it.

You @EnchantedAmethyst are being safe using a condom. Just he sure to use plenty of lube to avoid any irritation to you anal cavity.

Thank you all. I feel better now. I’ll only tell her if I start having problems.

@Jacana

No, fortunately, as a general rule sexual practices result from an agreement between the two partners.

But, as you know, a practitioner has a duty to ensure the integrity of his patient and protect her.

If repeated non-consensual anal penetration is noted, it is our duty to provide the necessary advice and possibly draw up a medical certificate that can be used for a possible complaint.

I didn't say it was common, just justifying the fact that the question was asked during the interview and this region examined during the consultation.

I don't really volunteer information like that unless there is a concern. For me, he's asked, though, and I've always been honest. He knows I have anal sex, and I don't use a condom.

@Sarah1 Oh, any idea why he asked?

It's just a routine question for a lot of docs. Knowing what kinds of sex you have, with what protection, and with whom (in a general demographic sense, I mean) guides what problems they look for, and what swabs they take for infection screening, etc. Whether they ask may depend on when and where they were trained.

@Franklin58200 I would use the word "protocol" rather "nomenclature":

He will also be able to carry out acetic acid staining to look for traces of papillomavirus (because the nomenclature does not provide for smears from this region).

@Antonin

In fact, I used the term "nomenclature" because in France, we adhere to the actions referenced by the health insurance fund which defines the actions that are covered and reimbursed to patients.

The “protocol” is more the set of gestures that we consider essential in our personal practice.

I think you should, my doctor always take a quick look, asked if I had some pain and sometimes refered me to a proctologist.