Sexology Unit, Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia.
J Sex Marital Ther. 2011;37(5):346-58. doi: 10.1080/0092623X.2011.607039.
Anal sex is becoming increasingly prevalent among heterosexual women and men. Although pain related to receptive anal intercourse is not uncommon, little is known about its phenomenology. This article aims to assess the prevalence and correlates of pain during anoreceptive intercourse, including anodyspareunia, its most severe form, among young women. An online survey focusing on anal eroticism was carried out in March and April 2010 on a convenience sample of 2,002 women 18-30 years of age. Participants who reported 2 or more episodes of anal intercourse in the past year were asked about the level and frequency of pain at anoreceptive penetration; those who reported unbearable (too painful to continue) or strong pain at every such occasion were classified as anodyspareunic. The experience of receptive anal intercourse was reported by 63.2% (n = 1,265) of participants. Although almost half (48.8%) had to discontinue their first anoreceptive intercourse because of pain or discomfort, a majority of women (62.3%; n = 788) continued anal sex. Of the 505 participants who reported 2 or more episodes of anal intercourse in the past year, the women (8.7%; n = 44) who reported severe pain during every anoreceptive penetration were classified as anodyspareunic; all others were classified as non-anodyspareunic. For more than two thirds of women with anodyspareunia, the current pain level remained unchanged from their first experience with anal sex. Inability to relax was the most frequent self-hypothesized cause of pain among the anodyspareunic and nonanodyspareunic groups. Compared with other women, those with anodyspareunia reported substantially lower levels of sexual satisfaction (odds ratio = .95; p < .001) and were less sexually assertive (odds ratio = .80; p < .01). The findings that a substantial proportion of women reported pain at first and subsequent anoreceptive intercourse highlight a need for more information and education about anal eroticism.
肛交在异性恋男女中越来越普遍。尽管与接受肛交相关的疼痛并不罕见，但对其现象学知之甚少。本文旨在评估年轻女性在接受肛交过程中疼痛的发生率和相关因素，包括最严重的形式——肛门性交疼痛。2010 年 3 月至 4 月，我们对 2002 名年龄在 18 至 30 岁的女性进行了一项关于肛交性爱的在线调查，调查采用方便样本。在过去一年中报告有 2 次或以上肛交经历的参与者被问及在接受肛交时的疼痛程度和频率；那些报告每次都感到难以忍受（太痛而无法继续）或剧痛的人被归类为肛门性交疼痛。63.2%（n=1265）的参与者报告了接受肛交的经历。尽管近一半（48.8%）的人因疼痛或不适而不得不停止第一次接受肛交，但大多数女性（62.3%；n=788）继续进行肛交。在过去一年中报告有 2 次或以上肛交经历的 505 名参与者中，有 8.7%（n=44）的女性报告在每次接受肛交时都感到剧痛，被归类为肛门性交疼痛；其他所有人都被归类为非肛门性交疼痛。对于三分之二以上的肛门性交疼痛女性，当前的疼痛水平与她们第一次进行肛交时保持不变。无法放松是肛门性交疼痛组和非肛门性交疼痛组最常自我假设的疼痛原因。与其他女性相比，那些有肛门性交疼痛的女性报告的性满足感明显较低（比值比=0.95；p<.001），性自信度也较低（比值比=0.80；p<.01）。相当一部分女性报告在第一次和随后的接受肛交时感到疼痛，这一发现强调了需要更多关于肛交性爱的信息和教育。
