Intended for healthcare professionals

Letters Young women and anal sex

Young women and anal sex: healthcare professionals must normalise questions about what is normal for many people

BMJ 2022; 378 doi: (Published 30 September 2022) Cite this as: BMJ 2022;378:o2323
  1. Laura Waters, consultant physician sexual health and HIV1, chair2,
  2. Claire Dewsnap, consultant physician sexual health and HIV3, president4
  1. 1Central and North West London NHS Foundation Trust, London, UK
  2. 2British HIV Association, London, UK
  3. 3Sheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK
  4. 4British Association of Sexual Health and HIV, Macclesfield, UK
  1. lwaters{at}

Discussion about sex, particularly the neglected topic of anal sex in women, is uncommon in general medical journals and raising of awareness is a generally positive thing.1 We are concerned, however, that it has been framed in a negative and judgmental way.

There may be potential physical trauma from anal sex, and anatomical differences could play a role, but …

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