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Please stay away from anal sex if you suffer from uc when there is a flare up and possible ulceration in the lower colon, it also affects the rectum. You might be setting yourself up for infection and possible ruptures. Ulcerative colitis is a serious disease, it affects your immune system. If someone has a gi disease involving the anusrectumfor example, a flare of ulcerative colitis, a rectal ulcer, or an anal fissureit may not be safe to have receptive anal sex, dr. Ulcerative colitis may affect the area just above the rectum and the rectum. Since it is an inflammatory disease, anal sex certainly has the potential to make the condition worse. Anal sex would be causing friction to an area that may already be inflamed and could cause further injury or perforation, especially if the penetration is taking place with an object other than a penis toys, fist. The first question out of my mouth after my colonoscopy, while still partially sedated, when my doctor said, thankfully, you dont have cancer. Its ulcerative colitis, was can i have anal sex? He said no, unequivocally. For ulcerative colitis, the creation of an internal ileo-anal pouch (ipaa). For more information on common operations for ibd, see our leaflets surgery for crohns disease and surgery for ulcerative colitis. You may eventually need surgery if you have ulcerative colitis or crohns disease and frequent cases of proctitis. If you have ulcerative proctatitis, you will have chronic inflammation and ulceration of rectal mucosa. Going for anal sex will not only be painful but also result in increased bleeding and damage to rectal mucosa. This will also increase the risk of infection including stds. Please consult your treating doctor before attempting anal sex. Ulcerative colitis may make your social life more challenging, but it shouldnt make it feel impossible. If it does, talk to your doctor about how well your treatment is working for you. ulcerative proctitis in men who have sex with men an emerging outbreak. Which showed an ulcerative proctitis with a fibrotic stricture 7 cm from the anal margin (figure).