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Harm Reduction Guidance

Guidance on reducing the risks associated with anal douching.

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Jan 15, 2026
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What are safe douching practices and medical risks associated with enemas before anal sex?

Anal douching (rectal douching or enemas) is a common pre-coital hygiene practice but is not medically necessary and carries measurable risks—particularly to the rectal mucosa and for transmission of ...

Jan 17, 2026
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What are safe enema practices and medical risks associated with anal douching?

Anal douching — the practice of flushing the rectum with liquid before anal sex or play — is common among people who take a receptive role in anal intercourse but is not medically required for safety ...