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Com that although we dont have a lot of good scientific data about pain and trauma from anal sex,. Intercourse pain, or dyspareunia, can cause problems in a couples sexual relationship. In addition to the physically painful sex, there is also the possibility of negative emotional effects. Anal sex is a bit of a taboo subject, despite the fact that its an increasingly popular sexual activity. As more couples explore this type of sex, understanding the risks, rewards, and proper. Rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. Serious injuries from anal sex are relatively rare however, if you have internal pain or see blood, you need to see your health care provider. Here are some of the potential complications of anal sex the blood you mentioned could have been from a hemorrhoid, which is a swollen vein in the anal area.