Anoreceptive Sexual Intercourse and Fecal Incontinence: A Cross-Sectional Survey

Anoreceptive sexual intercourse (ASI) is a common sexual practice, yet its relationship with bowel continence remains insufficiently characterized. Evidence evaluating patient-reported continence outcomes and behavioral context is limited. The objective was to evaluate the association between ASI and self-reported fecal incontinence (FI), and to assess its relationship with continence-related quality of life and specific ASI-related practices.

We conducted a cross-sectional analytical study using an anonymous online survey distributed to a self-selected adult cohort through social media (N = 1018). FI severity was assessed using the Jorge-Wexner Score (JWS), and quality of life with the Fecal Incontinence Quality of Life Scale (FIQLS). Associations were adjusted using multivariable logistic regression for age, sex, obstetric history, and comorbidities.

The prevalence of ASI was 77.8%. Self-reported FI was more frequent among participants reporting ASI than among those who did not (13.4% vs 7.1%, p = 0.01); however, this association did not remain statistically significant after multivariable adjustment (p = 0.063). No differences were observed in JWS severity scores or FIQLS domains between the groups analyzed. FI was not associated with ASI frequency, higher-intensity practices, or preparatory behaviors.

Anoreceptive sexual intercourse was not independently associated with FI or impaired continence-related quality of life after adjustment for confounders, although the primary association approached statistical significance. Within this self-selected cohort, ASI alone may not represent a major determinant of continence impairment. Prospective studies with objective functional assessment are warranted.