You told us—pain during anal sex can be mind-blowing. not from anal penetration); Enjoying rough sex (with pain as the side effect) (“Fast. This can be unpleasant and tiring and may put you off wanting to have sex. Your doctor You might want to avoid anal play or sex until this side effect improves. Anal intercourse was higher among women (%) than men (%), examined fecal incontinence (FI) symptoms and anal intercourse (5,6).