Does Douching Help Constipation?

Dr. Evan Goldstein

fundamentals September 26, 2023

So you're wondering if douching helps with constipation? You’re not alone. This is one of the top questions we get asked. More generally, people who are looking to prepare for anal sex are wondering how long it’ll take for our Disposable Intimate Wash or Anal Douche Powder Packs to elicit bowel movements. While anal douching has many other benefits – like getting someone ready for anal sex – it does not aid in relieving constipation. However, there are alternative methods you can explore to effectively address your constipation. Learn more about anal douching and understanding constipation below.

What is Anal Douching?

Anal douches and enemas are frequently used interchangeably; however, they are very different products and serve very different purposes. So, what exactly is anal douching? 

  • Anal douching involves rinsing or cleaning the rectum and lower colon using water or other solutions.
  • It is commonly practiced for personal hygiene before engaging in anal play or intercourse (read: bottoming).
  • Anal douching can be performed using different methods, such as handheld bulbs like those included in Future Method’s Anal Douche Wash, shower attachments, or enema kits.
  • People should consider only anal douching with isotonic, iso-osmolar solutions, as plain water or store-bought enemas can come with negative ramifications.

So, Why Doesn’t Douching Help With Constipation?

Let’s take a step back and talk about anatomy. Stool is stored in the sigmoid colon, which is above where anal sex and play happens (that happens in the anal canal and rectum). Unless someone is engaging in fisting or using extraordinarily large toys (or has a truly blessed partner), or they feel the urgent need to go to the bathroom, they will not run into any feces. 


Anal douches are formulas designed only to cleanse the anal canal and rectum of any lingering or residual feces, which would help explain why douching for constipation isn’t the best. Some people might be saying, “Well, I’ve douched before and it made me have a bowel movement.” This can happen for a number of reasons:

  1. When someone chooses to douche with a shower attachment. That’s because these apparatuses release an unnecessarily large amount of high-pressured water past the rectum and into the sigmoid colon, which, as we learned above, is where feces is stored until you have to actually go to the bathroom. When liquid reaches this high, it can dislodge stool, and cause you to go to the bathroom. When people complain about douching taking a long time before things “run clear”, this is why.
  2. When someone uses a store-bought enema solution. These solutions come in a myriad variety, including saline, mineral oil, soapsuds, and phosphate. Each is an OTC product specifically designed to help relieve constipation by helping to soften stool, break up fecal matter, or draw water into the colon to promote bowel movements. They are also used to prepare for a medical procedure, like a colonoscopy, sigmoidoscopy, or surgery. They should really only be used in very specific situations, and rarely, if ever. 
  3. When someone already had to go to the bathroom and think the douche helped encourage the bowel movement.

For constipation, instead of anal douching, focus on proven methods like dietary fiber using Future Method’s Butt & Gut Daily Fiber, proper hydration, exercise, and over-the-counter laxatives and stool softeners for effective constipation management. Also, be sure to consult with your doctor about constipation and the best method to resolve your issues because it might be a sign of another condition that needs a proper evaluation and treatment plan.

Risks of Using An Anal Douche For Relieving Constipation

When done properly and with the right solution, anal douching is an effective pre-sex preparation routine. However, there are risks of using an anal douche to relieve constipation. These include:

  • Dependency risk: Over-reliance on douching can lead to dependency, making it challenging for the body to regulate bowel movements naturally.
  • Disruption of gut flora: Excessive douching can disturb the natural balance of beneficial bacteria in the gut, called the microbiome, potentially causing digestive issues and increasing the risk of infections, especially if someone engages in anal receptive sex or bottoming.
  • Anal irritation and damage: Forceful or frequent douching to relieve constipation can irritate and harm the sensitive tissues of the anal area, leading to inflammation, pain, and potential injury to the anal sphincter.
  • Hydration imbalances: Douching does not directly address overall hydration, and relying solely on it without adequate hydration can result in dehydration and related complications.

Are There Benefits to Anal Douching Unrelated to Constipation?

Even though douching for constipation is not recommended, there are times when douching is beneficial. To balance out the cons of douching mentioned above, we still want to highlight some of the benefits of anal douching, particularly when it comes to preparing for anal play. In conjunction with a healthy diet that’s high in fiber, daily fiber supplements and pre+probiotics, proper hydration, exercise, and stress management, douching can be a quick and easy final step for added confidence before someone engages in anal sex. Some people like the added assurance that there won’t be any surprises that pop up during anal sex, which will allow them to fully relax and be present in the moment, to enjoy all the pleasures that come with anal play.

Understanding Constipation: The Role of Fiber and Hydration

There are many reasons why constipation can occur. It’s important to get to the bottom of what’s causing your constipation so that you can work on an appropriate treatment plan. Some easy, at-home remedies include: 

  • Dietary fiber plays a crucial role in promoting regular bowel movements and preventing constipation. Unfortunately, most Americans don’t consume enough fiber, which is why daily fiber supplements are so important. They come in various forms, from capsules to tablets (like the ones from Future Method), and powders. 
  • Adequate hydration is essential for maintaining proper bowel function and preventing dry, hard stools. In order for fiber and fiber supplements to be the most effective, they need plenty of water. I recommend people consume at least 2 tall glasses of water when taking fiber supplements.
  • A combination of fiber-rich foods, such as fruits, vegetables, and whole grains, along with sufficient water intake, can help alleviate constipation and promote bowel regularity.

Safer Alternatives For Relieving Constipation

Instead of douching, and before you turn to enemas, here are some easy, basic suggestions based on fiber & exercise that anyone can do at home: 

  • Make dietary modifications by increasing fiber intake through fruits, vegetables, whole grains, and legumes. Fiber supplements can, and often should, be taken in tandem. 
  • Ensure adequate hydration by drinking enough water throughout the day to maintain optimal bowel function.
  • Incorporate regular physical activity and exercise into your routine to stimulate bowel movements and promote regularity.

Butt & Gutt Daily Fiber To Assist in Constipation

The idea that anal douching helps with constipation relief is not supported by scientific evidence and is not recommended. While anal douching serves a purpose for personal hygiene and preparing for anal sex, it does not address the underlying causes of constipation and is not a good long-term solution. Instead, focusing on lifestyle changes such as increasing fiber intake with acacia fiber in our Future Method’s Butt & Gut Daily Fiber, maintaining adequate hydration, and incorporating exercise can provide safer and more effective alternatives for managing constipation. Remember to consult a healthcare professional for personalized advice on constipation management if you find yourself struggling with constipation on a regular basis as it might be a sign of something more serious.

About the author

Dr. Evan Goldstein is the Co-Founder of Future Method and the Founder and CEO of Bespoke Surgical, the leading private practice in health and wellness for gay men. He received his MD from the University of Medicine and Dentistry School of Osteopathic Medicine. Dr. Goldstein is the go-to butt and bottoming expert, having been published in Huffington Post, Men’s Health, Healthline, and more. Learn about Dr. Goldstein by visiting his practice, bespokesurgical.com.

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